Pedi Neuromuscular/Musculoskeletal Disorders Flashcards
Valium is also given to CP patients for muscle spasticity. What complication can it cause (other than the obvious)
Hepatotoxicity
Baclofen for CP spasticity is admin via what route?
Intrathecal (Directly into the CSF)
A 6 month old infant crosses and extends their legs when lying supine. What might this be associated with?
Cerebral palsy
Baclofen can cause what two adverse reactions
Hypotension and Muscle weakness. Not bradycardia
Children with CP can lose jaw control. What should you encourage they do with feeding (Ie: like an 18 month old)
Use manual jaw control during feedings.
Spina Bifida has 3 types. What are they?
- Occulta (Vertebrae does not form fully. Usually lumbar)
- Meningocele (Spinal fluid and meninges in sac)
- Myelomeningocele (Above plus spinal nerves)
Spina bifida patients are at increased risk for latex. What foods are associated with this
Bananas, avocados, kiwis, strawberries, chestnuts
For Spina bifida patients with myelomeningocele or the other -cele, put the sterile, moist, non-adhering dressing on the sac. If it dries out, what do you do
Don’t remove it. Don’t want to rip open the sac. Just add more sterile saline.
What kind of casting method would you use for a newborn with club foot
Progressive casting since the newborn grows so quickly. 5-8 weeks is maximum effect. Then switch to long- leg cast. Then brace
You have a child in skeletal traction… What should you monitor/do and make sure that the knot on the rope does not do?
Monitor pin sites
Maintain alignment
Re-position often
Weights should hang freely
The knot on the rope should NOT touch the pulley
Ways to prevent injury in the child with Osteogenesis Imperfecta? (Think Mr. Glass)
What is the primary goal of caring for a child with muscular dystrophy? (Hint: muscle weakness typically progresses from the neck down)
Cardiopulmonary function
When a child has an extremity in a cast, you should make sure that they are/are not able to move what distal to the cast?
- Are
- Joints
Inability to move the joints distal to the cast is indicative of neurovascular compromise.
Is swelling in a casted extremity normal when in the dependent position?
Yes. Though they should be keeping it elevated. Remind them to only keep it in the dependent position for no longer than 30 minutes.
What might you observe in the child with Scoliosis?
Asymmetric hips and rib cage.
Lateral spine curvature. Appears as a C or S shape from behind
