immune function (3) Flashcards
when does a fever become harmful?
41 degrees
what is a physiologic response to an infection?
fever
why can fevers be good?
promotes immune response and kills organisms
what fever is too high in infants - 2 m.o.
38
what fever is too high in children older than 2 m.o.
40
what meds are used for fever
ibuprofen (if older 6 m.o.) and acetaminophen
what is not used for a fever
aspirin
what physical intervention should be done for fever?
remove all clothing except for a light layer
is there a vaccine for mono
no
what 2 things causes of mono?
- EBV
- human herpesvirus type 4
how is mono transmitted
saliva, blood, semen
s/sx of mono
fever, HA, painful sore throat, FATIGUE, hepatosplenomegaly
how long do symptoms of mono last?
2-4 weeks
treatment of mono
supportive, corticosteroids
what diagnstic tests are run for sepsis
- blood/urine cutures
- lumbar puncture (collect CSF)
- skin lesions cultured
what are the 3 interventions done immediately for sepsis
- O2
- IV fluids
- IV antibiotics
these are to preserve organ fxn
what additional interventions are done for sepsis?
- cardiac/resp monitors
- frequent vitals
- strict I&O / DW
what is AIDS caused by ?
human immunodeficiency virus
what kind of cells does HIV/AIDS destroy
T cells
why does AIDS occur in kids?
when HIV is not treated, acquired from mother in birth or breastmilk
describe the progression of AIDS in kids
starts with nonspecific findings, then progresses to infections and deterioration
wat diagnoses aids
HIV RNA assay
what classifies a kid as HIV-
2 negative tests @ 6 m.o. or older
all infants of mothers infected with HIV/AIDS should receive what?
PJP (pneumonitis jiroveci pneumonia) prophylaxis
what drugs treat HIV/AIDS
combo antiretroviral therapy (at least 3 drugs from 2 classes)
what is the initial goal of nursing management of HIV
implement health promotion measures to reduce risk of HIV transmission to newborns, infants, children, and adolescents
what is inflamamtion involving one or more joints that lasts longer than 6 weeks and occurs prior to 16 y.o.
juvenile idiopathic arthritis
what gender does juvenile idiopathic arthritis ffect more?
females
what 3 complications can juvenile idiopathic arthritis lead to?
- early closure of epiphyseal plate
- contractures
- synovitis
what meds help juvenile idiopathic arthritis
- NSAIDS
- DMARDS (disease modifying anti-rheumatic drugs) such as methotrexate
what treatment for juvenile idiopathic arthritis preserves joint function and prevents deformities
PT/OT
surgery (occasional)
