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 (VOC): ischemia causing mild to severe pain.
Sequestration crisis: pooling of a large amount of blood, usually in the spleen and infrequently in the liver, that causes a decreased blood volume and may ultimately 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 avble
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
When should Administering factor VIII concentrate be administered?
This is a multidimensional pain measurement instrument used with children and adolescents to assess pain location, intensity, and quality
Adolescent Pediatric Pain Tool (APPT)
a continuous seizure that lasts more than 30 minutes or a series of seizures from which the child does not regain a premorbid LOC.
What is status epilepticus?
This health concern 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 the child stiffens, the eyes roll upward, and the child loses consciousness. In the clonic phase the tonic rigidity is replaced by intense jerking movements as the trunk and extremities undergo rhythmic contraction and 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 priorities in sickle cell crisis.
What is pain management and administer fluid/keep hydrated in SCA?
The blood test that will 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, hyponatremia, and hypernatremia
What are risk factors of seizures?
This nursing intervention is a priority for a infant with spina bifida.
Why should a nurse be aware to reduce damage to the exposed spinal cord and to maintain the integrity of the sac?
The test to distinguish whether the infant has sickle cell disease of sickle cell trait.
What is hemoglobin electrophoresis test?
Signd of bleeding in a patient with hemophilia.
What are headache; slurred speech; loss of consciousness (from cerebral bleeding); and black, tarry stools (from GI bleeding)?