MEDS
After the 1st priority of establishing an airway ______ is the drug of choice.
Epinephrine
(session 6/ch 42)
Teaching points for a parent who's child was recently prescribed antihypertensive medication...
Rise slowly & avoid sudden position changes; Do not discontinue, take med as described & notify MD if an unpleasant SE occurs; Avoid alcohol, Encourage fluids & to stay on prescribed diet
(session 6&7/ch 42)
Furosemide (Lasix) blocks reabsorption of Na and H2O in the __________ renal tubule.
PROXIMAL
(session 6&7/ch 42)
White reflection in child's pupil may indicate ___________.
retinoblastoma
(ch 44/side#19)
Hypoglycemia manifestions include (select all)
A. Increased urination
B. Hunger
C. Signs of dehydration
D. Irritability
E. Sweating and pallor
F. Kussmaul respirations
Hunger, irritability, sweating and pallor
(Others are s/s of HYPERglycemia)
What medication is given for Kawasaki dx?
Gamma globulin
(session 6/7, ch 42)
Prostaglandin E is used for what congenital heart defects?
KEEPS PDA OPEN, So its used for ductus-dependent cardiac defects such as; Hypoplastic left heart syndrome (HLHS), Transposition of the great vessels, Total anomalous pulmonary ventricular return (TAPVR)
(session 6&7/ch 42)
I am a weak diuretic who spares potassium & may take several days to take effect, b/c of this i'm usually paired with other meds as well.. what am I?
Spironolactone (Aldactone) *usually paired w/ thiazides or furosemide
(session 6&7/ch 42)
This child is being treated w/ chem & radiation, Reed-Sternberg cells are present & he has painless swollen lymph nodes in only ONE AREA of the body.. what condition does he have?
Hodgkin's lymphoma (No R-S cells present & multiple nodes involved around the lymph system)
(patio-map/ch 44)
Toddler age 1-2yrs, normal heart rate range is ?
98-140 beats per minute
(Per Peds VS chart on canvas)
Drug MOST COMMONLY used for Enuresis?
The TCA, imipramine (Tofranil)! It's anticholinergic action in the bladder inhibits urination.
*others used are DDAVP nasal spray & oxybutynin
(session 9/ch 45)
____________ are used in short bursts to suppress the inflammatory response in IBD (inflammatory bowel dx)?
Corticosteroids (i.e. prednisone & prednisolone)
(session 8/ch 41)
Rifampin, Isoniazid, Pyrazinamide & Ethambutol are medications for ___________.
Tuberculosis (TB)
(session 5/ch 40)
S/S of Acute Lymphocytic Leukemia?
Anemia (pale, weak, tired)
Neutropenia (infection, fever)
Thrombocytopenia (petechiae, ecchymosis)
*also bone/joint pain & fx (r/t increased pressure)
(ch 44/slide 31)
According to Piaget's cognitive theory of development, what stage is a child 9 yrs old in?
Concrete Operational (7-11 yrs, thinking logically about concrete events and grasping concrete analogies)
(Per Piaget's stages chart on canvas)
Side effects of Immunosuppressants include... (name at least 3)
Increased risk for infection, growth retardation, HTN, cataracts, obesity, hirsutism, Cushing's syndrome s/s
(session 9/ch 45)
The 5 drug classes for treating HTN (hypertension) are?
ACE inhibitors, ARBs, Beta blockers, Calcium channel blockers, Diuretics (*remember AABCD)
(session 6&7/ch 42)
Topical medications for tx of atopic dermatitis (Eczema), best used at the beginning of a "flare up".
Tacrolimus and Pimecrolimus
(session 3/ch32)
_____________ is a pediatric oncologic emergency that occurs in malignancies that have a large tumor burden, are very sensitive to chemo, or have a rapid proliferative rate. SE may include; ALOC, flank pain, decrease in urine output.
Tumor lysis syndrome
(session 12 outline/ch 44)
Normal range for RR for infants?
30-53 breaths per minute
(Per Peds VS chart on canvas)
The first line of therapy for MCNS (Minimal-change nephrotic syndrome)
Corticosteroids (Prednisone)
(session 9/ch 45)
Antihistamines used for day-time relief of pruritus due to their non-sedating effects?
Loratadine (Claritin) or fexofenadine (Allegra)
*Hydroxyzine(Atarax) & Diphenhydramine (Benadryl) can cause drowsiness
(session 3/ch32)
Sadly, Fragile X Syndrome has no cure, but serotonin agents such as __________ & __________ may be helpful for controlling violent temper outbursts.
Caarbamazepine (Tegretrol) & Fluoxetine (Prozac)
(session 4/ch 37)
Bone marrow transplant is a treatment choice for which type of cancer?
Leukemia!
(patho-map/ch 44)
A nurse is caring for a child with thrombocytopenia, what nursing care should be included? (Select all)
1. Monitor for signs of bleeding
2. Administer routine immunizations
3. Obtain rectal temperatures
4. Avoid peripheral venipunctures
5. Limit visitors
1, 4 (remember: low platelets, so initiate bleeding precautions!)