Peds Ch 37&38
Terms in this set (48)
Assessment prior to Digoxin:
assessed for one minute
When does a child's heart functions like an adults?
age of 5
What Lasix does for a kid with CHF?
gets rid of excess fluid
Assessment findings of infant with CHF:
easy fatigability (feeding problems)
Treatment for CHF:
medication (Lasix), oxygen admin, limited physical activity
Activity recommended for kids with rheumatic fever:
promote rest- providing diversional activities (TV, iPad)
How does a child get rheumatic fever?
autoimmune reaction to group A beta-hemolytic streptococcal infections (carditis, polyarthritis, chorea)
Lab findings with rheumatic fever:
Treatment for rheumatic fever:
How to stop taking corticosteriods:
What is Kawasaki Disease?
immune system alteration
Sxs of Kawasaki Disease:
What does Kawasaki Disease affect?
the heart, can cause aneurysms
What is hemophilia? What factor does it affect?
-mechanics of clot formation
-factor VIII deficiency (most common)
What is hemarthrosis?
prolonged bleeding with frequent hemorrhages in skin, joint spaces
Sickle Cell Disease:
abnormal hemoglobin production (most common in African Americans), resulting in RBCs assuming a sickle shape
How do kids get Sickle Cell?
inherited from both parents
Treatment of Sickle Cell:
Activity of kids with Sickle Cell:
Where are blood cells formed?
bone marrow (soft fatty tissue inside bone cavity)
Consideration when using liquid iron:
protect the teeth from staining
How to take iron at home:
liquid iron- use a glass straw
brush their teeth
How should injected iron be given?
How is leukemia diagnosed?
CBC, bone marrow aspiration
What does leukemia treatment do to a child?
chemotherapy causes immunosuppression
Nursing considerations for children with leukemia:
prevent infection, bleeding, and injury
What constitutes the GI system?
mouth (where digestion starts), throat, esophagus, stomach, intestines, rectum, anal canal, accessory organs
Where does digestion begin?
What is enterobiases?
Sxs of enterobiases
What is celiac disease?
basic metabolic defect precipitated by gluten (wheat or rye) ingestion
Dietary considerations with celiac disease:
gluten-free diet and low-fat diet
What is steatorrhea?
foul, bulky, greasy stools
What is GERD?
-lower esophageal sphincter relaxes, allowing gastric contents to regurgitate back into esophagus
-sxs: effortless vomiting, irritability, hunger, failure to thrive, lack of normal wt gain
What is symptoms of pyloric stenosis?
forceful projectile vomiting
What is colic?
fairly common, recurrent paroxysmal bouts of abdominal pain
What is intussusception? Symptoms?
-telescoping of one portion of bowel into distal portion
-current jelly stools (very seedy)
What is giardiasis? Risk factors?
-highly communicable, prevalent in daycares, HAND WASH
Signs of malnourished child
assessment--lack of concentration
What is Kwashiorkor? What do these kids need?
severe protein deficiency with adequate caloric intake
-kids need protein
What is rickets? Beriberi?
Rickets: Vitamin D, Ca, Phos deficiency
Beriberi: Thiamine deficiency
Good sources of vitamin D & vitamin C
vitamin D: fortified cereals
vitamin C: fruits and veggies
Risks of hypocalcemia
causes neurological issues
Foods that frequently cause allergy
strawberries, tree nuts, eggs, corn, soy
Signs of food allergy
pruritus(itching) and urticaria(hives)
Steps in order of importance when treating a poisoning
1. remove remnants of poison
2. call 911
3. if child is alert: call poison help line (800) 222-1222
4. follow PHL instructions
5. administer antidote (if recommended)
6. administer general supportive, symptomatic care
Emergent treatment of hypo/hyperglycemia
-when in doubt, treat glucose reactions as hypoglycemia
hypoglycemia will cause death quickly if not treated
"hot and dry=sugar high"
"cold and clammy=get some candy"
What does the endocrine system do?