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64 Cards in this Set

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MOST FLUID IS ICF OR ECF?
ICF
HOW ARE INFANTS DIFF IN WATER BALANCE (4)
1. INCREASE WATER NEED FOR SIZE
2. INCREASED ECF VS ICF
3. BMR HIGHER
4. KIDNEY LESS MATURE
CHRONIC DEHYDRATION CAUSES WHAT FLUID SHIFT
INCREASE FROM ICF.

CELLS SHRIVEL SO TAKE WATER FROM CELLS AND PUTS INTO VASCULAR SYST
CAUSES OF ISOTONIC DEHYDRATION (4)
1. BURNS
2. DIARRHEA
3. HEMORRHAGE
4. VOMITTING
CAUSES OF HYPOTONIC DEHYDRATION? (3)
1. FEVER
2. TF
3. DKA
CAUSES OF HYPERTONIC DEHYDRATION? (2)
1. CHRONIC ILLNESS
2. MALNUTRITION
WHAT HAPPENS IN ISOTONIC DEHYDRATION?
CIRCULATING BLOOD REDUCED
WHAT HAPPENS IN ICF AND ECF IN HYPOTONIC DEHYDRATION, WHAT ARE PLASMA LEVELS
ICF MORE CONCENTRATED B/C ECF(CIRCULATING BLOOD HAS LOW SOLUTES)

PLASMA SODIUM= LESS THAN 135
WHAT HAPPENS TO ICF AND ECF IN HYPERTONIC DEHYDRATION, WHAT ARE THE PLASMA LEVELS
ECF IS HIGH SOLUTES B/C ICF HAS TOO MUCH WATER

FLUID SHIFTS FROM ICF TO ECF
WHICH DEHYDRATION WILL YOU SEE MORE NEUROLOGIC PROBLEMS RATHER THAN SHOCK
HYPERTONIC
WHAT IS THE MOST DANGEROUS TYPE OF DEHYDRATION
HYPERTONIC
WHAT IS MILD DEHYDRATION?

WHAT IS SEVERE DEHYDRATION?
MILD DEHYDRATION=LESS THAN 50ML/KG

SEVERE= MORE THAN 100 ML/KG LOSS
HOW DOES 1ST DEGREE BURNS MANIFEST
DRY PAINFUL, RED

SUNBURN
2ND DEGREE PARTIAL (SUPERFICIAL AND DEEP) AND THICKNESS BURNS MANIFEST?
MOIST WEEPING BLISTERS

VERY PAINFUL
WHAT IS AFFECTED IN SUPERFICIAL BURNS 2ND DEGREE

HOW LONG TAKE TO HEAL?
PART OF DERMIS

HEALS IN 14 D WITH SCARRING
HOW IS DEEP 2ND DEGREE BURNS MANIFEST?

WHEN DOES IT HEAL
WAXY BUT FOLLICLE INTACT

30 DAYS
HOW DOES 3RD DEGREE BURNS MANIFEST? PROBLEMS ASSOCIATED WITH IT
DRY PALE, LEATHER DOWN TO SUBCUT

FLUID SHIFT AND INFX
HOW DOES 4TH DEGREE BURNS MANIFEST?
FULL THICKNESS THAT HITS THE BONE, MUSCLE

DULL DRY
HOW DOES BURNS AFFECT BODY SYST? (7)
1. HYPOVOLEMIA
2. BOWEL ILEUS
3. H/H DOWN
4. INCREASED BUN
5. MUSCLE BREAKDOWN (MYOGLOBINURIA)
6. DECREASED GLUCOSE
7. RR BROWN
WHAT ARE IMPORTANT INTERVENTIONS WITH BURN VICTIMS (5)
1. AIRWAY
2. IV ADMINSTRATION (REVERSE HYPOVOLEMIA W/ ISOTONIC)
3. WOUND CARE
4. NUTRITION
5. ANALGESIC
WHAT KIND OF MEAL FOR BURNS VICTIM RECOMMENDED?
HIGH PROTEIN AND HIGH CALORIE
ANTIMICROBIAL AGENTS FOR BURNS ARE USUALLY WHAT KIND OF MEDS?
SILVER NITRATE OR BACTITRICIN
WHAT MAY HAPPEN METABOLICALLY IN ARF? (7)
SERUM BICARB DECREASES (B/C TO BUFFER HYDROGEN)

2. SODIUM EXCRETION INCREASES

3. SERUM POTASSIUM INCREASES

4. H/H DECREASE (CAUSING ANEMIA B/C CAN'T SYNTHESIZE ERYTHROPOIETIN)

5. DECREASED PLATELETS? B/C MAY HAVE BLEEDING ABNORMALTIES

6. CALCIUM DECREASE (B/C KIDNEYS ACTIVATE VIT D)

7. PHOSPHATE INCREASE
what is the tx for arf (meds)
think ABCDE

1. antihypertensives
2. bicarb
3. calcium
4. d (vitamin D) and diuretics
5. epogen
what kind of diet should ARF be on? (4)
1. high CARB

