peds 2

Which type of croup is an emergency

epiglottis

earliest sign of biliary atresia

jaundice

maintenance fluid formula

1st 10 kg: 100 mL/kg/day
2nd 10 kg: 50 mL/kg/day
\>20 kg: 20 mL/kg/day

age groups

infant: birth- 12 months
toddler: 1 year-3 years
preschool: 3 years-5 years
school age: 6 years- 12 years
adolescent: 12 years-18 years

urine output formula

infant: 0.5 mL/kg/hr
child: 1 mL/kg/hr

prevention of UTI

frequent urination

s/s of moderate dehydration in preschooler

irritable with dehydration

Hirschsprung disease, what shows that parents understand teaching

aganlionic cells in the large intestine

4 month old with GERD

thicken formula with rice cereal

heart failure

feeding for no more than 30 minutes

kid is vomiting with appendicitis and feels better, what do you do first?

call provider

girl comes in with a frog-like croak what do you do

get a bag valve mask, prepare for intubation, call healthcare provider

signs of Acute Glomerulonephritis

hematuria, decreased urine output, mild proteinuria

expected outcome for nephrotic syndrome

decreased level of protein in the urine

med for nephritic syndrome

immunosuppression

cleft lip repair

take off elbow restraints and cuddle with infant

meds for nephrotic

antidysrhythmias (???)

earliest sign of CF

meconium ileus

SATA on celiac disease foods

corn, chicken, and rice

breastfeeding an infant with a cleft lip

use a bottle
- have mom pump and feed with a bottle if she isn't successful breastfeeding

SATA: post op cardiac cath repair

assess distal pulses and temperature

with heart failure, how do we take BP

on all four extremities

flow between right and left ventricle

ventricular septal defect

newborn with hydrocele

educate parent that it will go away

keep Patent ductus arteriosus open before surgery

prostaglandin

what shows parents with kid on digoxin need more teaching

high heart rate is a side effect

Tetralogy of Fallot patient is having cyanosis

knees to chest

best diagnostic test to check GFR

creatine clearance

peak flow meter on yellow

increase asthma maintenance

why do kids have worse respiratory issues

small airway was in the answer

Esophageal atresia earliest sign

(???) either prenatal ultrasound, or NG tube wont insert

why are you wanting to close a Patent ductus arteriosus

so it stops bringing oxygenated blood back into the lungs

child with croup

take them in the cold air outside

GFR lab to check

creatinine clearance

kid comes in throwing up 3 times in the last hour. how do we rehydrate?

PO rehydration

asthma needs more teaching for parents

diabetes type 1 and air pollutant

¬
something about albuterol and teaching or. side effects (IDK there wasn't a question, just an answer)

albuterol side effects: tachycardia and nervousness

Patent ductus arteriosus does what?

increases blood to the lungs - "I" disorders decrease to lungs

what to give for Kawasaki

aspirin and gamma globulin

one of the first clinical manifestations of biliary atresia

jaundice

parents correct understanding of the patho of Hirschsprung disease

ganglion cells are not working in the bottom of colon- lack of ganglion cells- aganglionic

SATA: S/S of dehydration

fontanel, dry mucous membranes, cap refill

SATA: gluten-free foods

chicken, rice, corn

SATA: Nephrotic s/s a school age child has been admitted to the hospital with an exacerbation of nephrotic syndrome. Which clinical manifestations should the nurse expect to assess

facial edema, frothy urine, fatigue

SATA: Cardiac cath You are working with a new grad on the pediatric unit and your patient is returning from the cardiac cath lab. You feel the graduate understands the important nursing interventions when she says which of the following?

check pulses, check temperature
From the book:
i. Pulses, especially below the catheterization site, for equality and symmetry. (Pulse distal to the site may be weaker for the first few hours after catheterization but should generally increase in strength)
ii. Temperature and color of the affected extremity because coolness or blanching may indicate arterial obstruction
iii. Vital signs, which are taken frequently as every 15 minutes with special emphasis on heart rate, which is counted for 1 full minute for evidence of dysrhythmias or bradycardia
iv. Blood pressure especially for hypotension which may indicate hemorrhage from cardiac perforation or bleeding at the site of initial catheterization
v. Dressing, for evidence of bleeding of hematoma, formation in the femoral or antecubital area
vi. Fluid intake, both IV and oral to ensure adequate hydration (blood loss in the catheterization laboratory, the child’s NPO status, and diuretic actions of dyes used during the procedure put children at risk for hypovolemia and dehydration
vii. Blood glucose levels for. Hypoglycemia, especially in infants who should receive IV fluids containing dextrose

