CF
The glucose regulation issue that some clients with CF develop
What is Cystic fibrosis-related diabetes (CFRD)?
Factors to prevent RSV
Hand washing, Breastfed infants, Cover mouth when cough/sneeze, Clean surfaces, Avoid touching mouth & face
Causes of acute diarrhea
Viral and bacterial infections, antibiotic therapy, contaminated water, allergies
Autoimmune destruction of pancreatic beta cells, leads to insulin deficiency and hyperglycemia.
What is Type 1 diabetes?
Autonomy in children with disabilities
Provide choices and option for feeding, dressing and activities.
Keep child safe, not overprotective
CF meds
What are tobramycin, vitamins A, D, E, K, albuterol, and dornase alfa?
Medical term for “midnight or twilight croup”
What is the nickname for Acute spasmodic laryngitis?
Most reliable indicator of fluid loss
What is body weight?
DKA assessment findings
Polyuria, polydipsia, polyphasia, ketonuria, acetone breath, tachypnea, hyperglycemia
What is normalization and mainstreaming?
Mainstreaming: integrating children with disabilities into regular classrooms.
Normalization: efforts to create a normal family life for the child with disabilities.
S&S of Cystic Fibrosis
What are wheezing, clubbing of the fingers and toes, and a barrel-shaped chest, thick mucous, delayed growth, dry non-productive cough.
Bronchiolitis interventions
Administer humidified oxygen & suction the nasopharynx as needed. Use contact precautions until RSV is ruled out.
Reasons for a loop diuretic
Hypercalcemia, Edema, Hypertension and Heart Failure
Reason insulin is admin SubQ
SubQ injections result in absorption of the drug into the general circulation, reducing concentrations of insulin to liver is exposed.
Define bargaining, shock and denial, acceptance
Bargaining: negotiating w/higher power or searching for ways to reverse/postpone diagnosis.
Shock and Denial: avoiding diagnosis reality & refusing to accept it.
Acceptance: seeking information & asking questions
CF Pancreatic enzyme admin considerations
Take with food (all meals and snacks)
This is also known as acute supraglottitis and is a medical emergency that requires immediate medical attention.
What is epiglottitis: is a medical emergency that requires immediate medical attention.
First line of treatment for a patient with acute diarrhea.
What is Oral Rehydration Solutions (ORS)?
Insulin & absorption time
Lantus
Novolin N
Novolog
Novolin R
Lantus - Long (6-14 hours)
Novolin N - Int (2-6 hours)
Novolin R - Short acting (30 min)
Novolog - Rapid (within 15 min)
Teaching students about a child with disabilities' condition, abilities, and special needs.
A visit by the parents to the school and encouragement child to make friends.
What is helping child with disabilities adjust in a classroom setting?
Nursing interventions for CF to help avoid constipation.
Increase fluid intake to 2-3 liters daily
Adequate physical activity/Chest compression therapy, laxatives or stool softeners
Croup that is most likely between the ages of 2-5 years old, with fever, tachypnea, and tachycardia
What is acute epiglottitis?
A condition in infants which results in decreased glomerular filtration rate (GFR) and limited ability to concentrate urine effectively
Immature renal and gastrointestinal function
Insulin preparation precautions
Check BS before admin
Dispose of needles appropriately
Store insulin in fridge
Double check dosage with other RN
NEVER mix short and long acting insulin in same syringe
Adaptive vs Maladaptive coping skills
Adaptive: accepts physical limitations, functions well at home, at school, w/ peers. They understand disorder and treatments.
Maladaptive: denying limitations. Harming themselves or not seeking appropriate treatments, getting non EBP research