Skin
What color clothes are recommended to help prevent insect bites/stings?
Light, white or khaki
What are the clinical manifestations of hydrocephalus?
Larger head circumference
Irritability
Strabismus
Headache
How do children with diabetes manage with sports?
Make sure that staff is aware of possible hypoglycemia or hyperglycemia episodes.
Keep snacks with child for before practice (fruit, peanut butter, or 15-30 g of carbs)
Make sure child is eating meals properly before and after practice.
Rescue medication for anaphylaxis.
Epi
Which type of line is preferred for a child with osteomyelitis?
A PICC line due to numerous days of antibiotic therapy.
Medication given for mild allergic reactions.
Benedryl
What are the ranges for the Glasgow coma scale? Is better to have a high number or a low number?
Glasgow Coma Scale Modified for Children
Child Infant
Eyes
4 = Opens eyes spontaneously 4 = Opens eyes spontaneously
3 = Opens eyes to speech 3 = Opens eyes to speech
2 = Opens eyes to pain 2 = Opens eyes to pain
1 = No response 1 = No response
____ = Score (Eyes)
Motor
6 = Obeys commands 6 = Spontaneous movements
5 = Localizes 5 = Withdraws to touch
4 = Withdraws 4 = Withdraws to pain
3 = Flexion 3 = Flexion (decorticate)
2 = Extension 2 = Extension (decerebrate)
1 = No response 1 = No response
____ = Score (Motor)
Verbal
5 = Oriented 5 = Coos and babbles
4 = Confused 4 = Irritable cry
3 = Inappropriate words 3 = Cries to pain
2 = Incomprehensible words 2 = Moans to pain
1 = No response 1 = No response
_____ = Score (Verbal)
Any score below a 5 is considered a deep coma.
What are signs and symptoms of hypothyroidism?
Fatigue
Weight gain
Constipation
Dry skin
Safety measures for Lupus.
Medication compliance
Protective measures (sunscreen, hats)
At what age are children screened for scoliosis?
Girls at age 10 and 12
Boys at age 13 or 14
What does impetigo look like?
Crusted impetigo appears initially as a vesicle or pustule that ruptures to become erosion with an overlay of honey-colored crust.
What is the treatment for Guillian Barre
IV Immunoglobulin
What type of medical management is needed for a patient with a goiter?
Emergency medical equipment needs to be at the bedside such as tools for emergency surgery and oxygen therapy equipment.
Name a Type II allergic reaction.
Blood transfusion reaction
What types of medications are used to treat Juvenile Arthritis?
NSAIDS
How is cellulitis treated?
After an initial intramuscular or IV dose of an antibiotic, such as ceftriaxone, the child with cellulitis of an extremity is usually treated at home with a 10-day course of oral antibiotics (cephalosporin, cloxacillin, or dicloxacillin)
How is meningitis diagnosed and treated?
Lumbar Puncture and uninterrupted IV antibiotics for the first 24 hours.
What is the preferred treatment for Precocious Puberty?
GnRH agonist or blocker
Name a type III allergic reaction.
glomerulonephritis
True or False:
Spina bifida patients requires intermittent clean catheterization.
True
How is Atopic dermatitis treated?
The main goals of treatment are to control itching and scratching, moisturize the skin, prevent secondary infection, and remove irritants and allergens. Control of pruritus includes avoiding environmental triggers, such as overheating, soaps, wool clothing, and other skin irritants. Oral antihistamines, such as hydroxyzine (Atarax), diphenhydramine (Benadryl), and loratadine (Claritin)
True or False:
Status epilepticus is a medical emergency that needs to be treated with Diazepam (Valium), lorazepam (Ativan), or midazolam (Versed) intravenously.
True!
If a line is not available the medication can be given orally or rectally.
True or False:
After endocrine surgeries hormone replacement therapy is required for the rest of the person's life.
True
Name a type IV allergic reaction.
Poison Ivy
Name the 5 Ps
P ain unrelieved by analgesia
P allor
P ulselessness or lack of capillary refill
P aresthesia
P aralysis or progressive loss of motion