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In-House Review > Pedia > Flashcards

Pedia Flashcards

1
Q

Normal ICP

A

5-15 mmHg

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2
Q

Increased ICP value

A

> 15

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3
Q

Life threatening ICP value

A

> 20

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4
Q

Complications of Increased ICP

A

Cushing’s Triad & Widened Pulse Pressure

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5
Q

S/S of Cushing’s Triad

A

Hyper brady brady

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6
Q

Normal Pulse Pressure

A

30-40 mmHg

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7
Q

<30 mmHg

A

Narrow pulse pressure

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8
Q

> 40 mmHg

A

widened pulse pressure

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9
Q

Initial S/S of >ICP

A

Headache

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10
Q

Early Sign of >ICP

A

High-pitched cry/Shrill cry

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11
Q

S/S of >ICP in infant

A

Bulging fontanels

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12
Q

Diamond shape fontanel

A

Anterior fontanel

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13
Q

Triangle shape fontanel

A

Posterior fontanel

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14
Q

What month does the anterior fontanel close

A

12-18 months

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15
Q

What month does the posterior fontanel close

A

2-3 months

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16
Q

What is needed @ bedside for >ICP

A

tape measure

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17
Q

Rationale for tape measure @ bedside

A

measure >head circumference

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18
Q

q measure of head circumference

A

q shift

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19
Q

What type of vomiting in >ICP

A

Projectile vomiting

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20
Q

S/S of >IOP

A

Diplopia

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21
Q

PERRLA (meaning)

A

Pupil is equally round & reactive to light & accomodation

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22
Q

types of pupillary changes

A

Anisocoria
Dilated pupils
Constricted pupils

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23
Q

what can be found in anisocoria

A

brain damage

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24
Q

what can be found in dilated pupils

A

shock

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25
Q

what can be found in constricted pupils

A

narcotic overdose

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26
Q

Pupil of >ICP

A

Sunset eyes

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27
Q

important indicator of health in pedia

A

Weight

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28
Q

3 s/s connected to GI in >ICP

A

Anorexia, Nausea, Weight Loss

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29
Q

worst s/s of >ICP

A

Seizure

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30
Q

Position of >ICP

A

Semi-fowler’s position

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31
Q

Can the client sneeze with >ICP

A

No, sneezing, coughing or crying can >ICP

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32
Q

Fluid intake of client w/>ICP

A

1.2k -1.5k ml/day

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33
Q

Meds for >ICP

A

Diuretics
Anti-inflammatory
Antacids
Anti-seizure
Anti-coagulants

34
Q

Type of diuretics for >ICP

A

Loop & Osmotic

35
Q

Monitored in Loop diuretic

A

Hypokalemia

36
Q

Diuretic that is localized

A

Loop

37
Q

Diuretic that is general

A

Osmotic

38
Q

Anti-inflammatory meds for >ICP

A

Steroids (Dexamethasone)

39
Q

Why is dexamethasone given to >ICP

A

to prevent cerebral edema

40
Q

2 types of antacid

A

Mg-based
Al-based

41
Q

S/E of Antacids (Mg-based)

A

Diarrhea

42
Q

S/E of Antacids (Al-based)

A

Constipation

43
Q

Anti-coagulant that checks ptt

A

Heparin

44
Q

Anti-coagulant that checks pt

A

Warfarin

45
Q

Route of Warfarin

A

Oral

46
Q

Route of Heparin

A

Oral

47
Q

Can Opiates/Sedatives be given

A

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

48
Q

Generalized seizure

A

Grand Mal

49
Q

Phase during seizure

A

Tonic-Clonic

50
Q

Phase after seizure

A

Post-Ictal

51
Q

Blank facial expressions

A

Petite-Mal/Absent Seizure

52
Q

Tonic-Clonic than Grand Mal

A

Jacksonian

53
Q

Common in adults

A

Psychomotor

54
Q

Common in children <5 yrs old

A

Febrile

55
Q

Most dangerous seizure

A

Status Epilepticus

56
Q

On/Off seizure or Continuous Seizure

A

Status Epilepticus

57
Q

Meds for Seizure

A

Hydantoin
Benzodiazepines
Iminostillbenes
Valproates

58
Q

Last resort meds for seizure

A

Valproic acid

59
Q

SE of Hydantoin

A

Gingival Hyperplasia & Pinkish red urine

60
Q

used for refractory seizures

A

Iminostillbenes

61
Q

SE of Valproates

A

Hepatotoxicity

62
Q

Ends in “-lam/-pam”

A

Benzodiazepines

63
Q

Surgery for Seizure

A

Neurectomy

64
Q

Has a permanent effect

A

Bacterial meningitis

65
Q

Diagnostic test for Bacterial Meningitis

A

Lumbar Puncture

66
Q

Position of Lumbar Puncture

A

Knee-Chest/C shape

67
Q

Location of LP

A

L3, L4, L5

68
Q

Color of Positive for Bacterial Meningitis

A

Cloudy

69
Q

What causes cloudy color in CSF for bacterial meningitis

A

High Protein & High WBC

70
Q

Knee flexed w/pain @ hamstring, back, neck

A

Kernig’s

71
Q

Nape flex w/pain @ back, nack

A

Brudzinski’s

72
Q

Stiff Neck w/body movement as 1 unit

A

Nuchal Rigidity

73
Q

arching of the back with head thrown back

A

Opithostonos

74
Q

Meds for Bacterial Meningitis

A

Anitbiotic Therapy (depends of MD)

75
Q

Common in children

A

Head trauma

76
Q

Forceful contact in a rigid skull

A

Concussion

77
Q

Structural alteration that is characterized by extravasation of the blood

A

Contusion

78
Q

Mngt of Head Trauma

A

Safety
Assess for cerebral functioning
Assess for cervical injury

79
Q

Position of car seat for <3 yrs old

A

rear facing

80
Q

Position of car sear for >3 yrs old

A

front facing

In-House Review (3 decks)

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