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16 Cards in this Set
- Front
- Back
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What are the clinical manifestations of down syndrome?
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CHD, thyroid dysfxn, hypothyroidism, dysfxnal immune system, high risk leukemia
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Risk factors for down syndrome
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Pregnancy >35 yo
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What assessments are found in children with trisomy 13/18?
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Small at birth
Hypoplastic lungs (underdeveloped) VSD, ASD Renal abnormalities Brain abnormalities Deafness Cryporchidism (undescended testes) often are miscarriages |
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What is the most common accident for infants under 12 months?
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Aspiration suffocation
MVA |
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What is the most common accident for children 1-4 years?
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MVA
Fires/Burns Drowning |
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Most common fatal accidents from 5-19 years?
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MVA
Drowning Firearms |
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Nsing interventions ADHD child
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Minimize stimulation
Set limits on behavior Structure activities Provide energy outlets (allow large muscle movements) Provide quiet time and area Est. primary relationship with short contact times. Give Ritalin |
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If a child/infant ingests acetaminophen, what is the intervention?
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Acetylcysteine (Mucomyst) orally
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If a child/infant ingest Aspirin, what is the intervention?
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Activated charcoal
Gastric lavage Sodium bicarb oxygen and ventilation Vit K |
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What is the intervention for ingesting iron?
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emesis or lavage
chelation therapy using deferoxamine mesylate (Desferal) |
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What is the interventions for ingesting hydrocarbons (gasoline, kerosene, light fluid)
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NO INDUCED VOMTING risk is aspiration
Intubation with cuffed endotrach tube pror to any gastric decontamination. Tx of chem pneumonia |
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What is the intervention for ingesting corrosive?
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airway
NPO no attempt to neutralize no induced vomiting analgesics for pain |
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What is the intervention for ingesting lead?
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chelation therapy using calcium EDTA (calcium disodium versenate)
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What are the manifestations of down syndrome?
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Low birth weight, FTT, growth retardation, hypotonia, Brushfield spots (brown-gray spots in eyes)
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Children with down syndrome have an increase of...
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respiratory distress, leukemia, thyroid disease, duodenal atresia, Hirschprung Disease
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What are the dx info healthcare providers need when assessing a child who has ingested substance?
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How long ago did you ingest the substance?
Do you still have the bottle Check mouth odor Check pupils, convulsions Pain, abdominal pain, n/v |
