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ATI Capstone > Pediatrics - Week 5 Tips > Flashcards

Pediatrics - Week 5 Tips Flashcards

1
Q

Acetaminophen Toxicity Range

A

↑ 200 mcg/mL

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2
Q

Glucose RangeProgression
Day 1
↑ Day 1
Child

A

40 - 60
50 - 90
90 - 100 mg/dL

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3
Q

Hct of infant vs. adult Range

A

HIGH

48 - 69% day 1

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4
Q

Hgb infant vs adult Range

A

HIGH

14.5 - 22.5 g/dL

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5
Q

Fatal Iron poisoning and general range

A

↑ 1,800 mcg/dL

50 - 250 mcg/dL

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6
Q

Platelets Range of infants

A

starts at 84,000 - 400,000 but is SAME as adult by 1 week

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7
Q

Therapeutic Salicylate Range

A

15 - 30 mg/dL

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8
Q

Salicylate function? how?

A

↓ inflammation by inhibitng prostaglandin synthesis

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9
Q

Leukocyte Range Progression

A

HIGH

9.0 - 30.0, ↓ w/ age

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10
Q

BP Range Progression from 1 year

A

LOW
♂ 80/34 ♀ 83/38
↑ with age

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11
Q

Temperatures Peds

A

LOW

36.5 - 37.2 Oral @ 1 year

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12
Q

HR Range Progression

A

Birth - 1 Week = 100 - 160 bpm
1 week - 3months = 100 - 220min
Starts dropping afterwards…

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13
Q

Respiration Range Progression

A

HIGH

Newborn 30 - 60/min ↓ with age

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14
Q 
Pain Assessment by Age
2 mo - 7 years
3 years+
3 - 13 years
5 years+
3 - 18 years
A 
FLACC
Faces
Oucher
Numeric
Non-communicating pain checklist
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15
Q

FLACC (10/10)

A 
Each = 2 points
Face 
Legs
Activity
Cry
Consolability
0 = nothing, 2 = extreme, 1 = inbetween
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16
Q

FACES and Oucher

A

Scales 1 - 5, but 2x for 0/10 score

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17
Q

Non-communicating Children’s Pain Checklist (VSALP)

A 
Observe behaviors 10 minutes
#activities for... Vocal, social, facial, activity, limbs, physiological (0 - 3pts ea)

0 = none
3 = extreme
1 - 2 = inbetween

+11 = modeate/severe
6 - 10 = mild

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18
Q

Traditional Nuclear Family

A

Married w/ biological kids

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19
Q

Nuclear Family

A

Parents w/ NOT biological kids

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20
Q

Blended Family

A

+Step/Half-parent/sibling

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21
Q

Extended Family

A

+1 outsider

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22
Q

Binuclear Family

A

Terminated marriage but continue to parent child

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23
Q

Communal Family

A

Share ownership property w/out monetary consideration

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24
Q

Freud Stages of Development (5)

A 
Oral
Anal
Phallic
Latency
Genital
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25
Q

Piaget Stages of Development (5)

A 
Sensorimotor
Transition to Preoperational
Preoperational
Concrete Operations
Formal Operations
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26
Q

Gout function? how?

A

Type of arthritis when dietary proteins are broken down and creates uric acid that crystalizes in joints

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27
Q

Gout Medications (3) and rationale

A

NSAID Prednisone (Deltasone) - pain
Colchicine (Colgout) - inflammation r/t gout
AllopPURINOL (Zyloprim) - prevents uric acid production

28
Q

Gout Education (6)

A 
Do NOT eat
Fish
Yeast
Organ meat
Legumes
Meat extracts
Mushrooms
29
Q

Anti-reabsorptives function

A

Slow bone removal from resorption/improve bone mass

30
Q

Antiresorptive medication examples (3)

A

Biphosphonates
Alendronate (Fosamax)
Risedronate (Actonel)

31
Q

Aldronate (Fosamax) ADFX

A

Associated w/ severe esophagitis, avoid if hx gastric ulcers

32
Q

Risedronate (Actonel) ADFX

A

Associated w/ esophageal irritation, take on empty stomach w/ 8 oz water

33
Q

Antirheumatics treat? how?

