Lecture 7-10 Flashcards
why are babies at risk of inf
will start to lose maternal antibodies
Red flags for inf in child
high fever excessive cough difficulty breathing ongoing earache excessive sleepiness infants unable to stop crying
what is a toxic child and major symptoms
looks like they are developing a illness or in worst case shock
- pale/gray/cyanotic
- widthdrawl and lethargy
- tachypenia/tachycardia
- poor circulation
what are the ABCs of safe sleep for baby
Alone- not with other ppl, pillows, blankets, stuffed animals
Back- not on stomach or side
Crib- not in adult bed, sofa etc
night awakenings do and donts
advised to- check baby, keep visit brief, avoid swimming baby and leave the room quick if you feel everything is ok
Advised not to- feed an extra bottles, sleep w em, rock back to sleep
18 m child tips
- keeps rules to minimum
- avoid open question (do you want me to check your back)
- encourage making choices (sit here or there)
- praise good behaviour/accomplishements
overall development at 18m
walks fast/up stairs can kick identifies some body parts shows affection feeds themselves
ABCs of safety for younger children
no such thing as child proof caps
- use rear facing infant car seat
- avoid baby walkers
- check carbon monoxide detection
What are the 4 stages of car seats
- rear facing seats
2, forward facing seats
- booster sea (min 40lbs)
- Seat belts (when tall enough)
When should toilet training occir
at 18m usually (to 24)
- reflex sphincter controls have matured
- myelination of extrapyramidal tracts have been developing
what is colic
outdated term to describe excessive crying
wjhat is the purpose of execive crying
to promote contact w mother
to supply nutritional needs
to communicate hunger/pain
to release current tension
what is considered pathological crying (4)
- high pitched sound, no dinural pattern, regular arching of back
- late onset of crying (especially after a switch to infant formula)
- crying beyond 4 m
- s/s other then crying associated w neuro signs
red flags of crying
seizure disorders
sudden onset of irritability
parental post natal depression
sign of abusive head trauma
if crying is acute onset what could it mean
raised intracranial pressure injury incarnated inguinal hernia UTI hair tourniquet corneal foreign body/abrasion
excessive crying over 3 months of age may be a flag for what
eating disorder
sleeping disorder
children w multiple regulatory probs
reported risk factors for excessive crying
smoking during preg
cow milk allergy
common non pathological causes of crying
excessive tiredness
hunger
what was the historical def of collic
crying >3hrs day, 3days/week, >3 weeks
what is the ddx for colic
- cow milk/soy pro allergy (suspect if feeding probs, diarrhoea, poor weight gain, wide spread eczema)
- lactose overlode/malabsorbtion
- GERD
