learn anything Flashcards
mmrv takes 5 to 12 day for reactions what are they?
mild fever, rash, irritable, restless , swell of injection area . the most rare but srs reaction is febrile seizure
2 type of advance directive
living will smith, and durable power of attorney .
a living will has the patients wishes on what actions
DPOA - a person who decides what to do
pre schoolers age 3-6 , how do they think?
magical thinkers , this helps them understand the world they live in
most common cause of death kids under 5 is choking on what though?
hot dogos, hard candy, grapes, cherries
what is the number 1 thing to do for infant with esophageal atresia/tracheoesophageal fistula
prevent aspiration keep them on NPO, raise their head 30 degrees, keep them on their back. keep suction by bed just in case.
what will i assess infant with EA/TEF
FROTH salavia, Coughing, Choking, Drooling, they can also have apnea, blueness when eating
pt with CKD at risk for fluid overload/HYPERKAL.
What kind of diet they need?
LOW SODIUM, LOW K, LOW Protein 0.6-0.8g/kg/day
what are s/s of hypothyroidism remember LOW AND SLOW
card- brady
GI- weigh gain , constip
musculo- fatigue , joint pain
nervous - lethargy, apathy, forget
repro - oligo or amenorrh/ hypermennorhea, infertil, decr libito
integument- cold intol dry skin , british nails , hair loss
hematol- anemia pallorrrr
what is non maleficence
ethical prince of doing no harm
what is veracity
telling the truth
what is paternalism
pts treated as children
what is autonomy
allowing pt to act on their own direction of care
what has to be done for children w epiglottis
tripod postion, ensure patent airway, try not to produce any anxiety in the child. priority is to protect the airway
s/s of epiglottis
severe soar throat, HIGHHH FEVA,
4 D’S Dysphonia(muffin voice)
Dysphagia
DROOL
DISTRESSED RESP eff
PE pulmonary embolus appropriate nursing diagnosis
activity intol, acute pain, anxiety,
Impaired gas exchange is the priority . <80 p02 restless , dyspnea , tachycar
Major SA of SSRI Paroxatine (paxil) Citalopram(celexa)
escitalopram(Lexapro) Fluoxetine(Prozac) Sertraline( Zoloft)
incr suicide risk (at beginning of therapy) sexual dysfunction weight gain seritonin syndrome( excess dose)
never stop abruptly
catatonia s/s
immobile, staying mute, weird posture, extreme nega dont do what you suggest . waxy flex, staring
priority for catatonia
dehydration and malnutrition , total care needed
ziprasidone hydrochloride ( geodon)
USE: Atypical antipsych for acute bipolar , acute psychosis, and agitation
SA: QT prolong (torsades de pointes) hypotn, seizure
tricyclic antidepressants (amitriptyline , notriptyline, desipramine, imipramine )
USE: COMMON FOR NEUROPATHIC PAIN
SA: DIZZy , DRY Mouth, DROWSSIE
teach caution w/ position changes fall risk for hypotn
Neonates HR
110 to 160 beats/minute
Infants HR
100 to 160 beats/minute
1 to 2 years HR
90 to 150 beats/minute
2 to 5 years HR
80 to 140 beats/minute
