Peds Exam 2 (G)

digoxin

- decreased appetite

- n/v

- syncope

- difficulty breathing

- edema in lower extremities

- dysrhythmias

- vision changes

acetaminophen antidote

acetylcysteine

Priority action if poisoning

- assess and perform CPR if needed

- call poison control/911

high dose IVIG & aspirin 80-100mg/kg

meds to treat Kawasaki

education for a child with strep

- contagious first 24 hours

- Gargle with warm salt water

- cover mouth/wear mask

acceptable level of lead at 12 months

<3.5 μg/dL

hypoplastic left heart syndrome

underdeveloped left side of the heart

s/s of hypoplastic left heart syndrome

- mild cyanosis and HF

- can lead to cardiac collapse

- fatal in 1st month without intervention

- poor feeding

- tachy

- cold extremities

post op tonsillectomy

- monitor for restlessness, tachycardia, pallor

- frequent assessment of bleeding (excess swallowing)

what to give a patient post op tonsillectomy?

cool, clear liquids

NOTHING RED!

otitis media

- caused by bacteria

- smoke exposure makes them more prone

- short eustachian tubes

indications of cystic fibrosis

- salty skin

- smelly, fatty stools

careplan for a CF patient

- high protein, high caloric diet

- cant be around others with CF

- postural drainage

- high frequency chest compressions

- meds

nursing interventions for cardiac cath

- vitals q15min

- apical pulse for 1 min

- strict I&O

- monitor dressing for bleeding

main discharge teaching for cardiac cath

- change bandage once a day

- avoid submerging into water

- observe for infection

education for rheumatic fever

- treat underlying cause with abx : strep throat

1st degree burn

superficial burns: sunburn, no blister

2nd degree burn

partial thickness: pain, redness, swelling, blister

3rd degree burn

full thickness: black, dried out, damages all layers of skin

s/s TBI in baby

- increased ICP

- HTN

- Cushings triad

- irregular breathing patterns

- bradycardia

cushings triad

late sign of ICP: increased BP, decreased HR and RR

strabismus teaching

eye patch, glasses

how to decrease cardiac workload

- lots of rest

- small feedings

- less interruptions

precaution for bacterial meningitis

droplet precautions

post op education for hydrocephalus

shunt management

monitor for infection

characteristics of down syndrome

- cardiac disease

- distended abdomen

- low muscle tone

- facial anomalies

- hypothyroidism

bacterial pneumonia

- DULL percussion

- nasal flaring

- retractions

- restlessness

defects in Tetralogy of fallot

VPHO

Ventricular septal defect

Pulmonary stenosis

Hypertrophy of RV

Overriding aorta

cyanotic priority nursing intervention

place infant in knee to chest position

recommended loading dose of dilantin

15-20mg/kg

Reyes Syndrome

association with aspirin for treatment of viral illness or varicella: DONT GIVE!

lab findings for bacterial meningitis

low glucose

high protein

high WBC/neutrophils

focal seizure

localized seizure often affecting one limb: seeing spots

croup

seal like barking cough

s/s of bacterial meningitis

- kernig and brudzinskis sign

- innefective tissue perfusion

- hyperthermia

concerned findings with shunt revision

- enlargement of head

- full and tense fontanelle

- prominent scalp veins

- swelling or redness

kawasaki disease findings

RED EVERYTHING!

strawberry tongue, eye becomes red, red hands and feet, rash on genitals

kawasaki disease

sudden heart condition that causes inflammation of blood vessels in children under the age of 5

RSV interventions

- hydration

- nasal suction

- pain management

- humidifier

- nebulizers/inhalers

Truncus Arteriosis

pulmonary blood flow is increased and systemic blood flow reduced

Tetralogy of Fallot

congenital malformation involving four distinct heart defects

Trans of Great Arteries

no communication between systemic and pulmonary blood supply unless there is PDA.

signs of abuse

- various bruises

- child will act timid

- parents wont allow them to speak

- welts, burns

leading cause of of death in infants

congenital abnormalities or accidental injuries

treating minor burns

- stop the burning

- apply dressing and keep the child warm

- tetanus vaccine if needed

- monitor for infection.

how to treat severe burns

ABCs

Check oxygen

Fluid replacement!!!

fluid replacement first 24 hours

crystalloids: NS or LR, D5%

fluid replacement second 24 hours (48h)

colloids: albumin or plasma

early compensated shock

- mild tachycardia

- cool extremities

- narrowed pulse pressure

- thirst

- prolonged cap refill

- altered LOC

Late decompensated shock

- 10% decrease in BP is a significant sign

- body gives up compensating and rapidly declines