The nurse is caring for an adolescent who has just started dialysis. This child seems always angry, hostile or depressed. The nurse should recognize that this is most likely related to:

Adolescents often resenting the control and enforced dependence imposed by dialysis

which croup is an emergency

epiglottis

mom comes in and says the baby is drooling. What does the nurse do?

call HCP provider and prepare for intubation

Respiratory Syncytial Virus bronchitis

put a noninvasive O2 measure on - may be heated high flow NC or just airway maintenance

earliest sign of cystic fibrosis

meconium ileus @ birth

patient/parent teaching in preventing UTI's

urinate frequently throughout the day

what to do for cystic fibrosis

pancreatic enzyme sprinkled on their food

narrowing or stenosis of the preputial opening of the foreskin (can't retract the foreskin)

phimosis

Respiratory Syncytial Virus teaching for parent

for croup make them go outside
RSV stay inside in their own room or with others who have RSV

how do you know baby has Tracheoesophageal fistula (TEF)

three C's: coughing, choking, and cyanosis usually during feeding and distended abdomen
(dont think it is the answer about no being able to place an NG tube)

signs of acute appendicitis

pain at McBurney's point

side effect of corticosteroids

immunosuppressed (or increase appetite?)

intussussception

ask parent what does the child's stools look like
-its the telescoping of the intestines
- jelly like stools
- telescope folds goes proximal to distal

baby has its intestines outside but in a sack

omphalocele

pyloric stenosis we know because

projectile vomiting
may also notice hard moveable mass- "olive mass

what to do when baby is cyanotic due to TET spell

put knees to chest

PDA medication that keeps it open

prostaglandin E1

what med for rheumatic fever

penicillin

what will show in labs with acute glomerulonephritis

labs with proteinuria and hematuria

penis deformity of hypospadias

the hole will be on the ventral (bottom) side of penis

cleft lip post op nursing intervention

cuddle them when they are not in restraints- need elbow immobilizers

otitis media, ways to prevent it

avoid smoke (smoking around kids)

infant that is coming in with their first otitis media symptoms, what to do?

high dose of amoxicillin- give over 7-10 days

what causes acute renal failure in children

sever dehydration from diarrhea of N/V
- monitor for hypertension (also watch for HTN in VSD)

what med to give for nephrotic syndrome

corticosteroid (prednisone)

heart defect with hole in between ventricles

ventricular septal defect VSD

coarctation of the aorta

disparities in upper and lower BP (BP is lower in lower extremities)

what predisposes infants and young children to respiratory distress

mucous and obstruction in their airways

something extra about checking the BP in all four extemities... i think its the HF question

check BP in all four extremities

what does peak flow rate check for in asthma

the severity of it

further education for digoxin

causes fast heart rate

i. It causes bradycardia
ii. Don't give if infants HR is lower than 90-110 or 70 for children

what to do for infants with GERD

give thicken formula

what to give for crohn's disease

corticosteroids

some extra things about cleft lip repair

cleft lip is repaired by 2-3 months and modified by 4-5 years

some extra things about gluten-free diet and endoscopy

DO NOT start gluten free diet before endoscopy

some extra things about enuresis

DO NOT reprimand a child with enuresis

education to give parents about hydrocele

hydrocele will go away and does not need immediate surgery unless it surpasses 12 months

dark brown urine in glomerulonephritis

give antibiotics

some extra things about hemolytic syndrome

know that hemolytic syndrome has labs that show low RBCs, platelets, and Hbg from bleeding

some extra things about tonsilitis

constant swallowing is an indicator of tonsilitis bleeding

MED MATH fluid intake

1536 total daily fluid intake

MED MATH range

34.1-68.2

MED MATH whole number

17

SATA: for celiac disease what foods can you eat

corn on the cob
baked chicken
rice

SATAL cardiac cath interventions

assess pulses
assess temperature

SATA dehydration

dry mucous membranes
sunken fontanels

SATA nephrotic syndrome

face edema
fatigue
frothy urine

hydrocele what would you educate

it will resolve on its own

cleft lip. Mom is sad that she can't breastfeed. How should the nurse respond

educate them that there are ways to breastfeed. Provide information

the earliest sign of CF

meconium ileus

Esophageal atresia

THIS ONE has mixed responses but
NG tube placement is the common answer

concerned order for esophageal atresia

sitting upright to feed

meds for nephrotic syndrome

corticosteroids

side effects of nephrotic drugs

immunosuppression

hirschsprung

decreased ganglionic cells