Cardio
Tet spells child's positioning
Knee-to-chest position
Asthma signs & symptoms
Cough-> nonproductive, worse at night, may progress to frothy
Shortness of Breath
Chest pain or Tightness in chest
Wheezing
Prolonged expiration
Percussion-> hyper-resonance
Seizure precautions
Promote safety-> turn patient to side, ensure nothing is in bed or close to patient, do not place anything in mouth or restrain, have suction & oxygen at bedside, loosen clothing around neck
Pain scale that is appropriate for assessing neonate's pain level
CRIES scale
Finish until they (antibiotic) is all gone!
Observe cyanosis in these defects
Tetralogy of Fallot (ToF)
Tricuspid Atresia
Epiglottitis signs & symptoms
Drooling
Dysphagia
Dysphonia
Distressed Respiratory air movement (SOB, wheezing, etc.)
Stridor
Tripod position w/head in sniffing position
Also may be restless & anxious (S/S of resp distress)
Meningitis isolation
Droplet
Decrease pain prior to starting an IV on a pediatric patient
EMLA cream (lidocaine cream)
Kawasaki syndrome places children at risk for _________
Myocardial Infarction (MI)
Heart defect that is only acceptation of giving ibuprofen to a pediatric patient
Patent Ductus Arteriosus (PDA)
Lung sounds will be _________ in a patient with pneumonia
Abnormal:
Crackles- mainly viral
Diminished- mainly bacterial
Signs & Symptoms of Meningitis
Irritable, headache, stiff neck (nuchal rigidity) sudden high fever, Positive Brudzinski & Kernig signs
Infants: weak cry, weak suck, lethargy, bulging anterior fontanel, fever
Cephalocaudal growth newborns can turn over at __________
5 months
Not the best time to assess an infant's respiratory rate
When the infant is playing, moving, or crying will not get accurate rate
Pediatric catheterization patients are most at risk for ______
Bleeding at catheterization site.
Cath site is normally the groin, pediatric patients love moving legs, which puts them at risk for bleeding.
Explanation/Education to parent(s) about Cystic Fibrosis
Cystic Fibrosis is a disorder of the exocrine glands, where there is an excess of mucus secretions which causes blockages in ducts, mainly the pancreas and lungs. Some of the signs of this disease process include: Weight loss, Foul, smelling fatty souls, & Frequent respiratory infections.
Increase Intracranial Pressure (ICP) Signs & Symptoms
Infants: bulging fontanel, high-pitch cry, irritability, lethargy, vomiting, decreased respiratory rate, Increase in head circumference, "sunsetting" eyes
Child/Adolescent: headache (mainly worse in the morning or after waking), vomiting (no nausea prior), blurred/double vision, slowed memory, irritability, problems with balance
Children aged 7-11 are in Piaget's ____________ stage
Concrete operational
Leaking at incision site, meningitis infection, Hydrocephalus, Increased Intracranial pressure (ICP)
Signs & symptoms of Kawasaki Syndrome
Fever (>101.3F) for 5 or more days
Erythema
Edema
Peeling of hands/feet
Strawberry tongue & dry, cracked lips
Bilateral conjunctivitis (normally w/o drainage)
Asthma medication used for relief from Shortness of Breath or prior to exercise to minimize dyspnea
Albuterol
Pre-operative care for myelomeningocele (spina bifida cystica)
Apply a sterile moist dressing to sac area
Parallel Play is ____________
Where children play side by side but separately & do not play together
Heart defect that causes weaker femoral pulses compared to brachial pulses
Coarctation of Aorta (COA)