Peds Ch 37 Cardiovascular and blood

Question 1

What is going on in heart failure

Answer 1

inadequate emptying of heart

increased venous volume

Question 2

What are symptoms of heart failure in an infant or very young child

Answer 2

doesn’t eat, tachypnea, flaring nostril

Question 3

What medications are prescribed for a child with chronic heart failure

Answer 3

cardiac glycoside, ACE inhibitor, diuretic

Question 4

What does digoxin do

Answer 4

slows the pulse

Question 5

When should digoxin be held

Answer 5

when pulse is low

Question 6

What is the normal pulse range of an infant

Answer 6

70-180

Question 7

What is the normal pulse range of a young child

Answer 7

80-110

Question 8

What is the normal pulse range of an older child

Answer 8

60-100

Question 9

What are the cyanotic heart defects

Answer 9

ventricular septal defects

Question 10

What causes the cyanosis

Answer 10

crying (pulmonary stenosis)

Question 11

When an infant has a TET spell what position should she be put in

Answer 11

crouching position

Question 12

What is rheumatic heart disease

Answer 12

disease affecting lung, joints, heart and brain

Question 13

What is the cause of rheumatic heart disease

Answer 13

strep

Question 14

What are lasting complications of rheumatic heart disease

Answer 14

damaged valves

Question 15

What will the child need before all dental and other procedures

Answer 15

prophylactic antibiotics

Question 16

What is kawasaki disease

Answer 16

viral infection

Question 17

What is a serious complication we try to avoid with kawasaki’s disease

Answer 17

chronic heart failure

Question 18

What are symptoms of kawasaki disease

Answer 18

Increased temp, pink eye, strawberry tongue, peeling skin

Question 19

What is bleeding in the joints called

Answer 19

hemarthralja (hemarthrosis)

Question 20

What are 3 types of anemia

Answer 20

sickle cell, iron defeciency, and thallasemia

Question 21

How would you treat iron deficiency anemia

Answer 21

give iron

Question 22

what are side effects of iron

Answer 22

black stool

Question 23

What are symptoms of iron deficiency anemia in particular

Answer 23

lose weight, anorexia, pale (milk babies)

Question 24

What is sickle cell disease

Answer 24

red blood cells get sickled and stuck

Question 25

What is thallasemia

Answer 25

too much iron-blood cells break down

Question 26

What is a common medication given for a common complication of thallasemia

Answer 26

Deferasirox -Desferal

Question 27

What is hemophilia

Answer 27

bleeding from everywhere

Question 28

What is the most common type of hemophilia

Answer 28

factor 8

Question 29

What kinds of activities should kids with hemophilia avoid

Answer 29

contact sports

Question 30

What is leukemia

Answer 30

white blood cell cancer- uncontrolled reproduction of deformed WBC

Question 31

What diagnostic tests are used to determine leukemia

Answer 31

bone marrow biopsy

Question 32

What is the most common site of a bone marrow biopsy

Answer 32

iliac crest

Question 33

What is the treatment and precautions for a leukemia patient

Answer 33

reverse isolation, chemotherapy, bone marrow transplant

Question 34

What is the main concern with a child with leukemia

Answer 34

infection

Question 35

What is ideopathic thrombocytopenia

Answer 35

lack of platelets - bleeding a lot