Achy Breaky
This type of fracture occurs at the cartilage growth plate and could affect future bone growth
What is epiphyseal injuries?
Neural tube defect characterized by protrusion of sac containing spinal fluid, nerves and meninges
What is spina bifida?
Clinical manifestations of this X-linked recessive trait include progressive muscle atrophy and difficulty walking and complications such as joint contractures, atrophy, and respiratory failure
What is Duchenne Muscular Dystrophy?
Bulging fontanel, irritability, high-pitched cry, setting sun sign, and poor feeding
What are signs of increased ICP in an infant?
When seizure activity has ceased, patients should consult their physician for___________
What is weaning off medication?
Monitor for these P's when caring for a patient with a fracture
What are pain, pallor, paresthesia, paralysis, and pulselessness?
loss of consciousness, headache, dizziness, vomiting, irritability, and drowsiness
What are signs of head injury?
Progressive weakness and wasting of skeletal muscles. Respiratory is common by age 3.
What is Spinal Muscular Atropy (SMA) type 1 (also called Werdnig-Hoffmann disease)?
The nurse should monitor this is a child with suspected head injury?
what is airway, VS, and LOC?
padded siderails, suction and 02 setup, bed in lowest position, and reducing environmental stimulii
What are seizure precautions?
In this type of traction, pins are inserted into the bone and weights attached to rope are used to apply force.
What is skeletal traction?
Nuchal rigidity, + Brudzinki's sign, headache, irritability and restlessness, and seizures
What is meningitis?
a non-progressive disorder causing impaired motor function, cognitive disabilities, and abnormal posturing
What is cerebral palsy (CP)?
Nursing care for the unconscious child includes:
What is respiratory management, neuro assessment, monitor ICP, maintain nutrition and hydration, regulate temperature, proper positioning, skin care, and ensuring proper elimination?
Prolonged seizure activity that results in loss of brain function and the victim does not enter a post-ictal state.
What is status epilepticus?
Signs include bleeding behind tympanic membrane or leaking CSF from ears or nose
What is basilar fracture?
increased irritability, vomiting, diplopia, seizures, bradycardia
What are signs of increased ICP in children?
Signs/symptoms include shortened femur, asymmetric gluteal folds, and hip dislocation.
What is developmental hip dysplasia?
Bruising of cerebral tissue
What is contusion?
What is note the time, onset, and characteristics, turn pt to side-lying position, protect from injury, loosen restrictive clothing, avoid putting anything into mouth?
The nurse should provide these education tips for the child in a cast:
What is assess the skin around edges of cast, don't stick anything inside the cast, notify provider of any hot spots, and cover with plastic when bathing?
Hypertonicity, increased DTR, + babinski reflex, impaired fine and gross motor skills, poor control of posture
What is spastic CP?
Chronic autoimmune inflammatory disorder characterized by joint swelling, stiffness, and redness, rash, fever, and delayed growth
What is Juvenile Idiopathic Arthritis (JIA)?
A late finding of increased ICP, this posturing represents severe dysfunction at the level of the midbrain.
What is flexion posturing?
Lack of coordination, confusion, impaired fine motor skills, feels tired, no recollection of events
what is the post ictal state?