Part 1- 2345 Peds Integument, Immune, Infectious Disease

Front 1

Infectious monoucleosis(IM) is a self limiting disease caused by the ? virus. Concomittent ?-? may be also present in individuals with IM. For viral illnesses ?s are not ordered b/c penicillin abx, in particular, may percipitate a ? if a bacterial infection is not present. When inspecting the mouth and throat, which observations indicate a strep infection- inflammation and patches of ? exudate, and ? may be present on the palate, plus bilateral non-tender enlargement of the posterior cervical ? nodes.

Back 1

Ebstein-Barr,
streptococcal pharyngitis,
ABX, rash,
grey exudate, petechiae,
lymph

Front 2

In pts with infectious mononucleosis, why is careful palpation of the abdomen indicated?
When is this most likely to be a problem?

Back 2

b/c if the spleen and liver are enlarged we don't want to cause further problems.

around two weeks

Front 3

What should shildren be taught about sharing drinks and kissing?

Back 3

don't share anything where salive swapping is involved.

Front 4

What are important haome care and school instructions for a child with IM? Remember, parents and children should be taught to pick and choose activities due to fatigue, so there should be no ? they can have activity as ? Make sure to ? hands

Back 4

no contact sports,
tolerated,
wash

Front 5

Based on fluid, respiratory, and pain status, what should parents of a child with infectious mononucleosis be taught about the need for hospitalization - the disease is ? limiting, nursing care is mainly ? IM can be tx at ?, The pt should come to the hospital if the have severe ?, ?, or excessive ? pain.

Back 5

self-limiting,
supportive,
home,
dehydration, DIB, abdominal

Front 6

Sepsis results in a systemic inflammatory response syndrome(SIRS)- Patho: What does sepsis occur as a result of ?systemic overesponse to infection from mostly ?, but ?, ? and ? can cause it too.
Diagnostic testing: How is sepsis definitely dx- blood culture to check for ?
BOLDED/RED: WHAT ARE SIGNS OF SEPSIS IN NEONATES AND CHILDREN- THE S/S CAN BE VAGUE LIKE ? AND ? INTOLERANCE. AS IT PROGRESSES WE CAN SEE ?, ?, ? IN NOENATES, AND ?,?,? IN CHILDREN.

Back 6

overreaction, bacteria, fungi, viruses, parasites,
bacteremia,
lethargy, feeding(not wanting to eat),
HYPOTHERMIA, APNEA, BRADYCARDIA,
FEVER(HYPERTHERMIA), TACHYPNEA, TACHYCARDIA

Front 7

What other lab tests are included in a septic workup- ?,?,?,?,?
What lab test is used to monitor for DIC?

Back 7

CBC w diff & WBC count, C-reactive protein, platelets, cultures of blood,urine,CSF,

Platelets

Front 8

Why are vital signs closely monitored in neonates and children dx with sepsis?
What is the #1 vital sign we are watching ?

Back 8

b/c it can progress quickly to septic shock and death,

BP for a decrease

Front 9

Neonates presenting with apnea, bradycardia and temp instability are showing sign of ? and should be made NPO to prevent what ?

Back 9

sepsis in neonates,

NEC

Front 10

Which antibiotics are ordered to tx sepsis, broad spectrum and gram negative antibiotics include ? and ?
Which cranial nerves can be affected by one these meds ?
BOLDED/RED: Of these meds which drugs are ototoxic and nephrotoxic requiring a hearing exam(for neonate) and peak an trough levels for all pts aroung the ? dose.

Back 10

ampicillin, aminoglycosides,
8th cranial nerve,
aminoglycosides,
3rd dose

Front 11

BOLDED/RED:Severe Combined Immunodeficiency Disease(SCID) is ? of both B cell and Tcell functioning. As a result of this, what are infants with SCID at risk for - persistant ? infections, oral ?, ? infections, ?, ?

Back 11

ABSENCE,
respiratory,
thrush,
skin, diarrhea, FTT

Front 12

Multiple cases of thrush can lead to inorganic ?

