Pediatrics Flashcards
What is impetigo?
Bacterial infection of the skin due to poor hygiene or infected bite or rash, occurs more often in hot humid months. Presents with vesicle/pustule that progresses to exudative lesion with burning and pruritus.
Priority care for impetigo?
Contact precautions, keep open to air and let dry, daily bathing, warm saline compresses, topical and oral ABX, separate linens.
What is hemophilia?
X linked recessive disorder = bleeding due to deficiency of coagulation protein.
What is Von Willebrand’s disease?
Bleeding due to deficiency of protein von Willebrand factor = bleeding of mucous membranes.
What is esophageal atresia?
A congenital defect when food/fluid enters lung OR air enters stomach = issue is with the esophagus.
What is cystic fibrosis?
Autosomal recessive trait - no cure. The protein responsible for transporting Na & Cl is defective = secretions are thicker and stickier.
Priority treatment for CF?
ABX, chest PT, mucous removal, bronchodilators, high cal/protein/fat diet, pancreatic enzyme replacement within 30 minutes after meal, and salt replacement.
What is Kawaski disease?
Acute systemic inflammatory illness, no known cause = aneurysms.
What are s&s of increased ICP in pediatric clients?
High pitched cry, bulging fontanelle, increased head circumference, macewans sign, setting sun sign, dilated scalp veins, change in LOC, cheyne strokes, coma.
What is developmental dysplasia of the hip?
When the head of femur is not in proper placement .
S&S of developmental dysplasia of the hip?
Asymmetry of gluteal/thigh folds, limited hip abduction, shortening of limb on affected side, ortolan click.
What is priority care for client with developmental dysplasia of the hip?
Pavlik harness used continuously = maintains flexion, abduction and external rotation.
What immunizations are given at 1 month of age?
Hepatitis B
What are normal reactions to immunity vaccines?
Tenderness, redness, swelling, low grade fever, drowsiness and decreased appetite.
What can projectile vomiting indicate?
Pyloric stenosis or increased ICP.
