Week 1 Content Flashcards
An infant/child can loose > _____ of their blood volume prior to a drop in BP.
25%
A pediatric peripheral IV must be assessed every ____ hours when it is continuously infusing.
When the PIV is locked must be assessed every ___ hours.
A pediatric peripheral IV must be assessed every 1-2 hours when it is continuously infusing.
When the PIV is locked must be assessed every 4 hours.
_____ ml/kg of Normal Saline is given to replace fluid loss due to significant dehydration
10-20
Assessing ___________ history is part of the pain assessment.
PCA pump
IM injection: infant/toddler - ____ angle
90 degree
Which muscle is used for IM injection (infant/toddler)
Vastus lateralis
Infant age range
0-12 months
Neonate
up to 30 days old
Infant birth growth doubles by
6 months
Posterior fontanel closes by
1-2 months
Infant birth weight triples by
12 months
Anterior fontanel closes by
9-18 months
Babies do not need extra water until > ___________
6 months
Introduce solids at around _____ months (rice, cereal …)
4-6
Breast feed every _____ hours
2-3
How should infants sleep?
on the back
no extra pillows
Never leave infants unattended with
pets
Pain scale tool used for infants
FLACC
[0-2]
4+ = should be treated
Face
Legs
Activity
Cry
Consolability
Hospitalized Pediatric Patient - Pneumococcal Pneumonia (PCV13) - precautions?
Airborne
Chicken pox
Mumps
Measles
Covid
TB
Precautions?
Airborne
Roto Virus RV (diarrhea) precautions
Contact
There is no ________ for TB in the US
vaccine
AIRBORNE can stay aerosolized in INSIDE AIR for up to ______
3 hours
Doubling the height at 2 years old is predictable of
adult height
Expect __________ when hospitalized
Regression
Toddlers in the hospital
Previously toilet trained may start ___________
* Reassure parents when this happens
bedwetting
Give toddler _______ when posible
choices
[which arm should we put the cuff on? which flavor do you want?]
Rashes with Fever and ___________
- Coxsackie virus
- Fifths disease
- Strep Throat
- Measles
- Chickenpox
- Bacterial Meningitis
Contagious
Coxsackie virus:
No vaccine not dangerous
causes _____________________ disease
Common Childhood illness
High _______
Very ________
Droplet spread plus Contact (contaminated surfaces)
Does NOT lead to severe illness
No vaccine not dangerous
causes hand foot and mouth disease
Common Childhood illness
High fever
Very contagious
Droplet spread plus Contact (contaminated surfaces)
Does NOT lead to severe illness
Fifth’s Disease-
_______virus - No vaccine not ___________
“ ___________ Cheeks”
Called Fifth’s historically 5th in childhood skin rashes
Fever
Does not Lead to serious illness
Parvovirus - No vaccine not dangerous
“ Slapped Cheeks”
Called Fifth’s historically 5th in childhood skin rashes
Fever
Does not Lead to serious illness
Strep Throat- no vaccine
Streptococcal – bacterial
Fever
_______ (Scarlet fever: Small raised bumps feels rough like sandpaper)
Spread through droplets and surface contacts
Not contagious ater 24-48 hours of abx tx
If not treated with antibiotic can lead to
* ___________ fever (cardiac)
* ______________ (kidneys)
Strep Throat- no vaccine
Streptococcal – bacterial
Fever
Rash (Scarlet fever: Small raised bumps feels rough like sandpaper)
Spread through droplets and surface contacts
Not contagious ater 24-48 hours of abx tx
If not treated with antibiotic can lead to
* Rheumatic fever (cardiac)
* Glomerulonephritis (kidneys)
Is there a vaccine for strep throat?
no
Strepthroat is caused by
bacteria (streptococcal)
Measles Virus : Koplick Spots
Red spots ( sometimes with blue centers)
Measles can be dangerous
High fever EXTREMELY ______________
Airborne isolation
Rash
Immunize with ______, ______ months
____________ Injection
Measles Virus : Koplick Spots
Red spots ( sometimes with blue centers)
Measles can be dangerous
High fever EXTREMELY contagious
Airborne isolation
Rash
Immunize with MMR 12-15 months
Subcutaneous Injection
Chickenpox virus – can get secondary bacterial infections of skin lesions
Very dangerous for immunocompromised and older persons
Fever and Rash
Highly Contagious
__________ isolation
Immunize at ______ months, ______ inj.
