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22 Cards in this Set
- Front
- Back
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Rheumatic fever s/s- C-C-A-S-E
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Chorea, Carditis, Arthritis, Subcutaneous nodule, Erythema margentum
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Rheumatic fever treatment-nursing interventions include eradicat the ? bacteria with ? To decrease significant carditis we can use ? and ?
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streptoccocal,
penicillin, ASA, corticosteroids. |
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Which CHD has no murmurs ?
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transposition of great arteries.
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With transposition of great arteries what will the babies appearance be at birth ?
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cyanotic
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Digoxin should be given q ? hrs. ?hrs before feeding or ? hrs after feeding. If a dose is missed and more than 4 hrs have elapsed ? the dose and give next dose at the appropriate time, and if less then 4hrs have elapsed ? the dose.
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12hrs,
1hr, 2hr, withhold, give |
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If a child vomits digoxin, should we give another dose ?
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NO!!!
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What electrolyte do we need to keep a particular eye on when the pt is taking digoxin ? A ? in this electrolyte can cause a dig- ?
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potassium,
decrease, toxicity |
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Prior to heart surgery, an older infant is fed formula through a nasogastric tube 24 hrs a day in the home to ensure adequate calories. What teaching by the home health nurse will aid in this infant's growth and development. Select one -
1. Try to wean the child from the bottle to the cup 2. Start an infant playgroup 3. Delay the RSV vaccine 4. Encourage the infant to take a small amount of formula by mouth each day. |
4. Encourage the infant to taek a small amount of formula by mouth each day.
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When a child returns to the general pediatric unit after corective heart surgery, which indicates the priority?
1. lack of activity 2. decreased cardiac output 3. interruption of G&D 4. irritability |
2. decreased cardiac output
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The nurse is caring for an infant taking digoxin(lanoxin). Which would alert the nurse to hold the digoxin ?
1. heart rate 96, 2. Dig level 1.25ng/ml 3. palpable peripheral pulses 4. Potassium level 4.0 |
1. heart rate 96
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What is the therapeutic level of digoxin ?
How long should apical pulse rates be taken before administering digoxin(lanoxin) ? noting, rate, rhythm and quality. |
0.8-2.0 ng/ml
1 minute |
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At what heart rates do you hold digoxin < ? for infants, < ? for for children and < ? for adolescents.
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<100,
<70, <60 |
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The ? criteria are the gold standard for dx of Rheumatic fever.
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Jones
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The Jones criteria state that in order for Rheumatic fever to be dx some criteria must be met. The pt must be positive for ? infection ,using a blood test called a ? titer, and ?major and ? minor or ? major manifestations.
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streptoccocal infection, ASLO
1 major + 2 minors, 2majors |
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The most common manifestation of Rhematic fever is ? and the most dangerous is ?
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arthritis,
carditis |
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What does a pt that has had Rheumatic fever have to take before any operational procedure or teeth cleaning?
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ABX
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An inflammation of the lining, valves, and arterial vessels of the heart is called ?
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endocarditis
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What 3 type of infections can cause endocartditis ?/?, ?, ?
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bacterial/enterococci,
viral, fungal |
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In the hospital there has been an increase in infective endocarditis due to a common indwelling venous ?
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catheter
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The pts that are at highest risk for developing Infective Endocarditis are the ones that have had suregery for obstruction to ? blood flow or ? valve replacement. The therapy for Infective edocarditis is the use of ?
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pulmonary,
aortic, IV ABX |
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With infective endocarditis we will see signs of fever, fatigue, weakness, weight loss, joint and muscle aches, diaphorisis, NEW MURMUR. If there is formation of an Emboli we may see ? hemorrhages, ? nodes, ? spots, or oral mucosa ?
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splinter,
Olser, Janeway, petechiae |
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Two things that we can discourage people from getting that may increase the potential for developing Infective endocarditis are ? and ?
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tattoos,
piercings |
