Pain
Otitis media assessment findings in infants
Loud cry, lowered eyebrows, rigid body,
This type of seizure includes both hemispheres of the brain.
What is a generalized seizure?
The amount of this supplement is recommended for ALL women of childbearing years.
What is 0.4mg folic acid daily?
Differences between Sickle cell crises:
Vasoocclusive crisis, Sequestration crisis, Aplastic crisis, Hyperhemolytic crisis
Vasoocclusive crisis: ischemia causing mild to severe pain. Sequestration crisis: pooling of a large amount of blood, usually in the spleen that causes a decreased blood volume and may cause shock. Aplastic crisis: diminished RBC production, usually triggered by viral infection that may result in profound anemia. Hyperhemolytic crisis: accelerated rate of RBC destruction characterized by anemia, jaundice, and reticulocytosis.
Steps to take when patient with hemophilia are injured if factor VIII is NOT readily available
Elevate injured area above the heart
Interventions to console infant in pain
Nonnutritive sucking, swaddling, motion (bouncing), skin-to-skin contact
Seizure medications decrease gradually over weeks and months
How are seizure medications discontinued?
An allergy that children with spina bifida are at increased risk of developing compared to the general population
What is a latex allergy?
The priority nurse intervention if client experiences allergic reaction to IV blood administration
What is "stop the transfusion"?
This should be given to a child with hemophilia who presents with a joint bleed
What is Administering factor VIII concentrate?
Pain measurement instrument used w/children and ADOLESCENTS to assess pain location, intensity, & quality
Adolescent Pediatric Pain Tool (APPT)
Continuous seizure lasting more than 30 min. or a series of seizures from which the child does not regain a pre LOC.
What is status epilepticus?
This health concern aka "water on the brain" is strongly associated with spina bifida
What is hydrocephalus?
Crisis associated with
painful joints
lack of blood flow
swelling
organ damage
What are manifestations of vaso-occlusive crisis in SCA?
This is bleeding into joint spaces
What is Hemarthrosis?
Assessment concerns after opioid administration
constipation, nausea and vomiting, urinary retention, respiratory depression, and pruritis
What happens during the tonic AND clonic phase of a seizure?
Tonic phase: child stiffens, eyes roll upward, & loses consciousness. Clonic phase: intense jerking movements as the trunk & extremities have rhythmic contraction & relaxation.
This is the best way infants with spina bifida are to be fed.
What is prone position, with head turned to the side and nipple fed?
What are two top nursing priorities in sickle cell crisis.
What is pain management and administer fluid/keep hydrated in SCA?
The blood test that will be abnormal in a child w/the diagnosis of hemophilia
What is Partial thromboplastin time (PTT)?
Pain scale ages
FLACC
FACES
OUCHER
Noncommunicating pain checklist
FLACC: (infants- 7 years)
FACES: (3 years & older)
OUCHER: (3-13 years)
Noncommunicating: (3-18 years)
febrile episodes, hypoglycemia, HYPO & HYPER natremia
What are risk factors of seizures?
Priority nursing intervention for an infant with spina bifida to help prevent infection, neurological damage, and further complications.
What is protecting the integrity of the meningocele sac?
Test to distinguish whether the infant has sickle cell disease of sickle cell trait.
What is hemoglobin electrophoresis test?
Signs of internal bleeding in a patient with hemophilia.
What are headache; slurred speech; loss of consciousness (from cerebral bleeding); and black, tarry stools (from GI bleeding)?