Chickenpox virus – can get secondary bacterial infections of skin lesions
Very dangerous for immunocompromised and older persons
Fever and Rash
Highly Contagious
Airborne isolation
Immunize at 12-15 months SQ
Bacterial Meningitis: bacteria life threatening
Purpuric Rash Purpura is ________________________
This is technically not a rash
unlike rashes it does not ______ when you press on it.
Purpuric Rash Purpura is bleeding under the skin
This is technically not a rash
unlike rashes it does not blanch when you press on it.
Bacterial Meningitis
Newborns: Group B Streptococcus, S. pneumoniae, L. monocytogenes, E. coli
Babies and young children: S. pneumoniae, N. meningitidis, H. influenzae, group B Streptococcus, M. tuberculosis
Teens and young adults: N. meningitidis, S.
pneumoniae
Older adults: S. pneumoniae, N. meningitidis, H.
influenzae, group B Streptococcus, L. monocytogenes
Immunize pre teens, adolescents, older adults
Droplet and Contact
Not contagious after 24 hours on abx
Newborns: Group B Streptococcus, S. pneumoniae, L. monocytogenes, E. coli
Babies and young children: S. pneumoniae, N. meningitidis, H. influenzae, group B Streptococcus, M. tuberculosis
Teens and young adults: N. meningitidis, S.
pneumoniae
Older adults: S. pneumoniae, N. meningitidis, H.
influenzae, group B Streptococcus, L. monocytogenes
Immunize pre teens, adolescents, older adults
Droplet and Contact
Not contagious after 24 hours on abx
Rashes Contagious: no _______
common to get at day care
-Impetigo
-Cold Sores
Fever
Impetigo- bacteria
Caused usually by ______, Sometimes strep
Very _________
Not serious
Common to get at daycare
Treat with topical or oral __________
Teach to prevent spreading at home
Caused usually by Staph, Sometimes strep
Very Contagious
Not serious
Common to get at daycare
Treat with topical or oral antibiotics
Teach to prevent spreading at home
Cold Sores- _______ virus
Highly _________
Common to get at daycare
Can be __________ for newborn babies & immunocompromised
Contagious as long as blisters _______
Cover blister with dressing or mask
Cold Sores- herpes virus
Highly contagious
Common to get at daycare
Can be serious for newborn babies & immunocompromised
Contagious as long as blisters weep
Cover blister with dressing or mask
Rashes no fever and _______________
- Eczema
- Diaper rash
- Cradle Cap
- Hives
not contagious
Eczema: Atopic dermatitis
Can Start in ________ and Continue into Adulthood
Effects daily life extremely ______!
Eczema: Atopic dermatitis
Can Start in infancy and Continue into Adulthood
Effects daily life extremely itchy!
Eczema – Atopic __________
- __________ of skin
- Immune system reacts to small irritants and stimulants
- Strong family history of ________
- Dry , _____ skin.
- Red bumps and scaly, leathery patches of skin.
- Crusting skin.
- Worse in ____________ seasons
- Better in humid climates
- Inflammation of skin
- Immune system reacts to small irritants and stimulants
- Strong family history of allergies
- Dry , itchy skin.
- Red bumps and scaly, leathery patches of skin.
- Crusting skin.
- Worse in fall and winter seasons
- Better in humid climates
Treatment of Eczema : Atopic Dermatitis
- Humidify, moisturize with cream or ointments every __________
- NO _________ - only short Luke warm baths
- Very _____ hypoallergenic soaps
- Steroid creams
- Antihistamines
- Avoid synthetic clothing materials ________ is best
- Keep __________
- Topical immunomodulators
- Light therapy decreases inflammation
- Humidify, moisturize with cream or ointments every diaper change
- NO hot water- only short Luke warm baths
- Very mild hypoallergenic soaps
- Steroid creams
- Antihistamines
- Avoid synthetic clothing materials COTTON is best
- Keep hydrated
- Topical immunomodulators
- Light therapy decreases inflammation
Eczema and Food Allergies
The connection between eczema and food allergies is _________.
Common allergies associated with eczema - peanuts, dairy, eggs, sugar, alcohol and gluten.
Teach parents to monitor their child’s eczema flares ups after certain __________________
Children with Eczema are sensitive to __________________ > skin breakdown
Eczema and Food Allergies
The connection between eczema and food allergies is unclear.
Common allergies associated with eczema - peanuts, dairy, eggs, sugar, alcohol and gluten.
Teach parents to monitor their child’s eczema flares ups after certain foods are eaten.
Children with Eczema are sensitive to tape and adhesives > skin breakdown
Diaper Rash: Diaper Dermatitis- prolonged exposure to urine or stool can be caused by yeast or bacteria.
[not on test]