Pediatric Cardiovascular
This congenital heart disorder has 4 distinct defects.
What is Tetralogy of Fallot?
Name 2 visual diagnostic criteria for acute otitis media.
What is purulent effusion, bulging TM, or marked erythema?
A parent describes their 6 month old infant no longer produces tears when they cry and you discover they have a >10% weight loss. What is the likely cause?
What is severe dehydration?
Name 3 clinical manifestions of autism spectrum disorder?
What is speech delay/regression/absent, oversensitive to sound, inappropriate play with toys, difficulty in changes to routine, oversensitive to touch, lack of eye contact?
Which pain scale may be used to assess for sedation and pain control?
Comfort
Which hemodynamic shunt causes cyanosis?
What is right-to-left shunt?
Drooling, fever, tripod positioning, croaking sound on inspiration are consistent with what croup syndrome?
What is acute epiglottitis?
What is hirschsprung disease?
Patients with what chromosomal abnormality should be evaluated for atlantoaxial instability?
Trisomy 21
Behavioral pain scale used for infants, scored from 0-10, each behavior is scored 0-2 for 5 behaviors
FLACC
Facial expression, leg movement, activity, cry and consolability
When auscultating, you hear a machinery like murmur. What is most likely the congenital heart defect?
Patent Ductus Arteriosus
Outcome of using cool mist in children diagnosed with croup?
What is decreased airway inflammation and stridor?
Name the 3 C's of esophageal atresia or tracheoesophageal fistula.
What is coughing, choking, cyanosis?
Prozac, tegretol
Name 2 pain scales for neonates?
NIPS, NPASS
Kawasaki disease must have a fever for 5 days plus what 4/5 clinical criteria?
Changes in extremities (desquamation, erythema), Bilateral conjunctival injection, Changes in oral mucus membranes, polymorphous rash, cervical lymphadenopathy
Name 3 types of management used to treat Cystic Fibrosis?
What is airway clearance therapies, aggressive tx of ifx, pancreatic enzymes, miralax for obstruction, etc.
What is the classic s/s of pyloric stenosis?
What is nonbilious projectile vomiting 30-60 minutes after feeds?
Name 2 nursing interventions to implement in the plan of care for a child with ASD.
What is decrease stimulation, follow routine, avoid loud noises, allow time for feeding/taking meds, etc.
Name 2 coanalgesic medications that may be prescribed along with pharmacologic analgesics?
Anxiety, sedation, stool softeners, antiemetic,
Rheumatic fever is diagnosed using the modified Jones criteria. Name 2 of the 5 major criteria.
What is carditis, subcutaneous nodules, polyarthritis, rash, and chorea?
What is the pathophysiology of asthma?
What is an inflammatory response causing edema, accumulation of secretions, spasms of bronchi, leading to airway remodeling?
Intussusception
Name 2 measures to prevent cognitive impairment?
Avoid alcohol prenatally, MMR, folic acid supplementation, tobacco use
Name 2 long term effects of inadequate pain assessments and interventions in the newborn.
Box 30.5 pg 814