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201: Peds Exam 2 > Interventions > Flashcards

Interventions Flashcards

1
Q

Meds for neuro disorders

A

Abx
Anticonvulsant
Benzodiazepines
Osmotic diuretics
Corticosteroids

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2
Q

Seizure precautions

A

Airway/suction
O2
Side lie
Safe environment (padding)
Anticonvulsant
Help ambulate

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3
Q

Tonsillectomy post op interventions

A

Prone or side til awake - then elevate HOB
Fluids, popsicles, ice chips
No citrus, brown, or red
Ice collar and analgesics
Edu no: cough, straw, nose blow, clearing of throat

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4
Q

Drugs for croup

A

Racemic epinephrine aerosol to decrease edema
Steroids for inflammation

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5
Q

Vax that prevents epiglottitis

A

Hib

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6
Q

Nursing for epiglottitis

A

No visualizing throat
Constant supervision
No supine
100% O2
Tracheostomy if complete obstruction
Emergency equipment available

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7
Q

Cystic fibrosis tx

A

CPT many times a day
Inhaled dornase alfa
Inhaled Abx
Pancreatic enzymes
Fat soluble vitamins
High calorie/high protein diet

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8
Q

Nursing mgmt for HF

A

Promote O2: position, suction, O2
Nutrition: more calories, small frequents
Rest to decrease cardiac demands

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9
Q

For high risk kids, reduce risk of infective endocarditis via…

A

Toothbrush
Flossing
Abx at dentist

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10
Q

Therapeutic mgmt for rheumatic fever

A

Mgmt inflammation and fever
10 day Penicillin with steroids and NSAIDs
Prophylactic Abx for years to prevent recurrence

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11
Q

Mgmt CM

A

Mechanical ventilation and vasoactive meds
ACE, BB, CCB
Pacemaker
Heart transplant

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12
Q

Kawasaki drugs

A

IV immunoglobulin
ASA (the rare exception)

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13
Q

Kawasaki nursing

A

Quiet environment
Cluster care
Lubricating ointment to lips
Ice chips
Positioning and ROM exercises

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14
Q

Kawasaki edu for parents

A

Avoid MMR and varicella vax for 11 months post IVIG
Report ASA side effects
Avoid additional NSAIDs
Must comply with regularly scheduled cardiology FU appnts
CPR

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15
Q

Rehydration therapy

A

Fluid (ORS 50 to 100 mL/kg over 4 hrs) with NaCl and glucose (Pedialyte, Infalyte, Ricelyte)
For severe: IV NS or LR

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16
Q

Drugs for thrush

A

Nystatin or fluconazole

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17
Q

Tx for GERD

A

Elevate HOB
Upright for feedings
Meds
Nissen Fundoplication

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18
Q

Procedure for Biliary Atresia

A

Kasai procedure

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19
Q

Nursing for fluid and lyte balance

A

VS
Spec grav
I & O
Diuretics
HyperK? HypoCa?
PRBC
Dialysis

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20
Q

Drug for nephrotic syndrome

A

Steroid

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21
Q

Drug for glomerulonephritis

A

Abx if from strep

22
Q

Mgmt labial adhesions

A

Estrogen cream til labia separates
Petroleum jelly for 1 month after

23
Q

Tx phimosis

A

Topical steroid and gentle retraction
Circumcision

24
Q

Parent edu post circumcision

A

Sponge baths
Normal granulation
Ointment or petroleum jelly
Call if: no UOP 6-8h post op, heavy bleeding, purulent or serous, swollen or red shaft

25
Q

Tx club foot

A

Progressive casting as soon as born
Corrective shoes
Braces
Surg

26
Q

Mgmt DDH

A

Pavlik harness asap, younger than 6 months
Closed reduction from 6 mo to 2 yo , spica cast for 12 w
Surg - ORIF if older than 2 yo

27
Q

Torticollis mgmt

A

Passive stretching several x/day

28
Q

Nursing mgmt muscular dystrophy

A

Meds
Promote mobility
Passive stretching and strengthening
Elimination
Cardiopulmonary- ventilator, nasal prongs
Deep breathing exercises
CPT
Antidepressants if depressed
Steroids to slow progression- may cause weight gain, osteoporosis, mood
BB and ACE to help heart

29
Q

Rickets tx

A

Ca, phosph, vitamin D supplements

30
Q

Tx legg calve perthes

A

Anti inflammatory
Brace/cast/traction
Activity limitation

31
Q

Interventions immediately after fracture

A

Immobilize above/below
Ice 48 hrs
Elevate
NV checks
Pain

32
Q

Immediate burn nursing interventions

A

Assess
Remove clothes
Brief hx
ABC

33
Q

Nursing for extensive burns

A

O2
Fluids
Prevent hypothermia
Clean site/prevent infection
Pain

34
Q

Parkland formula for fluid requirements

A

4 mL x TBSA% x kg
(Half is given in first 8 hrs, remaining half is given over next 16 hrs)

35
Q

Iron foods

A

Red meat
Tuna and salmon
Eggs
Tofu
Enriched grains
Dried beans, peas, fruits
Leafy greens
Cereal

36
Q

Mgmt for aplastic anemia

A

HSCT (marrow transplant)
Immunosuppressive therapy
Important to prevent injury/hemorrhage

37
Q

Hemophilia mgmt

A

Factor administration during bleeding and before procedures that can cause bleeding (surg, needles, dentist)
Prevent injury/bleeding - non contact sports etc

38
Q

Tx and mgmt wilms tumor

A

Don’t palpate the mass
Surgical removal of affected kidney
Avoid contact sports to protect remaining kidney
Radiation and chemo

39
Q

Congenital adrenal hyperplasia mgmt

A

Lifelong meds (cortisone, glucocorticoid, mineralocorticoid fludrocortisone)
Prevent/tx acute adrenal crisis (IV roids, D5NS)

40
Q

Factors in calculating insulin dosing

A

BG
Activity
Meals

41
Q

Factors that influence behavior

A

Genetics
Nutrition
Physical health
Environment/family interactions
Temperament
Parent’ response to behavior

42
Q

AHA Chain of survival for kids

A

Prevent arrest/injury
CPR
EMS
PALS
Post cardiac arrest care

43
Q

ABCDE of life support

A

Airway
Breathing
Circulation
Disability (neuro)
Exposure

44
Q

Nursing mgmt for child in emergency

A

Airway
O2
Ventilation
Monitor changes
Support and education for kid and family

45
Q

Mgmt sinusitis

A

Abx
Saline nasal spray
Humidifier
Oral fluid

46
Q

Epilepsy tx

A

Anticonvulsant
Surg
Vagal stimulator
Ketogenic diet

47
Q

This drug can help the drooling associated with cerebral palsy

A

Botulinum toxin type A

48
Q

Drugs for impetigo

A

Cephalosporin
Mupirocin ointment
Clindamycin for MRSA

49
Q

Tx arteriovenous malformation

A

Surgery
Endovascular embolization
Radiation

50
Q

Initial fluid bolus for kids

201: Peds Exam 2 (3 decks)

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