Epilepsy Nursing Care
Monitor for seizure activity
Ensure safe environment
Administer antiseizure medications
Sx of medication toxicity
Document S/Sx, duration, intervention and response to intervention.
Controller medications: Flovent, Pulmicort, Advair
Rescue Medications: Albuterol, Xopenex
Hospitalized: IV or oral corticosteroids
Asthma Nursing Care
Monitor Respiratory Rate, Breath Sounds, SaO2, Push Fluids, Manage Medications, Educate
Bronchiolitis Nursing Care
Contact & Droplet Precautions
Airway- O2, bulb syringe/suction
Viral: supportive, hydration, respiratory support
Bacterial: Ab.s, Fluids, Respiratory support
Respiratory Synctial Virus RSV
Antivirals w/in 3 days of Dx: Ribavirin
Congestive Heart Failure
Back up of blood in venous system causes lack of O2 Blood to circulation.
Infant Sx: anorexia, malnutrition, tachypnea, diaphoresis.
Child Sx: Fatigue, SOB, Periorbital and Peripheral Edema, behind peers.
CHF Nursing Care
Limit Child's energy expenditure: group cares, limit feeding length, avoid stress.
Elevate HOB and reduce exposure to respiratory Infxn.
Small frequent feedings of High caloric formula/BF.
Proper wt gain before surgery
Cardiac medications require attention to fluid balance.
Bacterial (Salmonella), or Rotavirus most common: foul odor of watery stools, Fluid deficit r/t V/D, Abd cramps, anorexia, febrile.
Gastroenteritis Nursing Care
Maintain Fluid status.
GastroEsophogeal Reflux GER
Acid backup from stomach to esophagus.
May lead to aspiration pneumonia.
May resolve w/age.
Cloudy, foul odor of urine.
Dysuria & Urgency.
Lower ABD discomfort
Infants:irritable, colic, vomiting.
Urinalysis or Urine Culture before antibiotic Tx.
Voiding cystourethrography VCUG to detect reflux r/t repeat UTIs.
Types of casts
Fiberglass is quick to dry, water resistant, lightweight, can Xray.
Plaster is heavier, dries slower, breathable, is less rigid.
Skin and pressure!
Neurovascular Checks: color, sensation, motion.