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Peds/OB > Peds exam 2 > Flashcards

Peds exam 2 Flashcards

1
Q

Hypoxemia assessment findings

A

Cyanosis
Wheezing
Grunting
Rales
Inc accessory muscle use
Flaring nares
Cough
Tachypnea
Club fingers
Anxiety and restlessness
Stridor on inspiration

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2
Q

Hypoxemia management

A

Pulse oximetry, oxygen therapy(lowest O2 needed to correct), chest physiotherapy(contraindicated dec cardiac reserves PE or inc ICP), suctioning

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3
Q

Hypoxemia priorities of care

A

Priority problems= ineffective breathing pattern/impaired gas exchange/ineffective airway clearance

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4
Q

Patho of hypoxemia

A
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5
Q

Patho of cystic fibrosis

A

Autosomal recessive disorder CFTR gene with various mutations- disrupts chloride ion movement and sodium reabsorption=thick tenacious mucus in resp tract, pancreas, GI tract, and other exocrine tracts/ducts

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6
Q

Cystic fibrosis effects on body

A

Pancreatic enzyme function=lost—>malabsorption of fats, proteins, and CHOs, dec growth and foul, fatty stools
Excess mucus production plugs smaller airways causing bronchiolitis-> secondary bacterial infections, chronic obstruction/inflammation, tissue damage, resp failure

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7
Q

Cystic fibrosis physical findings

A

-Thick, tenacious sputum
Air
obstruction/trapping/chronic cough URI
-unable to clear secretions
-R sided HF (cor pulmonale)
-clubbing/barrel chest
-dehydration
-dec pancreatic enzymes=thick mucous
-abd distension/difficulty passing stool (bulky, fat, greasy stools=steatorrhea)
-poor weight gain despite appetite, delayed growth
Deficiency of fat soluble vitamins (A,D,E,K)

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8
Q

Cystic fibrosis diagnostics

A

Sweat chloride test: Chloride >40mEq/L in infants (<3mo), >60mEq/L for all other ages.
Sodium >90mEq/L
KUB-detects meconium ileus
Stool analysis-presence of fat and enzymes
CXR-hyperinflation, bronchioles wall thickening , atelectasis, infiltrates
PFT-dec forced vital capacity/expiratory vol

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9
Q

Cystic fibrosis nursing management priorities

A

-ACT therapy (airway clearance therapy): chest PT w/ postural drainage-clear secretions and prevent infection
-aerosol therapy
-O2 as prescribed
-Monitor for CO2 retention
-High protein high calorie diet
-supplement fat soluble vitamins (A,D,E,K)
-admin pancreatic ensures within 30 min of eating meal or snack

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10
Q

Croup

A

Laryngotracheobronchitis; 3mo-3yrs most Connolly affected and rare after age 6

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11
Q

Croup patho

A

Inflammation and edema of larynx, trachea, bronchi obstructing airway- viral(parainfluenza)
Sudden onset at night, gone in morning, self-limiting, lasts 3-5 days

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12
Q

Croup physical findings

A

-low grade fever, restlessness
-“barking” cough
-inspiratory stridor,dyspnea, retractions
Infants: nasal flaring, intercostal retractions

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13
Q

Croup nursing management priorities

A

Managed at home, educate about inc resp distress s/s
-hospitalization for significant stridor at rest/severe retractions
-cool mist humidifier/steamy BR
-O2 continuous oximetry
-hydration

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14
Q

Asthma patho

A

Chronic inflammatory airway disease—> intermittent and reversible airflow obstruction of bronchioles

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15
Q

Asthma medications

A
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16
Q

Asthma medications-acute

A
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17
Q

Asthma medications-chronic

A
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18
Q

Asthma medication management

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19
Q

Asthma medications-acute indications

A
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20
Q

Asthma medications-chronic indications

A
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21
Q

Asthma assessment findings

A

-Hacking cough, worse at night, non-productive
-dyspnea w/ exercise, SOB, chest tightness, CP
-wheeling, coarse crackles, may be diminished BS;SILENT CHEST=OMINOUS SIGN(no air movmt)
-difficulty talking
-restlessness, irritability
-sweating
-use of accessory muscles
-low O2 sats
-tripod positioning

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22
Q

Asthma diagnostics

A

CBC(inc WBC, inc eosinophils)
ABG (inc CO2, dec O2)
Allergy/RAST testing
Dec SpO2
CXR(hyperinflation/infiltrates)
PFT(lung capacity and overall lung function)
PIFR-Peak inspiratory flow rates

