Nasal RSV wash Seasonal: Oct thru April May progress to Pneumonia or Bronchiolitis if unDx.
Fluids Humidity O2 PRN Meds: albuterol/epinephrine/neb 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
Monitor I/O Maintain Fluid status. Skin care Dietary mgmt. Infxn control
GastroEsophogeal Reflux GER
Acid backup from stomach to esophagus. Esophogeal inflammation/stricture May lead to aspiration pneumonia. May resolve w/age.
GER Nursing Care
Position Med mgmt: Proton pump inhibitors (Prevacid)
Cloudy, foul odor of urine. Dysuria & Urgency. Hematuria. Lower ABD discomfort Febrile Infants:irritable, colic, vomiting.
Urinalysis or Urine Culture before antibiotic Tx. Voiding cystourethrography VCUG to detect reflux r/t repeat UTIs.
Antibiotics: oral/IV for bladder infxn. IV for kidney infxn. Fluids and antispasmodics
Greenstick or Bend fractures
Transverse, Spiral, Oblique, Comminuted May be open or closed.
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.
Blood cultures: line or stick Urine/sputum/throat/skin cultures Prophylactic Antibiotics like ampicillin or gentamycin. Monitor Pt closely.