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27 Cards in this Set
- Front
- Back
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murmer grades
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1 only super man can hear
6 you can hear w/o steth |
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how to dx murmer
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echocardiogram
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CHF in kids
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catch all term covering most hemodynamically sig heart disease
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CHF causes
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volume overload shunting
contractility, ischemia and heart blocks pressure overload, valvular stenosis |
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sigsn of poor cardiac output
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tachycardia
sweating decreased blood pressure week pripheral pulses peripheral edema pulmonary edema poor weight gain/weight loss |
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nursing consideration for tx chf
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hr/ekg monitor for arrythmia
urine output monitor |
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hypoplastic left heart
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congenital
L side of hr doesnt develope PDA becomes huge (if closes, they die) repair: sx dx: ultrasound |
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truncus arteriosis
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pulmonary and aorta become one
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tricuspid atresia
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tricuspid doesnt allow blood flow and R side of hr becomes undr develped
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tetralogy of fallot
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pulmonary stenosis
overriding aorta ventricular septal defect right vent hypertrophy |
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what is this?
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erythemus margininum
one of jones critera for RA |
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kawasakis disease manifestations
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rash
strawberry tougne fever for 5 days pealing of hands and feet conjunctivits malaise |
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risk of kawasakies disease
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damage to CA
elevated platelet counts |
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kawasaki treatment
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echo
high does asa IVIG must be given by day 8/9 of fever |
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dangers in treating kawasakis with IVIG
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reaction to blood product
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WBC highs
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infection
stress malignancy |
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WBC lows
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infection
malignancy bone marrow supression chemo |
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anmemia causes
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iron deficiency
sickle cell blood loss bone marrow failure malignancy |
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milk and anemia
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too much milk can bind with iron and pass through bowel without obsorption
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thrombocytopenia causes
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ITP
bone marrow supression malignancy |
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ITP tx
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IVIG
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when giving IVIG what is the common reaction?
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horrible headache
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nursing consideration for abnormalities in hematology
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always consider malignancy when more than one cell line is elevated or depressed
only one effect may be benign or normal physiologic response reapeat blood work |
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5 classic crises with sick cell
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pain or vasoeclusive
acute chest splenic sequestration aplastic crisis priapism |
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priapism
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painful erection for more than four hours
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sickle cell treatment
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ivf
pain cntrl bld transfusion |
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nursing managment of sickle cell dz
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large amounts of narcotic meds
multiple bld transfusion difficult social situations |