A

Rheumatoid Arthritis (RA) by delaying progression and s/s relief

34
Q

Cytotoxic Medications examples (2) and function

A

Methotrexate (Rheumatrex)
Leflunomide (Arava)

Kill cancer cells

35
Q

Antimalarial Agent example (1) and education (2)

A

Hydroxychloroquine (Plaquenil)

eye exam; report blurred vision

36
Q

Anti-inflammatory example (1)

A

Sulfasalazine (Azulfidine)

37
Q

Tetracycline Antibiotic examples (2)

A

TetraCYCline (Sumycin)
DoxyCYCline (Vibramycin)
MinoCYCline (Minocin)
DemecloCYCline (Declomycin)

38
Q

How to NSAIDS work?

A

Inhibit cyclooxygenase which halts COX-1/2 production r/in ↓ platelet aggregation/kidney damage and ↓ inflammation, fever, pain

39
Q 
NSAID examples (7)
AIN DKM
A

Aspirin
Ibuprofen
Naproxen
Indomethacin

Diclofenac
Ketorlac
Meloxicam

40
Q

Tetracycline function? how?

A

inhibit micro-organism growth by preventing protein synthesis

41
Q

Cytotoxic Education

A

Supresses bone marrow and ↑ r/o infection. CBC q3-6months

42
Q

Gold Salt: Auranofin Education (3)

A

GI d/comfort
Blood dyscrasias (observe for bleeding)
STOP if rashes/proteinuria (toxicity)

43
Q

Tumor Necrosis Factor Antagonists examples (3)

A

Etanercept (Enbrel)
Infliximab (Remicade)
Adalimumab (Humira)

44
Q

B-lymphocyte depleting agent example (1)

A

Rituximab (Rituxan)

45
Q

Interleukin-1 Receptor antagonist example (1)

A

Abatacept (Orencia)

46
Q

Tumor Necrosis Factor Education (2)

A

Monitor skin for bleeding/reaction (Steven Johnson syndrome)

Monitor for worsening ♥

47
Q

Steven Johnson Syndrome

A

reaction to medication/infection starting w/ flu-like symptoms and a painful red/purple rash

48
Q

Glucocorticoid (Prednisone) ADFX (3)

A

Osteoporosis
Hyperglycemia
Hypokalemia

49
Q

Pencillamine Education (2)

A

Obtain CBCs q3-6mo (bone suppression)

Stop w/ rashes (toxicity)

50
Q

Cytotoxic Medication Education (4)

A

↑ r/o infection
CBCs q3-6mo (suppression)
inspect gums, throat (Ulcerative stomatitis)
Ø with prego!

51
Q

Glucocorticoid examples (2)

A

Prednisone (Deltasone)

Prednisolon (Prelone)

52
Q

DMARD basic function

A

slow joint degeneration and progression of rheumatoid arthritis

53
Q

Rheumatrx (Methotrexate) is that…?

A

Most commonly used DMARD

54
Q

DMARD ADFX antidote?

A

Folic acid

55
Q

Antineoplastics (chemotherapy) function?

A

combat cancer cells

56
Q

Chemotherapy ADFX

MED FAAN

A 
N/V
Diarrhea/Constipation
Alopecia
Anorexia
Fatigue/Exhaustion
Mouth Sores
Easy Bruising
57
Q

Chemotherapy example (1)

A

Fluorouracil (5-FU)

58
Q

Fluorouracil (5-FU) ADFX (6)

DSLASE

A 
Diarrhea
Stomach pain
Low platelets
Anemia
Sensitive skin (to sun)
Excessive tear formation
59
Q

Extravasation NR tips (3)

A

Check site frequently for pain/reddening
Elevate arm
Slowly aspirate back blood back from arm

60
Q

4 Types of Oral Hypoglycemics

BATS

A

Biguanides
Alpha-glucosidase inhibitors
Sulfonyureas

61
Q

Oral Hypoglycemia function?

A

Assist w/ glucose metabolism

62
Q

Sulfonylurea examples (2), function, 1 ADFX

A

Tolbutamide (Orinase)
Glyburide (Micronase)

↑ insulin production

Weight gain

63
Q

Biguanide example, function, 1 ADFX

A

Metformin
↓ glucose production in liver
Weight loss

64
Q

Thiazolidinedione function and 1 ADFX

A

↓ insulin resistance
↓ glucose production
↑ glucose uptake

Liver damage

65
Q

Acarbose (Precose), function, 2 ADFX

A

Acarbose (Precose)
↓ dietary glucose absorption
Flatus/Diarrhea

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