2. high FAT

3. LOW PROTEIN

4. LOW POTASSIUM
HOW LONG IS OLIGURIA FOR IN ARF? WHAT HAPPENS AFTER OLIGURIA
OLIGURIA LASTS 10-14 D

AFTER OLIGURIA IS DIURESIS
POTENTIAL PROBLEMS IN ARF ARF? (6)
1. ANEMIA
2. PULM AND SYST CONGESTION
3. SEIZURES
4. TACHYCAPNIA
5. METAB ACIDOSIS (B/C LOW BICAR
6. ARRHYTHMIA (FROM HYPERKALEMIA)
WHAT IS EPIGLOTTIS CAUSED BY USUALLY?
H. INFLUENZA B
WITH EPIGLOTITIS THINK WHAT? (5)
1. OBSTRUCTION!!!
2. hypoxia
3. hypercapnia
4. acidosis
5. DROOLING
s/s of epiglottitis? (5)
1. drooling
2. sudden onset of FEVER and dypsnea
3. hyperextension/tripod attempting to breathe
4. cherry red epiglottitis
5. can't breathe (stridor)
nursing care for epiglottitis
DO NOT EXAMINE MOUTH

PREPARE FOR INTUBATION
prevention of epiglottitis is?
getting Influenza B vaccine
what can be given for asthma that are allergy induced?
hyposensitization shots sq every week to 1x/month
patho of asthma (4)
1. inflamm
2. mucus (blocked airways)
3. bronchospasm
4. hyperinflation
what is status asthmaticus? (2)
1. asthma attack that was NOT tx
2. unresponsive to meds asthma
explain breathing pattern of asthma? (3)
1. tachypnea
2. wheezing
3. cough
CF primarily affects what syst? (5)
1. pancreas
2. RR
3. GI
4. salivary gland
5. reproductive
CF is a ___ disease
autosomal recessive disease
For CF, think what? (2)
1. slow
2. mucusy
S/s of CF (5)
1. RR: think obstruction (cough, wheeze, dyspnea, cyanosis, club)
2. GI: ileus, prolapse, fatty stools
3. reproductive: girls late, boys infertile
4. CV-cor pulmonale, r side enlargement
5. salty
diagnostics for Cystic fibrosis (3)
1. sweat test= hi chloride
2. fatty stool test
3. CXR
what kinds of meds may people with cystic fibrosis be on? (4)
1. pancreatic enzymes
2. bronchodilators (for obstructed lung)
3. abx
4. fat soluble vitamins (a, d, e, k)
what are important nursing care for cystic fibrosis (3)
1. promote oxygenation
2. emphasize protein and calories for nutrition
3. meds
what are 2 factors for infant mortality?
1. congenital anolmalies
2. low birth wt ( less than 2500 grams)
what is infant mortality?
number of deaths per 1000 live births during 1st year of life
what age group has the lowest number of deaths of any age?
5-14
adolescence deaths are r/t (3)
1. unintential injuries
2. homicide (before suicide)
3. suicide
what does morbidity mean?
prevalence of specific illness/injury in population
what are 2 factors for infant mortality?
1. congenital anolmalies
2. low birth wt ( less than 2500 grams)
what is infant mortality?
number of deaths per 1000 live births during 1st year of life
what age group has the lowest number of deaths of any age?
5-14
adolescence deaths are r/t (3)
1. unintential injuries
2. homicide (before suicide)
3. suicide
what does morbidity mean?
prevalence of specific illness/injury in population
what is child morbidity?
acute illness strong enough to decrease activity or require medical care
children with high morbidity rates are? (6)
1. homeless
2. poor
3. LBW
4. foreign adopted
5. day care centers
6. chronic illness
what are emerging pediatric morbidity problems? (6)
1. obesity
2. type 2 diabetes
3. injuries
4. violence
5. substance abuse
6. emotional/behavioral problems
what are high risk frops for new morbidity? (3)
1. low socieconomic
2. males
3. sibling with previous injury
what are childhood injuries r/f? (6)
1. gender
2. temperment
3. stress
4. alcohol/substance
5. hx of previous injury
6. developmental characteristics
what is the leading cause of death from injuries 0-24 y.o
1. motor
2. drowning (boys) fire/burns (girls)
how does culture influence healthcare? (5)
1. influences child experience to health/illness
2. influences self concept and social roles
3. family influences
4. relationship with health providers
5. food customs
what is cultural relativity?
where the nurse view behavior in the context of culture
what is cultural awareness
being sensitve to culture
what is cultural knowldege?
being educated about culture'
explain family stress theory
that stress is cumulative and can overwhelm family ability to cope and cause brkdwn or health problems

involves resiliency model when family LEARN to cope