PEDS review Flashcards
formulas for maintenance fluids
100mlkg for 0-10 kg
1000 + (50#kg for every kg over 10)
1500 + (20*#kg for every kg over 20)
What is DI ?
def of ADH due to tumor of post pituitary which results in excess urine
s/s of DI 2
polyuria, increased serum Na
tx for DI
ADH
what is SIADH
increased ADH which results in fluid retention
s/s of SIADH
crackles, wt gain without edema, HTN
cushings
too much steroids due to tumor of pituitary
addisons
def in steroids(cortisol) AUTOIMMMUNE
CAH
def in cortisol/aldosterone
tx for CAH
steroids for life
Rapid insulin OPD
15, 60-90, 3-4
regular insulin OPD
30-60, 2-3, 3-6
NPH insulin OPD
2-4, 4-10, 10-16
glargine OPD
1-2, none, 24 HR
s/s of hypoglycemia
shaky, irritable, difficulty concentrating, pallor, sweating
s/s of hyperglycemia
fatigue, sleepy, polyuria, slow response, confusion
turners syndrome
missing x chromosome
kelinfelters syndrome
extra x xsome
PKU
recessive disorder, lacks liver enzyme
MSUD
amino acids wont break down which leads to liver failure
s/s of resp distress
restless, tachypnea, sweating
retractions, nasal flare, grunting
dyspnea, bradycardia, cyanosis
epiglotitis s/s
absence of cough, presence of drooling, agitation
tx for epiglotitis
treat anxiety
CROUP (LTB) s/s
barky cough, tachypnea, low o2
tx for CROUP
steroids
RSV s/s
tachypnea, sleepiness, grunting
what is CF
autosomal recessive disorder of exocrine gland
s/s of CF
salty skin, foul stool, clubbing, coughing, barrel chest
trans fistula with esop atresia s/s
drooling, cyanosis, choking, coughing
pyloric stenosis s/s
projective vomitting not bilious and hunger
volvulus what is it
malrotation of small intestines
s.s of volvulus
dark green bilious vomit
hirshsprung what is it
no peristalsis
necrotizing enterocolitis what is it
damaged intestinal wall which decreases mucous and bacteria invasion
s/s of necrotizing enterocolitis
distention, bloody diarrhea
tx for necrotizing enterocolitis
x rays every 6 hours
short bowel syndrome
malabsorption due to loss intestine
meckel diverticulitis
presence of reminant duct
s/s of meckel divert.
painless rectal bleed
vesicoureteral reflux
abnormal flow of urine from your bladder back up the tubes (ureters) that connect your kidneys to your bladder
nephrotic syndrome
group of s/s not a disease
s/s of nephrotic syndrome
proteinuria, hypoalbuminemia, edema
tx for nephrotic syndrome
12 weeks of steroids
APSG
glomeruli inflammation 10-14 days after strep
s/s of APSG
tea urine, HTN, edema
phimosis
unretracted foreskin