Back 12

FTT

Front 13

Infants with SCID are placed in isolation and good ? washing is essential, INfants with SCID are also given IV immunoglobulins, antibiotics, antifungal agents, and are scheduled for a bone marrow or stem cell transplant Why are each indicated -
?s provide protection until humoral, B-cell, immunity is reached,
? and ? are used to fight infections and as prophylaxis.
? and ? restore T-cell function, and this is the best chance for ?

Back 13

Immunoglobulins,
ABX & Anti-fungals,
Bone marrow transplant and stem-cell,
SURVIVAL

Front 14

What should parents be taught about bone marrow or stem cell transplant matching and graft vs host disease- The child should be monitored closesly for a ? rash that starts on the ? of hands and/or the ? of feet. This is life threatening b/c the ? cells are attacking the ? cells.

Back 14

macupapular,
palms, soles,
graft, host

Front 15

What is meant by vertical transmission and horizontal transmission of HIV?
Vertical is ?
Horizontial is ?

Back 15

Vertical is from mother to baby.
Horizontal is from needles, sex, etc...

Front 16

BOLDED/RED: PTS WITH HIV ARE DEFICIENT IN ? AND ? CELL FUNCTIONING. WHEN THE ? OR ? COUNTS FALL BELOW 200, PTS ARE AT RISK FOR OPPOTUNISTIC INFECTIONS. WHAT TYPES OF INFECTIONS ARE COMMON IN PTS WITH HIV/AIDS, NAME 2 OF THE MOST COMMON, ? AND ?

Back 16

T AND B,
PHEUMOCYSTIS CARINII PNEUMONIA,
CANDIDIASIS

Front 17

BOLDED/RED: WHY SHOUDL CD4 COUNTS BE ASSESSED PRIOR TO THE ADMIN OF LIVE VACCINES, MMR, VARICELLA, AND INTRANASAL FLU ?

Back 17

B/C THEYR ARE LIVE VACCINES THAT CAN CAUSE INFECTION QUICKLY, IF THE CD4/T-CELLS ARE TOO LOW

Front 18

BOLDED/RED: THE PURPOSE OF ANTIRETROVIRAL THERAPY IS TO HELP DELAY THE PROGRESSION OF HIV AND PREVENT ENCEPHALOPATHY. HOW IS THE TX BEST ACCOMPLISHED: WITH ? NUCLEOSIDE ANALOGUES AND ? PROTEASE INHIBITORS.
WHICH DRUG IS GIVEN TO PREGNANT MOTHERS WITH HIV INFECTION ?

Back 18

2 NUCLEOSIDE ANALOGUES,
1 PROTEASE INHIBITOR,

AZT

Front 19

Evidence based practice found that education and support interventions are most effective in improving HAART adherance when delivered over how many weeks ? and in which type of practice setting was best ?

Back 19

12 weeks,

individual settings

Front 20

Which diagnostic test is best to determine HIV infection in infants older than one month of age ?

Back 20

PCR- poymerase chain reaction

Front 21

When may the enzyme linked immunosorbent assay provide reliable results ?

Back 21

after 24 months of age

Front 22

BOLDED/RED: A HALLMARK TYPE OF CANCER SEEN IN ADULTS IS ?

Back 22

KAPOSI SARCOMA

Front 23

Children with HIV/AIDS may develop a rear lung disease that can lead to lymphoma. Name it ?

Back 23

Lymphocytic interstitial pneumonia

Front 24

BOLDED/RED: WHAT ARE THE POTENTIAL S/E OF TRIMETHORPRIM-SULFAMETHOXAZOLE(SMX,BACTRIM,SEPTRA) FOR TX OF PNEUMOCYSTIS CARINII PNEUMONIA IN AIDS PTS ?

Back 24

STEVENS JOHNSON SYNDROME,
TEACH TO WATCH FOR RASH, FEVER, DIARRHEA