2355 Peds/neuro Part 4

Front 1

The safe Serum lead is now ? mcg/dl, down from 15 in 1976. Children with a level below 10mcg/dl do not require any action, but can still experience ? effects. The level at which tx is required is ?

Back 1

5mcg/dl,
cognitive,
40mcg/dl

Front 2

Neurological effects of lead poisoning iclude Decreased ? scores, cognitive ?s, impaired ? and growth ?s

Back 2

IQ,
defecits,
hearing,
delays

Front 3

The tx for lead poisoning is ? therapy. This tx is done in the hospital over a ?-? day period, followed by a rest period and then a check, it can be repeated if necessary

Back 3

Chelation,
5-7days

Front 4

When caring for a child with lead poisoning, the primary goal is to ?
1. assess for pica
2. Promote the excretion of lead via chelation therapy
3. Correct the anemai
4. Reverse the nerurological effect

Back 4

2. Promote the excretion of lead via chelation therapy

Front 5

Diabetes Insipidue (DI) results from inadequae production of secretion of ? or inability of the renal collecting ?s to respond to it.

Back 5

ADH,
tubules

Front 6

The most common cause of DI is ? but trauma, CNS infection, neurosurgery, drug toxicity, and adverse drug reaction can also cause it.

Back 6

brain tumor

Front 7

If the pt is high and dry with an increased amount of dilut urine we are thinking it is ? and if the pt is producing small amts of concentrated urine with low sodium in the serum we are thinking ?

Back 7

DI,
SIADH

Front 8

When there is an excessive amount of serum antidiuretic hormone (ADH) this causes ? This can be caused by all of the same things as DI plus vent pts, diuretics, chemotherapy

Back 8

SIADH

Front 9

DI = ? & ?, High serum ?, spec gravity < ?, and low vascular fluid ?

Back 9

high & dry,
sodium,
<1.005,
volume

Front 10

SIADH = ? & ?, low serum ?, Spec gravity > ?, and high vascular ?

Back 10

low & wet,
sodium,
>1.020,
volume

Front 11

Periods of abnormal electrical discharges of the cortical neuronal network of cells on the surface of the brain that cause involuntary movement and behavior & sensory alterations is a ?

Back 11

seizure

Front 12

Seizures are common in ? and infants are susceptible to developing seizures in the first ? of life this decreases with age.

Back 12

children,
year

Front 13

A continuous seizure lasting longer than 30 minutes or a series of seizures during which consciousness is not regained is called ?

Back 13

status epilepticus

Front 14

Postictal period for a seizure usually last from ?-? The Seizure med we talked about in class is ? and it can be adminstered via ? or ?

Back 14

30 min- 2hrs,
Valium,
IV(diazepam) or rectal(diastat)

Front 15

To decrease seizure in kids they can go on a ? diet which includes increased ?s, decreased ? and an adequate amount of ? and should include 2 vegetable groups with increase intake of ? leafy veggies.

Back 15

ketogenic,
increased fats,
decreased carbs,
adequate protein,
green leaf veggies

Front 16

Along with meds a 5y.o. chld with myoclonic seizures uses a ketogenic diet for seizure control. Which choisce should the nurse suggest for the child's lunch.
1. Tuna with mayo, potato chips, broccoli
2. Hot don on a bun with OJ
3. Grilled cheese on white bread, bacon and apple juice
4. Mac n Cheese, pear, skim milk

Back 16

1. tuna with mayo, potato chips, broccoli

Front 17

The two types of meningitis are ? and ? and ? is the worst of the two. The test to check for meningitis is ?, which draws ? from the spinal column

Back 17

bacterial, aseptic,
bacterial,
LP, CSF

Front 18

If meniningitis is suspected the pt should be immediately started on ?, put in ?, have a ? culture until bacterial meningitis is ruled out.

Back 18

ABX,
isolation,
CSF

Front 19

Bacterial meningitis can occur secondary to other ?s such as OM, sinusitis, pharyingitis, head trauma and surgery etc...

Back 19

infections

Front 20

The culture of CSF for bacterial meningitis will appear ?,
have a ? in glucose, and an ? in protein, and the gram stain will be ? for bacteria. We should always where a ? during an LP for CSF.

Back 20

cloudy,
decreased glucose,
increased protein,
positive for bacteria,
mask

Front 21

Viral meningitis is also known as ? meningitis. The CSF will appear ? the gram stain will be ? for bacteria, glucose will be at a ? level, and protein will be slightly ?

Back 21

aseptic meningitis,
clear, negative,
WNL, higher

Front 22

80% of viral meningitis is caused by ? and it is more common in the ? and ? months.

Back 22

Entero virus,
summer and fall

Front 23

Inflammation of the brain caused by a viral infection, meninges can be affected is ? and the most common cause of this is ? simplex 1, there may also be an ? cause.

Back 23

Encephalitis,
herpes,
unknown

Front 24

The parent of a chld recently dx with viral meningitis is concerned about permanent effects from the disease. Her neighbor's hild had viral encephalitis with learning and mobility sequelae as a result. How should the nurse respond to her concerns ?

Back 24

Children with viral encephalitis usually have a complete recovery without permanent effects.

Front 25

An acute encephalopathy causing cerebral dysfunction do to a toxic, anoxic insult, inflammatory, or injury to the brain, which can be permanent and is often associated with ASA and mild viral illness is ? syndrome.
Some children will make a full ? while others will suffer long term ? damage.

Back 25

Reye Syndrome,

recovery,
neurological

Front 26

Reye syndrome usually affects children younger then 15y.o. who are recovering from a ? illness e.g chickenpox(varicella), croup, or flu, and have been given a med like ? or one that contains it. The reaction cause ? swelling, ? failure and death can occur in hours it tx is not initiated

Back 26

viral,
ASA,
brain, liver