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Peds > Respiratory, Gastrointestinal, and Genitourinary Dysfunction / Communicable Diseases > Flashcards

Respiratory, Gastrointestinal, and Genitourinary Dysfunction / Communicable Diseases Flashcards

1
Q

When you first assess someone has impetigo what should you do

A

send them home bec its highly contagious

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2
Q

Why would you not want to get a throat culture swab for a pat with airway obstrution signs like in acute epiglottiis

A

bec it may cause gag which could increase obsrtuction

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3
Q

What is the most likely cause of acute epiglottitis

A

Hemophilis influenza

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4
Q

What is a great way to protect your pat when they have a resp problem and have an xray ordered

A

to ask for a portible xray to be brought to the bedside

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5
Q

What is the best way to prevent acute epiglotitis

A

routine immunizations of the HIB or HIV vaccine

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6
Q

What is the biggest sign of hemorrhage after a tonsillectomy and why

A

frequent swallowing bec the bleeding triggers swallowing

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7
Q

When is the most important time to monitor for hemorrhage after a tonsillectomy

A

when the child is sleepign

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8
Q

What is the most important post op tonsilllect hemo care and why

A

contact surgeon, while the nurse can use suctioning and monitor vitals the only person that can fix the prob is the surgeon

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9
Q

What is some post tonsillect nursing care

A

pain management- ice collar to swelling, IV or rectal meds bec PO would agrevate wound
no cough / blow nose
soft liq diet

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10
Q

What is some post tonsillect dischage teaching

A

avoiding hot/coarse foods

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11
Q

How long is mild ear pain and foul mouth odor normal post op for tonsillect

A

5-10 days

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12
Q 
Baby is 
sneezing 
coughing 
wheezing
poor feeding
runny nose 
and his symptoms are getting worse showing tachypnea and retractions 
What is the likely diagnosis what what causes it
A

brochiolitis from RSV

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13
Q

What is used to diagnos bronchiolitis

A

nasal swab with ELISA test

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14
Q

nursing care for bronchiolitis

A

resp support with humidified O2
freq suctioning, esp before feeding
epi and corticosteroids

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15
Q

What type of isolation for Brochiolitis from RSV

A

contact and droplet

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16
Q

What med is likely given to severe bronchio pats

A

ribovirin

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17
Q

Who should not handle ribovirin

A

preg caregivers

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18
Q

What is given to pats to prevent bronchio from RSV and what is the criteria of eligibility

A 
synigis 
Criteria includes 
prematurity 
congen heart dis 
chronic lung dis
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19
Q

What resp symps would NOT be present in a resp distress asthma pat

A

stridor
runny nose
fever

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20
Q

What is the purpose of meter dose inhaler and what are the most important instructions

A

take slow deep breathes and hold for 5-10 secs

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21
Q

What are some rec’s for asthma and exercise

A

well controled- unrestricted ex

poorly controled/exacerbation- less ex

22
Q

Peak flow meter cons

A

adaf

23
Q

What genotype are parents of CF

A

Cc

24
Q

What are the color ranking for peak flow meters

A

ewfdasf

25
Q

What is an abnormal sweat chloride test

A

above 60

26
Q

What type of nutrient is important to supp with CF pats

A

lipid soluble vits DEAK

27
Q

What type of nutrient is important to supp with CF pats

A

lipid soluble vits DEAK

28
Q

What is an early sign of dehydration

A

tachycardia

29
Q

What is the treatment for mild dehydration and diarrhea

A

oral rehydration therapy
for infant that would be 10ml/kg for each diarrheal stool
continue breast or bottle feeding

30
Q

Are antidiarrheal meds typically given to infants

A

no

31
Q

What electrolyte shouldnt be given for pats with decrease urine output with increased renal func tests (increased creatinine/BUN)

A

potassium

32
Q

What electrolyte shouldnt be given for pats with decrease urine output with increased renal func tests (increased creatinine/BUN)

A

potassium

33
Q

What are some common signs of hypertrophic pyloric stenosis

A 
projectile vomiting 
oval mass in URQ
weight loss
ab distention 
metabolic alk
inconsolable 
dry mucous membranes from dehydration
34
Q

What is a consideration for ab distention for hypertophic pyloric stenosis

A

it may not appear if the child doesn’t have gas in their stomach at the moment

35
Q

What is a consideration for ab distention for hypertophic pyloric stenosis

A

it may not appear if the child doesn’t have gas in their stomach at the moment

36
Q

What is the treatment for hypertrphic pyloric stenosis

A

suregery

37
Q

What are some signs of intussusception in babies

A

red jelly like substance in stool
inconsolable
severe pain

38
Q

What are some signs of intussusception in babies

A

red jelly like substance in stool
inconsolable
severe pain

39
Q

What would a low grade fever, severe ab pain, and diarrhea pat that suddenly lost all feelings of pain indicate

A

they may have had appendicitis that just ruptured

40
Q

What causes appendicitis

A

largely unkwn
obst of the lumen of the appendix
recent sickness in lymph tissue has travels over to the appendix
pin worms

41
Q

Nursing care for post appendectomy

A

wound care

monitor for return of GI func

42
Q

What scenario/symptoms might indicate hirshsprungs

A

newborn not passing meconium
severe ab distention
Xray show dilated bowel gas pattern

43
Q

How is hirshsprungs diagnosed

A

rectal biopsy showing aganglionic colon

44
Q

What would be a sign of hirshsprungs if undiagnosed in an adult

A

foul smelling ribon like stool

45
Q

treatmant for hirshsprungs

A

surgery to remove area of colon that is aganglionic

46
Q

What are some risk factors for UTI’s

A

female
poor hygeine habits like wiping the wrong direction
frequent swimming

47
Q

What are some s/s of UTI

A

fever
incontinence
decreased appetite

48
Q

What is used to diagnosis UTI

A

urine culture

49
Q

What is a good preventative measure for someone on antibiotics and why

A

to give probitoics bec it helps reduce risk for thrush

50
Q

What are the most important nursing care for someone with acute kidney injury

A 
strict I/O
monitor dietary sodium and potassium intake 
medication safety 
dail yweights
monitoring BUN and creat
51
Q

What might be some treatment for someone with acute kid injury that is edematous and hypertensive

A

albumin followed be furosemide

52
Q

What is a consideration for a sodium and potass diet after discharge for an acute kid injury pat

A

make sure to have a diet with salt in it

Peds (15 decks)

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