Ped Exam 2 Flashcards

0
Q

Kernig

A

Menige. Pain in the leg extension.

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1
Q

Meningitis.

A

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

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2
Q

Brudzinski

A

Menige

Involuntaer hip knee flexion when head is bent.

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3
Q

SIDS. Avoid prone sleeping.

A

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

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4
Q

Foreign body aspiration.

A

Def

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5
Q

Otitis media

A

Aom. Ear ache. Otalgia. Pull thier ear or roll heads. Light reflex.

OME. Tinnitus. Poping sound.

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6
Q

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

A

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.

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7
Q

Asthma

Edema thick sections.

A

Asthma wheezing. Hyperinflation of alveoli

Trigger. Exercise.
Cold air. Cigarets. Roch droppings. Dust miyea.

Retractions. Nasal flaring. Tachpnea.
Emergency. Trouble walking or tlaking

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8
Q

Asthma and sports.

A

Cover mouth wen excersing in cold. Inhale warm air. Use inhaler 30 minute prio to ex cerise

Swimming is recommended ideal sport.

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9
Q

Peak flow meter

A

Monitor breathing capacity.

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10
Q

Asthma triggers

A

Cold. Exercise mostly. Smoke. Stressed. Dust. Pollen. Order. Perfumes. Cockcroch drops

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11
Q

Acute asthma episodes medications education.

A

Short acting beta adrenagix. Saba.
Like albuterol.
20 minutes for 1 hour. Oxygen and 7

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12
Q

Epiglottis

A

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.

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13
Q

Croup

A

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.

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14
Q

Koplick spots

A

Signs of rubeola. 2 to 4 days prior to rash

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15
Q

Rubeola

Measles.

A

Direct contact with droplets. Can be airborne.

SIGN. Koplik spots.
Airborne precaution. Vitamin a supliment a

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16
Q

Rubella

German measles.

A

Airborne particulars. Direct contact with droplet. Placenta.
Pink macula papular. Face neck

Petechiae on soft palate.

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17
Q

Varicella chicken pox. Zoster. S

A

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

18
Q

Smallpox vs chicken pox

A

Def

19
Q

Mmr vaccine.

A

Given for rubeola.
1 dose at 1 yet
2 does at 4-6 years.

20
Q

Child fever. Medicine

A

Medicina

21
Q

RDS

A

In infants

22
Q

Fifth disease.

Parvovirus

A

Parvovirus b19. Air born. Reps droplet

Cold symptoms. Joint pain and swelling rash.

Heat. Exeecise warm births.

23
Q

Pertussis. Whooping cough bacteria infection

A

Bordetella
Direct contact Resp drpltws coughing.
Vaccine prevention

Complication could be pertussis pnemonia

Catarrhal stage 1-2 weeks until 4th week.

24
Q

Epstein Barr virus.

A

What

25
Q

Aortic stenosis and prophylactic medications prior to another surger.

A

Prior to surger

26
Q

Patent ductus arteriosus

A

Partner

27
Q

Assemsnts finishing in a child uuu coarctation of the aorta

A

Assessment finding

28
Q

Assessing a chick for possible congenital heart defects. Chds

A

Chds

29
Q

PDA

A

PDA

30
Q

Tetralogy of fallot

A

Fallot

31
Q

Leukemia platelet counts.

A

Norma is 150 000 to 500 000. Very low shows bleeding precaution.

32
Q

Chemotherapy precaution

A

Causes bone marrow supra such. WBC low. Red platelet low. Precaution needs. Preventing bleeding and infection.

Neutrophil less that 1000 report. Hand hygien

33
Q

All chemotherapy remission

A

ALL

34
Q

Leukemia priority nursing diagonsis.

A

Risk for infection. Rt immunosuppressants state. Monitor vs 4 hours temp no rectal.

35
Q

All and the family.

A

ALL

36
Q

Oral hygiene and chemotherapy

No sharp foods but palpable food. Cold food. High protein meals. Daily weight and I o.

A

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.

37
Q

Mucosistitis and chemotherapy

A

Mucostatis

38
Q

Child abuse

A

Inconsistent accident to age. Delay seeking treatment. Fractures. Injuries rarely found in children.

39
Q

Child injury

A

Child injury

40
Q

Roseolla infantum

Pink maculopapular that beach with pressure.

A

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.

41
Q

RVS causes brochiolitis. Not asked but know.

A

Hand washing is the cure.

42
Q

Allergies and asthma.

A

Allegic activate Ige. Histamine released. Leu lorries prostaglandin. Cause bronshoconstrition.