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62 Cards in this Set
- Front
- Back
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What vaccines are administered at 2,4,6 months?
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RV, DTAP, HIB, PCV, IPV
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What vaccine is administered at 2 & 6 months?
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Hep B
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What vaccine is administered 6 months and on yearly?
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Influenza
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What is pyloric stenosis?
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circular muscle of the pyloris becomes thickened, causing an obstruction
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when does pyloric stenosis usually develop?
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first few weeks of life (2-4 weeks)
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what is thought to play a role in the development of pyloric stenosis?
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hypergastremia
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What is usually seen in premature infants with pyloric stenosis?
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GER
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is the etiology known for pyloric stenosis?
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No
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Clinical manifestations of pyloric stenosis?
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Projectile vomiting (no bile)
dehydration malnourished olive shaped mass in RUQ appears hungry fails to gain weight fewer and smaller stools visible peristaltic waves in abdomen |
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how do you diagnosis pyloric stenosis?
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U/S
barium studies UGI |
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What is cystic fibrosis?
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autosomal recessive disorder
abnormal accumulation of dehydrated mucus that affects respiratory, GI & GU systems |
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What does cystic fibrosis do to the GI system?
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doesnt let it absorb fats or vitamins (ADEK)
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what will develop becuase lungs are filled with mucus?
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a classic cough
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what will develop becuase the environment is conductive to bacterial growth?
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respiratory infections
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What does cystic fibrosis do to the Integumentary system?
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secrete a ton of salt
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How are Cf stools?
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steatorrhea
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how will the newborn present with in CF?
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merconium ileus
FTT chronic respiratory infections |
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how are electrolytes lost in cf?
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sweat (saltly patient)
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how can we diagnose cf?
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sweat chloride test has to be more than 60 to be positive
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clinical therapy for cf?
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increase calories & protein, give supplements & sodium. also give vitamins
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what must we give before every meal?
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pancrease enzymes (mix it in applesauce)
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what can we do to cf patient losing salt?
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hydrate & give salty snacks (pickles, pretzels & carbonated soda)
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What is epiglottitis?
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inflammation of the epiglottis, the long narrow structure that closes off the glottis during swallowing
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is epiglottis a life threatening situation?
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YES
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why is epiglottis a life threatening situation?
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becuase it leads to narrowing of the airway (it is rapidly progressive)
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what is epiglottitis caused by?
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bacterial invasion of the soft tissue by strep & staph
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what do you do with a child who has epiglottitis?
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keep them calm!! have intubation kit ready
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what do you never do with a child who has epiglottitis?
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never inspect or stick anything down their throat
never put them in supine position (makes it harder to breath) |
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What are s/s of epiglottitis?
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dysphagia, dyspnea, drooling, distress & stridor
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how will the epiglottis look in epiglottitis?
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cherry red, & swollen
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manifestation of epiglottitis?
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fever 102
sore throat absense of sponateous cough tripod position drooling |
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how long does it take for epiglottitis to resolve with antibiotics?
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24-48 hours
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how do you diagnose epiglotttitis?
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lateral neck radiograph
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What is bacterial menigitis?
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infection of the meninges
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Which one is a medical emergency? viral or bacterial menegitis
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bacterial meningitis
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how do we treat menegitis when a patient comes in?
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treat always as bacterial until it is ruled out
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how will infants appear with meningitis?
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irritiable
lethargy vomiting change in appetite |
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how will older children appear with menigitis?
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h/a
malaise muscle aches n/v photophobia nuchal/spinal rigid |
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appearance of csf in bacterial menigitis?
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cloudy
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will WBC be elevated or not elevated in bacterial meningitis?
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elevated
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infant with meningitis will present with?
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bulging fontanels
poor feeding opisthotonic position petechial rash |
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nursing care for menigitits?
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antibiotics- do not wait for lab results
reducing icp control seizures manage cerebral perfusion |
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Nursing interventions for menigitis?
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place child in isolation
give antibiotics fever control monitor for ICP keep environment quite |
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nursing interventions for viral menigitis?
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give acetaminophen as ordered
keep room quite & dark give fluids & promote proper positioning |
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What is croup?
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LTB, viral invasion of the upper airway that extends throughtout the larynx, trachea & bronchi
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what does croup cause?
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narrowing of airway
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s/s of croup?
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rhinorrhea
low grade fever barky cough worse at night may progress to hoarse voice tachypnea nasal retractions inspitory stridor |
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nursing interventions for croup?
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maintain & improve resp. effort
stick child in steamy bathroom |
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how many stages does erickson have?
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8
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what is the first stage of erickson theory?
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trust vs mistrust (infancy 0-1)
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What is the first stage of freuds theory?
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oral stage (infancy)
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what is the second stage of ericksons theory?
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autonomy vs shame (toddler 1-3)
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What is the second stage of freuds theory?
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anal stage (toddler)
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sphincter control happens at what age?
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by 2 years
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what is the third stage according to ericksons theory?
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inititiative vs guilt (preschooler 3-6)
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what is the third stage according to frueds theory?
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phallic stage (preschooler)
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what is the fourth stage according to ericksons theory?
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industry vs inferiority (school age 6-12)
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what is the fourth stage according to freuds theory?
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latency stage (school age) child places importance on privacy
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what is the fifth stage according to ericksons theory?
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identity vs role confusion
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what is the fifth stage according to frued theory?
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genital stage
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what is important to an adolescant?
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body image
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important events of infancy?
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feeding
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