livin on a prayer and an old blueprint Flashcards
Hallmark symptoms of pyloric stenosis?
projectile vomiting,
moveable olive-shaped mass in
epigastrium
What is oral rehydration for diarrhea?
Use Pedialyte (1/2 str Gatorade)
Not clear liquids / no caffeine
Not BRAT diet
No juice – high osmolarity
What are symptoms measles?
High fever, conjunctivitis,
coryza, cough, anorexia,
malaise, Koplik spots, Rash
maculopapular from face to
trunk to extremities.
What are medications for asthma?
- Bronchodilators
- Anti-inflammatory agents (steroids)
- IV fluids
- Oxygen
How to determine deterioration in asthma?
Sudden cessation of wheezing and
decreased breath sounds indicates
worsening
Symptoms of asthma?
-Wheezing and dry cough, prolonged
expiration, restlessness, fatigue,
tachypnea, cyanosis, marked
respiratory distress
* Chronic use of accessory muscles for
respiration leads to barrel chest
Treatment of asthma?
- Assess resp status, administer humidified
oxygen prn, monitor pulse ox - Maintain IV access, avoid cold liquids to
avoid bronchospasm - Position high-fowlers and cluster nursing
care - Sudden cessation of wheezing and
decreased breath sounds indicates
worsening
Dx of asthma?
- Chest x-ray and symptoms
- Pulmonary Function Tests
ESRD diet?
Low in protein, potassium, sodium, phosphorous
High in carbohydrates
Unrestricted amount of fat
Limit fresh fruit and veggies
High in calcium
what are symptoms of dehydration?
Weight loss
Increased heart rate
Thirst, No tears
Variable temperature
Depressed fontanel in infant**
Dry skin and mucous membranes
Poor skin turgor and skin perfusion
Fatigue, lethargy
Diminished urinary output
Altered level of consciousness
What is stage 1 of lyme?
Fever, HA, malaise, fatigue,
anorexia, conjunctivitis,
cough, stiff neck,
lymphadenopathy
What is stage 2 of lyme disease?
Neuro, cardiac,
Musculoskeletal systems
What is stage 3 of lyme disease?
Musculoskeletal pain,
arthritis
What is the treatment for lyme disease?
penicillin
What are risk factors for RSV?
- older siblings
- smoking
- day care
- sharing a cup
- not using soap at the sink
Symptoms of RSV (bronchiolitis)?
- Worsening of an upper respiratory
tract infection with tachypnea,
retractions, low-grade fever,
anorexia, thick nasal secretions, and
increasingly labored breathing - Older infants may have a frequent,
dry cough - Lungs reveal wheezing or crackles
Dx of RSV?
nasopharyngeal swab and chest x ray
Treatment for RSV?
- Complete respiratory assessment
- Provide humidified oxygen
- Pulse oximetry
- Clear nasal passages with bulb
syringe or deep nasal suctioning - Cluster nursing care
- IV fluid, I & O, Weigh daily
- Contact precautions
-bronchodilators
-steroids
-IV fluids
What is HUS triad?
anemia, renal failure, thrombocytopenia
S & S of HUS?
vomiting, bloody diarrhea (loose stool/poop), stomach pain, fever, chills, and headache. As infection progresses, persons may experience fatigue, weakness, fainting, bruising, and paleness.
Tx for HUS?
Hemodialysis or peritoneal dialysis (for those anuric for 24
hrs, or oliguria w/uremia or HTN & seizures)
FFP and plasmapheresis, fresh/washed packed cells
Emergency support for family and child
Symptoms of epiglottitis?
sudden onset of high fever, sore
throat, pain with swallowing
* Anxious, restless, looks ill,
insists on sitting upright
leaning on arms with chin
thrust out and mouth open
(tripod position)
* Dysphonia (muffled voice).
Dysphagia, drooling of saliva,
are classic signs
Nursing care for epiglottitis?
- NPO, IV fluids for hydration
- Assess for resp distress
continuously - Never leave child unattended
- Keep intubation equipment
available
Meds for epiglottitis?
- Antibiotics
- Antipyretics
- Corticosteroids
- IV fluids
