Intracranial regulation
Remains open to accommodate rapid brain growth
Fontanels
Roll patient on their side, protect the head, do not restrain, do not place anything in their mouth
Seizure
Sparse hair and breast buds
Tanner stage 2
Insulin deficiency
Type I
Providing age/developmentally appropriate explanations with the least invasive interventions attempted first.
Atraumatic care
Accumulation of fluid in the ventricles, causing increased intracranial pressure
Hydrocephalus
gently pick up from a lying position as to not injure or pull on arms or legs, scoop with both arms, avoid putting pressure on any bony area or joint
Osteogenesis Imperfecta
Fruity smelling breath, altered mental status, nausea, vomiting, poly uria/dypsia
Diabetic ketoacidosis
Insulin resistance
Type II
age 8-12 Girls and 9-14 boys
Puberty
Self-limiting, benign, and caused by a viral or bacterial response in the body
Febrile Seizure
Emphasize the importance of early intervention support services ST, PT OT, Individualized Education Plans (IEP), encourage inclusion
Trisomy 21
Staring off in a dream-like state
Absent seizure
Dietary recommendations, possible insulin administration teaching but oral agents started first, blood glucose monitoring, and HbA1c.
DM Type II
Hormone that initiates the growth of breasts, adipose tissue redistribution, and axillary hair growth
Estrogen
Headache, vomiting, behavioral changes, high-pitched cry, bulging fontanel
Increased Intracranial Pressure
Glucose Monitoring Hb A1c eat a snack of 10-15g carbohydrate or oral glucose tab/paste
Hypoglycemia
"sun setting eyes" rapid head growth separating or widening sutures and scalp vein distention
Hydrocephalus
Rapid glucose correction of >100mg/dl/hr can altered LOC, headache, vomiting pupil changes
Cerebral edema
Surgical placement of a device that diverts cerebrospinal fluid from the ventricles to peritoneal cavity
VP shunt
Droplet precautions, private room, low light decreased stimuli
Meningitis
Glucose monitoring HbA1c, take insulin per sliding scale
Hyperglycemia
Bradycardia, bradypnea, hypertension, unconsciousness or severe altered LOC
LATE sign of increased ICP
Hormonal dysregulation in addition to glucose regulation disorder a lack of insulin or resistant insulin disorder
Diabetes Mellitus
Raise HOB up 30 degrees, keep head midline, reduce environmental stimuli, and anticipate administering hypertonic solution Mannitol or 3% saline
Reduce cerebral edema or ICP