PEDIA (Respi and Renal) Flashcards
1 year old
20 - 40
Newborn
40 - 90
2 – 3 years old
20 - 30
5 years old
20 - 25
10 years old
18 - 22
15 and above
12 - 20
Lack of surfactant within 24 hours of life
Respiratory Distress Syndrome
method used to determine RDS
Silverman Anderson Scoring
1st sign of RDS
1 RR with retraction
major sign of RDS
Expiratory Grunting
other s/sx of RDS:
Xiphoid retraction
Flaring nasal flares
Cyanosis
Respiratory acidosis
Management for RDS:
- Head elevated
- Proper suctioning
- 02 administration with 1 humidity
- Client placed on CAP & PEEP - Positive End Expiratory
- Monitor for acidosis
- Surfactant replacement
Telescoping or invagination of one portion of the bowel into the other
INTUSSUSCEPTION
ASSESSMENT FOR INTUSSEPTION:
VOMITING
ABDOMINAL PAIN
PASSAGE OF BLOOD per rectum
TRIAD OF INTUSSEPTION
Colicky abdominal pain
Currant jelly stool
Sausage shaped mass
air or fluid exerts pressure on area involved to lessen, diminish or rid the intestine of prolapse
Hydrostatic reduction
indications that intussusception has reduced itself
brown stool
absence of ganglion cells needed for peristalsis
HIRSCHPRUNG’s DISEASE
HIRSCHPRUNG’s DISEASE
- abdominal distention
- failure to pass meconium within 24 hours
Neonatal Period
HIRSCHPRUNG’s DISEASE
- Ribbon like stool
- Constipation
- Foul smelling stool
- Diarrhea
- Vomitus of fecal materials
Early childhood
Diagnostic procedures that reveals narrowed portion of the bowel
Barium enema
Diagnostic procedures that reveals absence of ganglion cells
Rectal biopsy
Diagnostic procedures that reveals dilated loops on intestines
Abdominal X- ray
Diagnostic procedures that reveals failure of intestinal sphincter to relax
Rectal manometry
diet for hirschprung disease:
*Increase CHON
*Increase Calorie
* dec residue diet - pasta foods
* no raisin/ prunes
proteinuria > 3.5 g/day
Nephrotic Syndrome
proteinuria < 3.5 g/day
Nephrotic Syndrome
triad of nephrotic syndrome
Proteinuria
Hypoalbuminemia
Edema
triad of nephritic syndrome
Hematuria
Hypertension
Edema
diet for nephrotic syndrome:
- inc CHON
- dec Na+
- inc K+
treatment for nephrotic syndrome
Prednisone
- Primary peripheral, periorbital edema
- Moderate proteinuria
- Gross hematuria (smokey urine)
- Hyperkalemia
- HTN
ACUTE GLOMERULONEPHRITIS
diet for acute glomerulonephritis
Dec K+
Inc Fe
Dec Na+
a malignant tumor, most common intraabdominal and kidney tumor of childhood.
Neuroblastoma (Wilm’s Tumor)
assessment for wilms tumor
- swelling or mass within the abdomen
- firm, nontender, confined to 1 side
- deep within the flank
- urinary retention or hematuria or both
- anemia
- pallor, anorexia and lethargy
