S/S
inability to maintain eye contact, failure to interact socially, failure to walk at a certain age(12 months) no social smile by 3 months
Autism signs
When should you call CPS?
Parents do not allow you to talk to kids.
Parents do not follow plan of care
Injury do not match story (change)
Inappropriate response from child
The child story doesn't match
People that live in a lot of crowded places, dorms, colleges, jails should?
Be recommended to get a booster, and need to have their immunizations up to date.
head enlargement, prominent scalp veins, bulging fontanel, needs a VP shunt to remove CSF, ICP is high
Hydrocephalus
Proper position for unconscious patient?
Side-lying position
Bulging fontanels, separate sutured lines, shrill cry, lethargy
ICP Signs and symptoms
Management for ICP
HOB 15- 30 degree, Mannitol, ICP MONITORING
CLUSTER CARE
STRICT I/O
DIM LIT/QUIET
You don't give aspirin when a child has these two viral illnesses
Flu(influenza) and chickenpox(varicella)
These kids will die, with gradual muscle weakness, and atrophy its from recessive traits(genes), Gower sign(they get up in sessions)
Muscular Dystrophy
Child has a minor head injury what should parents do?
Keep them up for 6 hours and monitor them
Down syndrome
NURSING CARE OF AN UNCONSCIOUS
- PUT THEM ON THE SIDE(PREVENTION OF ASPIRATION)
FREQUENT NEURO ASSESSMENT (EVERY 2-4 HRS)
KEEP THEM AWAKE (MONITOR)
QUIET DIM LIT ENVIRONMENT
PROPER POSTIONING
DECORTICATE?
Rigid flexion with arms held tightly to body legs extended and rotated inward (HANDS HOLD TOGETHER LOOKS LIKE A FUNERAL CASKET)
TEN-4 RULE?
TORSA
EARS
NECK
Age under 4 years old or 4 months old with ANY signs of bruising
Priority Action for submersion injury patients
Give them Oxygen
impulsiveness, distractibility, inability to focus sometimes daydreaming
ADHD - ATTENTION DEFICIT HYPERACTIVITY DISORDER
How do you know ICP treatment is working?
ICP decreases, head circumference goes down, they are alert more, fontanelle is not bulging, no shrill cry
DECEREBRATE?
WORSER- RIGID EXTENSION AND PRONATION OF ARMS AND LEGS
Early signs of CEREBRAL PALSY?
Persistent primitive reflexes, stiff rigid posture, arching back pushing away, floppy tone, unable to sit unsupported by 8 months, no smile at 3 months, feeding difficulties
BEST WAY TO EXAMINE AN UNCONSCIOUS CHILD?
PERLAA
- EYE SHOULD CONSTRICT WHEN LIGHT IS SHINE
- EYE SHOULD DIALATE WHEN YOU MOVE LIGHT AWAY
stiff neck(nuchal rigidity)headache, photophobia
Meningitis
Priority for Meningitis?
*1)Droplet precaution(isolation), 2)get labs done(blood work) 3)hang antibiotics
What causes malfunction of the shunt when a child has Hydrocephalus?
- infection(increased temputure), trauma, constipation
God will allow me to pass my exam
Yes
What is our concern for patient who has ADHD
Safety Measures due to impulsiveness