Ped Exam 2 Flashcards
Kernig
Menige. Pain in the leg extension.
Meningitis.
Implanon of menige of Brian. Increase Icp
We udwr go lumber puncture cloudy fluids.
Private toom. Droplet precaution. IV antibotkc. Unterrupted.
Sequelae of meninge
Hearing loss intellectual impairment. Visual impairment. Behavior problem
Manito and furosemide decrease Icp. Oxygen. Heas of bed to 30. Reduce agitation
Brudzinski
Menige
Involuntaer hip knee flexion when head is bent.
SIDS. Avoid prone sleeping.
Prevention. Sleep babe on back. Mostly in male. During winter. Do not use soft beds but rather firm
Supine the best. Firm sleeping bed. Bread dewing. Room share not bed sharing. Immunization. Parcifier use.
Breast feeding. Fight infusions.
Keep away from smokers. Not over heat the babe. Offer pacifier
Foreign body aspiration.
Def
Otitis media
Aom. Ear ache. Otalgia. Pull thier ear or roll heads. Light reflex.
OME. Tinnitus. Poping sound.
Tonsillctomy Monitor bleeding. Most important.
Excessive swallowing. Vomiting bright ref. increase pulse. Decre Bp.
Turn child to or for cath if bleeding
Child should be prone or side lying.
Npo for 30. Ice collar
Post op
Assess for bleeding. And abilit to swallow. Breath sounds. Vital signs. Suction equip avail
Don’t suncfioj unles air air obstruction.
Avoid tongue depressors. Use Sterlie tongue depressor if necessary.
Asthma
Edema thick sections.
Asthma wheezing. Hyperinflation of alveoli
Trigger. Exercise.
Cold air. Cigarets. Roch droppings. Dust miyea.
Retractions. Nasal flaring. Tachpnea.
Emergency. Trouble walking or tlaking
Asthma and sports.
Cover mouth wen excersing in cold. Inhale warm air. Use inhaler 30 minute prio to ex cerise
Swimming is recommended ideal sport.
Peak flow meter
Monitor breathing capacity.
Asthma triggers
Cold. Exercise mostly. Smoke. Stressed. Dust. Pollen. Order. Perfumes. Cockcroch drops
Acute asthma episodes medications education.
Short acting beta adrenagix. Saba.
Like albuterol.
20 minutes for 1 hour. Oxygen and 7
Epiglottis
3-7. Sore throat. Dyspne. High fever. Emergency.
Drooling
. Dysphagia. Diff swallowing.
Dysphonia. Diff talking
Distress. Resp effect. Croaking sound on inspiration.
Do not. Lwave child unattended. Do not examine or get culture by depressor
Do prepare intubation equipment. Maintain airway priority.
Croup
Backing inspiration Stricde. Harsh cough. Horsenes Resp distress
Increas airway. Increase fluids. Cool night air. Crying aggreviates. Dexamethasone decrease air way Inflamation.
Harsh metallic barky cough.*******
Sit the child in the bathroom with the showe on. Provide humidity.
Koplick spots
Signs of rubeola. 2 to 4 days prior to rash
Rubeola
Measles.
Direct contact with droplets. Can be airborne.
SIGN. Koplik spots.
Airborne precaution. Vitamin a supliment a
Rubella
German measles.
Airborne particulars. Direct contact with droplet. Placenta.
Pink macula papular. Face neck
Petechiae on soft palate.
Varicella chicken pox. Zoster. S
Appear first on trunk and scalp.
Pustular then dry. Crust lesion
Shingles. Is the reactive of latent zoste r virus chicken pix.
Shingles.
tenderness. Long the nerves
Strict isolation. Private room. Bag contaminate materia
Not to work to other immuno comprised patient
Smallpox vs chicken pox
Def
Mmr vaccine.
Given for rubeola.
1 dose at 1 yet
2 does at 4-6 years.
Child fever. Medicine
Medicina
RDS
In infants
Fifth disease.
Parvovirus
Parvovirus b19. Air born. Reps droplet
Cold symptoms. Joint pain and swelling rash.
Heat. Exeecise warm births.
Pertussis. Whooping cough bacteria infection
Bordetella
Direct contact Resp drpltws coughing.
Vaccine prevention
Complication could be pertussis pnemonia
Catarrhal stage 1-2 weeks until 4th week.
Epstein Barr virus.
What
Aortic stenosis and prophylactic medications prior to another surger.
Prior to surger
Patent ductus arteriosus
Partner
Assemsnts finishing in a child uuu coarctation of the aorta
Assessment finding
Assessing a chick for possible congenital heart defects. Chds
Chds
PDA
PDA
Tetralogy of fallot
Fallot
Leukemia platelet counts.
Norma is 150 000 to 500 000. Very low shows bleeding precaution.
Chemotherapy precaution
Causes bone marrow supra such. WBC low. Red platelet low. Precaution needs. Preventing bleeding and infection.
Neutrophil less that 1000 report. Hand hygien
All chemotherapy remission
ALL
Leukemia priority nursing diagonsis.
Risk for infection. Rt immunosuppressants state. Monitor vs 4 hours temp no rectal.
All and the family.
ALL
Oral hygiene and chemotherapy
No sharp foods but palpable food. Cold food. High protein meals. Daily weight and I o.
Use soft brush or cloth around finger. No alcohol mouth wash. It dries.
No suppository. No fresh flowes. No humidifiers.
No live virus like mmr or varicella.
Give acetaminophen not aspirin.
Mucosistitis and chemotherapy
Mucostatis
Child abuse
Inconsistent accident to age. Delay seeking treatment. Fractures. Injuries rarely found in children.
Child injury
Child injury
Roseolla infantum
Pink maculopapular that beach with pressure.
Rosella human herpes virus.
Contact with secretion.
Erythema macula papular rags reddish but surrounded by whitish ring.
Mostly rash on neck and trunk.
Sudden high fever.
RVS causes brochiolitis. Not asked but know.
Hand washing is the cure.
Allergies and asthma.
Allegic activate Ige. Histamine released. Leu lorries prostaglandin. Cause bronshoconstrition.
