Pediatirc Patho Flashcards
What reflects the severity of a fever
General impression and initial assessment, not how high the fever is
What are some questions to ask when your pt has a fever
-vomiting
-diarrhea
-poor feeling
-headache
-neck pain
-rash
How to treat a fever
-ABCS
-Vitals
-Temp control
-Acetaminophen / ibuprofen
Meningitis
Inflammation or infection of the meninges
What causes meningitis
-viral or bacterial infection
Severity meningitis
May look and feel quite ill
Can be life threatening
Bacterial can progress rapidly and lead to death
Symptoms of meningitis in young children
-The younger the child, the more vague the symptoms
-Young children rarely show typical meninges signs
-fever
-irritability
-poor feeding
-bulging fontanelle
Typical meningeal signs
-neck stiffness
-headache
-ALOC
-seizures
-projectile vomiting
-photosensitivity
-rash (purpura, petechae)
Petechial
Small pinpoint red spots
Purpuric
Larger purple or black spots
AEIOUTIPS
Alcohol
Epilepsy, endocrine, electrolytes
Insulin
Opiates and other drugs
Uraemia
Trauma, temperature
Infection
Psychogenic
Poison
Shock, stroke, space occupying lesion, subarachnoid hemorrhage
Febrile seizures
Occur in about 2% to 5% of young children
Between 6 months and 6 years old
No identifiable precipitating cause
Simple or complex
Seizure management
-NPA
Suction/maintain airway
-don’t intubate
100% O2
Seizure treatment
Anticonvulsant (ACP)
IV
Benzodiazepines (ACP)
Treatment for ingested toxins
-depending on the substance, a glass of milk or water
-activated charcoal
