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5 Cards in this Set
- Front
- Back
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Heart failure |
Occurs when blood and fluids accumulate in the organs and body. This happens because the heart is not able to pump/ circulate enough blood to supply Infant Symptoms: Tachycardia, easily fatigued (feeding problems), respiratory symptoms, difficulty laying flat, periorbital edema, rapid wt gain Older children: tachycardia, failure to gain wt, weakness, pain, restlessness Diagnosis: s+s, x ray, ECG Treatment: digoxin, diuretics, ACE inhibitors (-pril), beta blockers (-olol), limited activity; elevate head. *Apical pulse for 1 min Rheumaticbefore giving digoxin |
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Rheumatic Fever |
Autoimmune reaction to group A beta- hemolytic strepococcal infections (strep throat) Symptoms: appear 2-4 wks after initial infection. Slow and subtle; low fever; pain; carditis (inflammation of heart); polyarthritis (migratory arthritis); sydenham chorea (involuntary movements); and Arthralgia (joint pain) Hard to diagnose but would use the Jones criteria test Treatment: BED REST; antibiotics, NSAIDS; diuretics, low sodium diet Corticosteroids given with severe carditis |
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Kawasaki disease |
Acute febrile illness often seen in boys less than 5; immune system alteration Symptoms: fever for at least 5 days; cervical lymphadenopathy (Enlarged lymph nodes); conjunctivitis; oral mucous membranes; strawberry colored tongue; peeling skin; vomiting Diagnosis: s+s; see inflammation of blood vessels could lead to aneurysm, and thrombus; ECG; increased WBCs; Treatment; IV Immunoglobulin; aspirin for fever and inflammation; *MMR vaccine should NOT be given for 3-6 months to a child who has been treated with immunoglobulin |
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Iron - deficiency anemia |
Blood cells produce insufficient hemoglobin (smaller than normal); milk babies: history of consuming 2-3 quarts of milk a day only getting milk. Need only 1 quart a day and other iron rich foods. Symptoms: low average wt; pale mucous membranes, pallor, anorexia, delayed growth, spooning of fingers, Treatment: improve nutrition; include iron rich foods or iron supplements (ferrous sulfate) distributed w vitamin C for full absorption |
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Sickle cell anemia |
Abnormal hemoglobin production resulting in RBCs looking s or sickle shaped when inherited from both parents (African Americans descent) asymptomatic when getting it from one parent Symptoms: chronic anemia; pain in joints and abdomen; sickle cell crisis w infarction and tissue damage; fever; jaundice Diagnosis: hemoglobin 6-9 g/dL (norm: 11-15); newborn screenings; |
