Pedia

Question 1

Normal ICP

Answer 1

5-15 mmHg

Question 2

Increased ICP value

Answer 2

> 15

Question 3

Life threatening ICP value

Answer 3

> 20

Question 4

Complications of Increased ICP

Answer 4

Cushing’s Triad & Widened Pulse Pressure

Question 5

S/S of Cushing’s Triad

Answer 5

Hyper brady brady

Question 6

Normal Pulse Pressure

Answer 6

30-40 mmHg

Question 7

<30 mmHg

Answer 7

Narrow pulse pressure

Question 8

> 40 mmHg

Answer 8

widened pulse pressure

Question 9

Initial S/S of >ICP

Answer 9

Headache

Question 10

Early Sign of >ICP

Answer 10

High-pitched cry/Shrill cry

Question 11

S/S of >ICP in infant

Answer 11

Bulging fontanels

Question 12

Diamond shape fontanel

Answer 12

Anterior fontanel

Question 13

Triangle shape fontanel

Answer 13

Posterior fontanel

Question 14

What month does the anterior fontanel close

Answer 14

12-18 months

Question 15

What month does the posterior fontanel close

Answer 15

2-3 months

Question 16

What is needed @ bedside for >ICP

Answer 16

tape measure

Question 17

Rationale for tape measure @ bedside

Answer 17

measure >head circumference

Question 18

q measure of head circumference

Answer 18

q shift

Question 19

What type of vomiting in >ICP

Answer 19

Projectile vomiting

Question 20

S/S of >IOP

Answer 20

Diplopia

Question 21

PERRLA (meaning)

Answer 21

Pupil is equally round & reactive to light & accomodation

Question 22

types of pupillary changes

Answer 22

Anisocoria
Dilated pupils
Constricted pupils

Question 23

what can be found in anisocoria

Answer 23

brain damage

Question 24

what can be found in dilated pupils

Answer 24

shock

Question 25

what can be found in constricted pupils

Answer 25

narcotic overdose

Question 26

Pupil of >ICP

Answer 26

Sunset eyes

Question 27

important indicator of health in pedia

Answer 27

Weight

Question 28

3 s/s connected to GI in >ICP

Answer 28

Anorexia, Nausea, Weight Loss

Question 29

worst s/s of >ICP

Answer 29

Seizure

Question 30

Position of >ICP

Answer 30

Semi-fowler's position

Question 31

Can the client sneeze with >ICP

Answer 31

No, sneezing, coughing or crying can >ICP

Question 32

Fluid intake of client w/>ICP

Answer 32

1.2k -1.5k ml/day

Question 33

Meds for >ICP

Answer 33

Diuretics Anti-inflammatory Antacids Anti-seizure Anti-coagulants

Question 34

Type of diuretics for >ICP

Answer 34

Loop & Osmotic

Question 35

Monitored in Loop diuretic

Answer 35

Hypokalemia

Question 36

Diuretic that is localized

Answer 36

Loop

Question 37

Diuretic that is general

Answer 37

Osmotic

Question 38

Anti-inflammatory meds for >ICP

Answer 38

Steroids (Dexamethasone)

Question 39

Why is dexamethasone given to >ICP

Answer 39

to prevent cerebral edema

Question 40

2 types of antacid

Answer 40

Mg-based Al-based

Question 41

S/E of Antacids (Mg-based)

Answer 41

Diarrhea

Question 42

S/E of Antacids (Al-based)

Answer 42

Constipation

Question 43

Anti-coagulant that checks ptt

Answer 43

Heparin

Question 44

Anti-coagulant that checks pt

Answer 44

Warfarin

Question 45

Route of Warfarin

Answer 45

Oral

Question 46

Route of Heparin

Answer 46

Oral

Question 47

Can Opiates/Sedatives be given

Answer 47

NO!!! it can lead to respi or cardio depression

Question 48

Generalized seizure

Answer 48

Grand Mal

Question 49

Phase during seizure

Answer 49

Tonic-Clonic

Question 50

Phase after seizure

Answer 50

Post-Ictal

Question 51

Blank facial expressions

Answer 51

Petite-Mal/Absent Seizure

Question 52

Tonic-Clonic than Grand Mal

Answer 52

Jacksonian

Question 53

Common in adults

Answer 53

Psychomotor

Question 54

Common in children <5 yrs old

Answer 54

Febrile

Question 55

Most dangerous seizure

Answer 55

Status Epilepticus

Question 56

On/Off seizure or Continuous Seizure

Answer 56

Status Epilepticus

Question 57

Meds for Seizure

Answer 57

Hydantoin Benzodiazepines Iminostillbenes Valproates

Question 58

Last resort meds for seizure

Answer 58

Valproic acid

Question 59

SE of Hydantoin

Answer 59

Gingival Hyperplasia & Pinkish red urine

Question 60

used for refractory seizures

Answer 60

Iminostillbenes

Question 61

SE of Valproates

Answer 61

Hepatotoxicity

Question 62

Ends in "-lam/-pam"

Answer 62

Benzodiazepines

Question 63

Surgery for Seizure

Answer 63

Neurectomy

Question 64

Has a permanent effect

Answer 64

Bacterial meningitis

Question 65

Diagnostic test for Bacterial Meningitis

Answer 65

Lumbar Puncture

Question 66

Position of Lumbar Puncture

Answer 66

Knee-Chest/C shape

Question 67

Location of LP

Answer 67

L3, L4, L5

Question 68

Color of Positive for Bacterial Meningitis

Answer 68

Cloudy

Question 69

What causes cloudy color in CSF for bacterial meningitis

Answer 69

High Protein & High WBC

Question 70

Knee flexed w/pain @ hamstring, back, neck

Answer 70

Kernig's

Question 71

Nape flex w/pain @ back, nack

Answer 71

Brudzinski's

Question 72

Stiff Neck w/body movement as 1 unit

Answer 72

Nuchal Rigidity

Question 73

arching of the back with head thrown back

Answer 73

Opithostonos

Question 74

Meds for Bacterial Meningitis

Answer 74

Anitbiotic Therapy (depends of MD)

Question 75

Common in children

Answer 75

Head trauma

Question 76

Forceful contact in a rigid skull

Answer 76

Concussion

Question 77

Structural alteration that is characterized by extravasation of the blood

Answer 77

Contusion

Question 78

Mngt of Head Trauma

Answer 78

Safety Assess for cerebral functioning Assess for cervical injury

Question 79

Position of car seat for <3 yrs old

Answer 79

rear facing

Question 80

Position of car sear for >3 yrs old

Answer 80

front facing