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
which fetal heart tones are BAD?
- HR < 110
- Low baseline variability
- Late decelerations - slow near end or after contraction
- Variable decelerations - VERY BAD - prolasped cord
VEAL CHOP
Variable = Cord compress
Early Decel = Head compress
Acceleration = OK
Late Decel = Placenta Insufficient
stages of baby delivery
1st- labor
2nd- delivery of baby
3rd- delivery of placenta
4th- first 2 hrs after placenta delivery
what do you do post-delivery
4x4x4
4 things, 4 x in first hr, in 4th stage
1. Q15 min VS >>shock >> pressures down >>rates up >>cool/clammy
- fundus
- check pads
> saturate in 15 min or less - Roll her over
> bleeding under
postpartum check
BUBBLEHEAD
Breasts Uterine fundus Bladder Bowel Locia Epesiotomy Hgb and Hct Extremity Affect- emotion Discomforts
caput succedaneum
CS = cross sutures
or
caput symmetrical
Cephalohematoma
not sutures not symmetrical ?
Aortic
All Ppl Enjoy Time Magazine
2nd intercoastal space at R sternal border
pulmonic
2nd intercoastal space at L sternal border
ERB’s
S1 and S2
L, 3rd intercoastal space
Tricuspid
4th intercoastal space at L sternal border
Mitral
5th intercoastal space at midclavicular line (APICAL)
fetal position
presenting part of fetus
Beneficence
taking positive action to helping others and a desire to do good. PT advocacy
Autonomy
support indep PT decision making
Fidelity
keeping a commitment
Nonmaleficence
reporting faulty equipment. To do no harm
core of nursing ethics
HELLP
Hemolysis Elevated
Liver enzymes
Low
Platelet count
form of preeclampsia with severe liver damage
what is essential to check with PPI’s?
Omeprazole
bone density check
> long-term therapy = decreased absorption of Ca and promotes osteoporosis
olanzapine and risperidone
antipsychotic drugs
dropplet precautions
meningitis influenzae type B diptheria mumps rubella pertussis strep
wound care is considered splash precaution as well as suction
antidote for norepinepherine
phentolimine - a vasodilator
why are NSAIDS bad for heart failure
bc they contribute to Na retention = fluid retention
Bishop score
Predictor of successful induction: cervix
1. consistency - firm, med, soft
- position - posterior, mid, anterior
- Dilation -
0-> or = 5 - Effacement-
0-80 percent - station -3 –> +2
V.fib
D.fib, epi, amioderone, vassopressin
V.tac
150-250 looks like shark teeth
A.fib
has sharp top spikes PQ but not the descending R
Ciprofloxacin for UTI
floxacin
watch out for tendon rupture. Tendonitis. Achilles