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23
Q

Status asthmaticus

A
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24
Q

Status asthmaticus nursing actions

A
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25
Q

Status asthmaticus medication management

A
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26
Q

Epiglottitis

A
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27
Q

Epiglottitis patho

A
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28
Q

Epiglottitis assessment findings

A
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29
Q

Epiglottitis management

A
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30
Q

Epiglottitis priorities of care

A
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31
Q

Foreign body aspiration assessment findings

A
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32
Q

Foreign body aspiration risk factors

A
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33
Q

Foreign body aspiration parent education

A
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34
Q

Heart failure-right sided patho

A
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35
Q

Heart failure left sided Patho

A
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36
Q

Heart failure-right sided physical cues

A
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37
Q

Heart failure-left sided physical cues

A
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38
Q

Coarctation of aorta patho

A
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39
Q

Coarctation of aorta

A
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40
Q

Coarctation of aorta assessment findings

A
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41
Q

Coarctation of aorta diagnostics

A
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42
Q

VSD

A
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43
Q

VSD patho

A
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44
Q

VSD assessment findings

A
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45
Q

PDA

A
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46
Q

PDA patho

A
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47
Q

PDA assessment findings

A
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48
Q

PDA management

A
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49
Q

Tetralogy of Fallot

A
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50
Q

Tetralogy of Fallot patho

A
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51
Q

Tetralogy of Fallot fatal four

A
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52
Q

What is the fatal four-cardiac?

A
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53
Q

Clinical features of Tetralogy of Fallot

A
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54
Q

Nursing management for tetralogy of Fallot

A
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55
Q

Treatment for Tetralogy of Fallot

A
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56
Q

Kawasaki Disease

A
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57
Q

Kawasaki disease patho

A
58
Q

Kawasaki disease assessment findings

A
59
Q

Kawasaki disease nursing management

A
60
Q

Kawasaki disease meds

A
61
Q

Medications management for HF

A
62
Q

HF medications indications

A
63
Q

HF medications nursing implications

A
64
Q

Priorities of care for child with HF/CHD

A
65
Q

Assessment triangle- child with HF/CHD

A
66
Q

Oxygenation- priorities of care for child with HF/CHD

A
67
Q

Nutrition-priorities of care for child with HF/CHD

A
68
Q

Acute rheumatic fever

A
69
Q

Acute rheumatic fever patho

A
70
Q

Clinical manifestations of acute rheumatic fever

A
71
Q

Diagnostic criteria for acute rheumatic fever

A
72
Q

Cardiac arrhythmias

A
73
Q

Sinus tachycardia characteristics

A
74
Q

SVT

A
75
Q

Sinus tachycardia vs SVT

A
76
Q

Management for sinus tachycardia

A
77
Q

Management for SVT

A
78
Q

SVT characteristics

A
79
Q

Dehydration

A
80
Q
A
81
Q

Dehydration assessment findings

A
82
Q

Dehydration management

A
83
Q

Oral rehydration therapy

A
84
Q

Fluid maintenance formula

A
85
Q

GERD

A
86
Q

GERD patho

A
87
Q

GERD management

A
88
Q

GERD tx

A
89
Q

Pt education-GERD

A
90
Q

Hypertrophic pyloric stenosis

A
91
Q

Hypertrophic pyloric stenosis patho

A
92
Q

Hypertrophic pyloric stenosis assessment findings

A
93
Q

Hypertrophic pyloric stenosis management

A
94
Q

Hirschsprung’s

A
95
Q

Hirschsprung’s patho

A
96
Q

Hirschsprung’s expected findings

A
97
Q

Hirschsprung’s treatment

A
98
Q

Hirschsprung’s nursing management

A
99
Q

Intussusception

A
100
Q

Intussusception clinical manifestation

A
101
Q

Intussusception management

A
102
Q

Cleft lip and palate nursing management

A
103
Q

Cleft lip pre-op nursing management

A
104
Q

Cleft palate pre-op nursing management

A
105
Q

Cleft lip post-op nursing management

A
106
Q

Cleft palate post-op nursing management

A
107
Q

Poststeptococcal glomerulonephritis

A
108
Q

Poststreptococcal glomerulonephritis patho

A
109
Q

Poststretptococcal glomerulonephritis history findings

A
110
Q

Poststreptococcal glomerulonephritis physical findings

A
111
Q

Poststreptococcal glomerulonephritis nursing plan of care

A
112
Q

Hemolytic uremic syndrome (HUS) patho

A
113
Q

HUS

A
114
Q

HUS assessment findings

A
115
Q

Hemolytic uremic syndrome history

A
116
Q

Hydrocele patho

A
117
Q

Hydrocele physical findings

A
118
Q

Hydrocele management

A
119
Q

Varicocele patho

A
120
Q

Varicocele physical findings

A
121
Q

Varicocele management

A
122
Q

Nephrotic syndrome Patho

A
123
Q

Nephrotic syndrome assessment findings

A
124
Q

Nephrotic syndrome treatment

A
125
Q

Nephrotic syndrome nursing management

A
126
Q

Enuresis Patho

A
127
Q

Enuresis nursing assessment

A
128
Q

Enuresis interventions

A
129
Q

Enuresis parent education

A
130
Q

Phimosis patho

A
131
Q

Paraphimosis patho

A
132
Q

Phimosis vs paraphimosis

A
133
Q

Phimosis physical findings

A
134
Q

Paraphimosis physical findings

A
135
Q

Phimosis management

A
136
Q

Paraphimosis management

A
137
Q

Hypospadias patho

A
138
Q

Hypospadias physical findings

A
139
Q

Hypospadias treatment

A
140
Q
A

Peds/OB (12 decks)

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