page 31-40 Flashcards
Immunizations
What do you get at each age?
BIRTH (1 vaccine)
Hep B #1
Immunizations
What do you get at each age?
2 months (5 vaccines)
Hep B #2 (some resources say it can be given at 1 mo.) DTap Hib Haemophilus influenzae type b IPV Inactivated polio vaccine PCV Pneumococcal conjugate vaccine
Immunizations
What do you get at each age?
4 months (4 vaccines)
All 2-month immunizations except Hep B
Immunizations
What do you get at each age?
6 months (5 vaccines)
All 2-month immunizations: Hep B #2 DTap Hib IPV PCV
Immunizations
What do you get at each age?
12 months
MMR #1
Hib Haemophilus influenzae type b
PCV
Varicella
Immunizations
Tetanus & diptheria are optional vaccinations; what is the earliest age they can be given?
2 months
Immunizations
What is a booster shot?
An additional dose of vaccination to increase effectiveness.
Immunizations
What are the side effects of immunizations?
low-grade fever, tenderness, swelling at the site, child may become irritable
Immunizations
What medications should be given for these effects?
Acetaminophen
Immunizations
Never give ______ to children experiencing side effects of immunization.
Aspirin
Immunizations
When should the meningitis vaccination be given?
Before going to college
Immunizations
If an adult woman receives an MMR shot, what should you teach her?
Wait three months before pregnancy
Immunizations
How soon can a child get the influenza vaccination?
Not until six months
Immunizations
Do not give MMR if the client is allergic to _____ or _____.
Eggs or neomycin
Immunizations
Do not give the influenza vaccination if the client is allergic to ______.
Eggs
Immunizations
What is active immunity?
Stimulating the body to produce antibodies by giving a vaccine
Immunizations
What is passive immunity?
Antibodies that are formed in another body but passed down for short-term use (breastmilk)
Inflammatory Bowel Disease
Crohn’s Disease vs Ulcerative Colitis
Location: Anywhere in the digestive tract from mouth to anus
Crohn‘s Disease
Inflammatory Bowel Disease
Crohn’s Disease vs Ulcerative Colitis
Location: Primarily colon
Ulcerative Colitis
Inflammatory Bowel Disease (Crohn’s Disease vs Ulcerative Colitis)
Signs: 3-4 semi-soft stools, no blood, anorexia, fistulas
Crohn’s Disease
Inflammatory Bowel Disease
Crohn’s Disease vs Ulcerative Colitis
Signs:
- Bloody diarrhea
- Weight loss
Ulcerative Colitis
Inflammatory Bowel Disease
Crohn’s Disease vs Ulcerative Colitis
Lifestyle: Associated with smoking
Crohn’s Disease
Inflammatory Bowel Disease
Crohn’s Disease vs Ulcerative Colitis
Lifestyle: Non-smokers
Ulcerative Colitis
Inflammatory Bowel Disease
Treatment: Anti-inflammatory steroids
NPO Status- bowel rest
Surgery will not help; disease will reoccur
Crohn’s Disease
Inflammatory Bowel Disease
Treatment: Anti-inflammatory steroids
NPO Status -bowel rest
Surgery to remove affected area
Ulcerative Colitis
Incentive Spirometry
Incentive Spirometry is a method of _____ that helps maximize lung inflation.
Deep breathing
Incentive Spirometry
Instruct the client to place _______ tightly around the mouth piece.
Lips
Incentive Spirometry is used after surgery to prevent _______.
Atelectasis
Increased intracranial pressure (ICP)
what is the normal intracranial pressure range?
5-15 mmHg
Increased intracranial pressure (ICP)
What are the common causes of ICP?
Trauma
Hemorrhage
Edema
Tumors
Increased intracranial pressure (ICP)
This the earliest sign of ICP.
Decreased level of consciousness
Increased intracranial pressure (ICP)
The client will often appear?
Restless, agitated, complaining of headaches
Increased intracranial pressure (ICP)
What will babies physically present with?
Bulging fontanelles
Increased intracranial pressure (ICP)
Late signs of ICP
Unilateral pupil dilation
Hypertension or hypotension
Bradycardia
Increased intracranial pressure (ICP)
Client may complain of ________.
