Pain in the Cells
What would be the most appropriate classification of medication for a FLACC pain score of 3?
NSAID
Stress, exercise, and illness does what to blood glucose?
increases blood glucose
Long-Term Mechanical Ventilation can lead to
BPD
This disorder can be characterized by a strawberry-appearing tongue
Kawasaki Disease
When infants are in this position, they are developing important muscles, but are also at risk for SIDS and need to be observed?
Prone Positioning
IV site is cool, pale, and swollen
Infiltration
Neural tube defects are primarily a result of
a lack of folic acid
Improves contractility and slows heart rate in heart failure or arrhythmias
Digoxin
What are four physiologic responses to pain?
Flushed Skin/ Diaphoresis/ hypertension/ tachycardia/ oxygen desaturation/ restlessness/ irritability/ etc.
Parkingson's Disease is when the body doesn't produce enough what?
Dopamine
True or False:
Bronchodilators and corticosteroids help with Bronchiolitis symptoms
False
What helps change the pressure in the heart and pushes blood through the pulmonary arteries to the lungs to be oxygenated during a period of hypoxia?
Knee to Chest Position
Bilateral retinal hemorrhages, subdural and subarachnoid hematomas, lethargy, seizures, and vomiting are all symptoms of
Abusive Head Trauma - "Shaken Baby"
Why do infants with fetal alcohol syndrome have nutritional deficits?
Increased risk of craniofacial abnormalities: These can include micrognathia (small jaw), cleft palate, and other structural issues that affect feeding.
Having Spina Bifida puts you at risk for which disorder?
Hydrocephalus
Pain medication that is contraindicated in SCD?
Meperidine (Demerol)
What are three precipitating factors of Sickle Cell Disease?
Altitude
Fever
Dehydration
Responsible for secreting insulin
Beta Cells in Pancreas
Given to reduce airway inflammation in asthma
oral steroids
Coarctation of the Aorta
Aortic Stenosis
Pulmonic Stenosis
Obstructive Congenital Heart Defects
Post-op positioning after VP shunt placement
lying flat on unoperated side
Black, brown, or tan tissue that must be removed for wound healing.
Eschar
In Hydrocephalus, one of the first clinical manifestations seen is
High Pitched Cry - "Neuro Cry"
Premature infants with apnea spells often need
caffeine citrate PO
In SCD, why is over-oxygenating contraindicated during pain crisis?
increased levels of O2 can suppress production of new RBCs
Tremors/ Rigidity/ Akinesia/ Postural Instability
Barrel Chest is a consistent finding with what disorder
COPD
When auscultating, the heart defect PDA sounds like?
continuous, machine-like murmur
Three warning signs of child maltreatment?
Inconsistent story/injury description/ delay in care
Behavior changes /Poor personal hygiene
Discomfort/pain / unexplainable injuries
Until the infant's Myelomeningocele is repaired, they should be positioned ______, and restrict _______.
Prone , and diapering
A delay in gross motor milestones is a universal finding for
Cerebral Palsy
This improves the ability of infant lungs to utilize oxygen and excrete CO2.
Surfactant
Why are patients with SCD at a greater risk for infection?
splenic dysfunction and impaired immune response
Five healthy teaching points for your older adult diabetic client?
Sick Day Rules / Foot Cares / Carry Snacks/Testing Supplies/ Preventative Health - annual eye exam
Supportive Treatment for RSV Bronchiolitis
Rest, Hydration, Oxygen Support
In this disorder, patients experience 4 extremity blood pressure discrepancies, or even fainting.
Coarctation of Aorta
What are three Discharge Home Teaching points for Parkinson's?
Grab Bars in Bathroom/Bedroom
Avoid Rugs/Tripping Hazards
Use Pill Box to Organize Meds
Use Nightlights / Assistive Devices
What is associated with positive Chvostek's and Trousseau's signs?
Hypocalcemia
Tight muscles and an abnormal gait are associated with this type of non-progressive central nervous system disorder.
Spastic Cerebral Palsy
Regular insulin is running at 0.1 units/kg/hour for a patient weighing 74 kg. How many units/hour will the patient receive?
7.4 units per hour