Random 5 Flashcards
when does anterior fontanelle close?
12-18 months
posterior fontanelle close?
2-3 months
position earloab to see in childs ear?
back and down
how many cups of milk for 15 month old
2-3
school age child need aprox how many calories/day?
2400
VS for child
> observe
> resps/HR
BP
temp
temp most reliable for < 2years
rectal
Oral age 5-6
Epiglotits (upper)
> No cough
dysphagia
tripod
severe resp distress
Croup (upper)
Laryngotracheobronchitis
< 5 yrs viral infection
> barky/brassy couge
> warm/cool air to vasoconstrict blood vessels
or hospital will give epi nebs and steroids
RSV
resp syncytial virus
> effects broncioles
< 2 yrs old
> weak lungs > non product cough > retraction with wheezing > mild fever > nasal drainage >> tons of drainage
what 2 body systems are affected by CF
cystic fibrosis
Think thick sticky secretions every where!
- Resp
- GI
what type of enz can be given for CF?
pancreatic
> take within 30 min of eating
diet for CF
high:
fat, calorie, protein
Well balanced
statorrhea poops
diagnose CF
sweat/chloride test
baby tastes salty.
> risk for hyponatremia»>
Baby no meconium, might be CF = ileus
therapy for CF
intense pulmonary therapy to move secretions
Down syndrome prone to what infections
Resp d/t poor immune systems
> heart defects are common
HF for babies
Fluid retention
> weight gain of > or = to 1 lb / day
N: uninterrupted sleep
Meds for HF babies
- Dig:
early sign of toxic:
»_space; bradycardia and vomiting
Infant: hold dose if pulse < 110
Children: hold dose if pulse < 70
»» always check Dig with another nurse»>
2. ACE Inhibit: >> watch for: > decreased BP > kidney probs > dry cough -- blocks aldosterone. stop retaining Na and water and excrete K+
- Furosemide- decrease vol
olive shaped mass in epigastric region?
Pyloric stenosis = projectile vomiting
what is it called when a piece of bowel goes back into self?
Intussusception
> forms an obstruction
intermit abd pain
current jely poop. blood and mucus
> sometimes a barium enema can be done and it corrects otherwise surg
Hirschsprung’s disease
congenital anomaly.
> aganglionic megacolon–> piece of intestine that doesnt have nerves. back up bowel content
> constipation
ribbon-like stools
abd distension
> must remove portion of bowel that is diseased
UTI common for age
2-24 months
CBT 5 basic components:
- educate about the PTs specific disorder
- self-observe and monitoring - the client learns how to monitor anxiety, identify triggers, and assess the severity
- Physical control strategies - deep breathing and muscle relaxation exercises
- Cognitive restructuring - learning new ways to reframe thinking patterns, challenging negative thoughts
- Behavioral strategies - focus on situations that cause anxiety and practice new coping skills, desensitizing to anxiety-provoking situations or events
L
I
O
N
Left side
I V
O2
Notify
for fetal monitoring patterns if BAD