Projectile vomiting without nausea.
Increased intracranial pressure (ICP)
How will the vital signs appear with ICP?
B/P (up)
Temp (up)
Resp (up then down)
HR (up)
Increased intracranial pressure (ICP)
What is widening pulse pressure & how it is related?
When systolic bp goes up & diastolic continues to go down so that they become further apart (eg 135/40 is a bad sign)
Increased intracranial pressure (ICP)
What is Cushing’s Triad?
3 things
Widening pulse pressure
Cheyne stokes respirations
Bradycardia
Increased intracranial pressure (ICP)
Initiate _____ precautions.
Seizure
Increased intracranial pressure (ICP)
Elevate hob to?
10 to 30 degrees; to promote jugular venous outflow
Increased intracranial pressure (ICP)
What medications will be prescribed?
Anti convulsants
BP medications
Corticosteroids
Diuretics
Increased intracranial pressure (ICP)
Tell the client not to ________,_____,or ______.
Strain, cough or sneeze
Increased intracranial pressure (ICP)
Nursing interventions would be to?
DECREASE environmental stimuli.
Maintain body temperature.
LIMIT fluid intake.
Monitor intake & output.
Instillation of Ear Medications
Medication should be________ temperature?
Room - too hot or cold will have side effects (nausea dizziness etc)
Instillation of Ear Medications
What position should the client be in when receiving ear medications?
Supine, with AFFECTED EAR UP
Instillation of Ear Medications
When administering ear meds to an adUlt, draw the pinna back and ______.
Up
Instillation of Ear Medications
When administering ear meds to an chilD, draw the pinna back and ______.
DOWN
Instillation of Ear Medications
How long should the head be tilted to allow medication to travel the ear canal? _____ minutes
5 minutes
Instillation of Eye Medications
When giving eye medications, do this to prevent meds from going into the nasal passage.
Apply pressure
Instillation of Eye Medications
Pull the _____ eyelid down against the ______.
Lower, cheek
Instillation of Eye Medications
Squeeze the drop in the _____.
Conjunctiva sac
Instillation of Eye Medications
If more than one drop is prescribed, wait ___ to ___minutes before applying another drop.
3 to 5 minutes
Instillation of Eye Medications
Do not let the ____ touch the ___.
Medication bottle, eyeball
Intravenous therapy
Why are IV fluids used?
They are a quick way to replace nutrients, water, and electrolytes.
Instillation of Eye Medications
What are the 3 types of IV fluid?
Isotonic
Hypotonic
Hypertonic
Increased intracranial pressure (ICP)
Initiate _____ precautions.
SEIZURE PRECAUTIONS
Increased intracranial pressure (ICP)
Elevate hob to?
10-30 degrees, to promote jugular venous outflow
Increased intracranial pressure (ICP)
What medications will be prescribed?
Anticonvulsants
Blood pressure medications
Corticosteroids
Diuretics
Increased intracranial pressure (ICP)
Tell the px not to _____,____, or_____.
Strain, cough, or sneeze
Increased intracranial pressure (ICP)
Nursing interventions would be to?
Decrease environmental stimuli
Maintain body temperature
Limit fluid intake
Monitor intake & output
Instillation of Ear Medications
Medication should be ______ temperature?
Room
-too hot or cold will have side effects (nausea, dizziness etc)
Intravenous Therapy
Describe Isotonic fluid/give examples.
Isotonic fluid is the same as the inside of the cell.
0.9% normal saline
Lactated Ringer
D5W
Intravenous Therapy
Why would you give isotonic fluids?
D.K.A, Burns to replace sodium chloride
*0.9% NS always hung with blood
Intravenous Therapy
Describe hypotonic fluids/give examples.
Hypotonic fluid is less concentrated than the cell.
This would cause water to move into the cell.
0.45% NS
Intravenous Therapy
Why would you give hypotonic fluids?
Dehydration, HYPERnatremia; lowers blood pressure.
Intravenous Therapy
Why should hypotonic fluids be closely monitored?
Because a rapid increase in fluid shifting into the cells can cause cellular & cerebral edema.