peds againn Flashcards
cleft palaparte leads to diff in
sucking and feeding
cleft palate surgery frame time
age 6-24 months
post op interventions for cleft palate
-pharm and non pharm pain managementment (soothing)
-uncontrolled pain causes crying which stresses the surgical site and causes hemm
=poistion child upright, supine poistion after feedings
-elbow restraints
-DONT USE HARD OBJECTS SUCH AS UTENSILS, TONGUE DEPRESSORS, APCIFIFERS, STRAWS
-remove elbow restraints per policy
pinworms spread by
inhaling or swllowing pinworm eggs which are found in food, drinks toys and linenes
symtoms of pinworm
during nght, the pinwom lays thousands of micropscopic eggs around your anus and results in ANAL ITCHING and troubled sleep
pinworm is treated with
antiparasticic medications
tapeworm
poor appetite
inadq nutritents absopted
-weight loss
tapeworm is transmitted from
ingestion of food cotaminated with feces or undercooked meat from an infectied animal
ringworm
skin infection cause by fungus
hook worm
blood sucking
causes intestinal bleeding and anemia
scabies spread
highly contahious
direct person to person contact (nursing facility, day care, prision)
symtoms of scabies
intense itching esp at night
treatment for scabies
1-2 application of scabicide cream
- for infants and children, massge permethrin into all surface skins from head to feet and avoid eyes
- ALL PERSON IN CLOSE CONTACT should seek treatment
to prevent reinfection of scabies
wash clothing and linens should be washed and dried on the hottest settings
-. Nonwashable belongings can be sealed in plastic bags for ≥3 days because scabies mites can survive away from skin for only 2-3 days. Fumigation of living areas is not necessary.
epitaxis mangement
direct continous pressure for 10 mins to promote clot formation
- cold cloth or ice pack
- keep client quiet and calm
- treat at home unless breathing is impaired
bowlegs resolves
common as they learn how t walk
rsolves by 18-24 months
healthy infant finding of the chest
ular chest shape with the front-to-back (anteroposterior) diameter approximately equal to the side-to-side (lateral) diameter is an expected finding
s3 heart sounds in indants and children
normal
scolosis sis always
abnormal
bacterial meningitis manesitiatations
fever or hypothermia seizures high pitched poor feeding bulging fontannele
dental avulsion
permanent tooth sepearted from the mouth
priority of dental avulsion
rinse and reinsert the tooth into gingical socket and gold it in place until stbalized by the dentisist
reimplantation time period of dental avulsion
within 15 mins of injufry to reseatblish blood supply which increases the probability of the tooth survival
if the tooth cannot be reinserted
it should be kept moist by submerging it in commerically perpared solution (hanks salt solution), or cold milk, sterile saline, ORRR as a last resport under the tongue
do not do what to dental avulsion
scrubbing the root would damage it, so jus gently rinse with sterile saline or clean running water
putting the tooth in water
hypotonic soultion
lyses the cells and kills the tooth
wrapping the tooth in something
would dry it out
first action with esophageal atresis
suction
signs of boutlism
constipation diff feeding decreased head control dimished deep tendon reflexes -these require promtp intevention bc of resp failure
celeiac diet education
- cleint need to be gluten free diet for the rest of their lives
- eating even small amt of fluten will damage the vili even if they dont have sysmtoms
- Deficient vitamins (mainly fat-soluble vitamins), iron, and folic acid should be replaced.
- Processed foods (eg, chocolate candy, hot dogs) may contain “hidden” sources of gluten so READ THE LABEL
never leave what clients alone
seizure
varicella zoster lesiosn
prutitic and painful and fever
supportive measures of varciella zoster
- cool oatmeal baths and topical antihistamines (diphrehdryamine) all to the lesions for itching
- acetameinphen for pain or fever
immunoscomprised clients are at risk (varicella)
severe disseminated varviella, pneumonia
and should recive antiviral thepu
variceela vaccine in immuncomprised
cant get it bc it is live
first intervention for hemophilia A
factor VII then CT
hemopilia A clients with head injury are at risk for
intracrnial bleeding
when intracranial or another form of bleeding suspected in hemophilia A
adm VIII bc body cannot form clot without it
pyrloic stenosis symtom onset
3-5 2k
common in first bron boys and cause if unknown
pyloric stenosis presents as
projectile vomiting followed by hunger, emsis is no bilious
- poor weight gain and often drhydated (suken fontennel, decreased skin tugor, delayed cap refill)
- amt milk consumed and tchnique such as adq burping should be assessed to ensure there is noe xcesive air swllowwoing or overfeedng
- mebtalblic alkalosis
hyperbiliruubemia
normal finding and not related to pyrloic stenosis
in CF the thick mucus prevents what
prevents pancreatic enzymres from reaching small intestines–> resulting in malabsorption of cabs, fat and proteins and inability to absorb fat soluble vitamines (ADEK)
gi symtoms of CF
-gas
=abdominal crmaping
-diagrea
-steohrreathey are enteric coated
-capsules can be sprinkled on applesauce, yogurt or acidic soft room temp foods
-capsules should be swllowed whole and NOT BE CURSHED OR CHEWEDcurshed or chewed
-dont take capsules with milk
nutritional therpy for cystic fibroris
adm pancreatic enzyme with or before every meal or snakcs
-
hirschprung disease clinical features (expected findings)
- bilious vomiting(green bike)
- abdominal distention
- failure to pass mcenoum for 24-48 hours
- failure of the internal anal spinter to relax
- sytmoms of distal intesintal obstruction
ftal complication if hirschepsring
entercolitis (inflmmation of the colon)—>sepsis and death
entercolotis signs
presents as fever, lethagy, explosvie foul smelling dirrhea, rapdily worsening abdominal distentioni
