cancer
nausea is relieved by what medication?
ondansetron
Beta Thalassemia anemia requires blood transfusion to keep Hgb 9-10 because of what?
hemolytic anemia
RBC
damage/breakdown and body compensates with bone marrow causing
hyperplasia
special consideration for congestive heart failure babies nutrition
increased metabloic rate so increase in calories is needed; feed w/i 30 mins
normal breaths per minute for infant
30 to 60 breaths per minute in infants
Digoxin; teach parent that if child pukes after the second dose, they should
call PCP; this means poisoning
nursing considerations related to hair loss in radiation therapy?
wear surgical cap during treatment, hair will regrow in 3-6 months, and scalp hygiene
nursing considerations for Sickle Cell Disease/Anemia
pain (morphine), stay hydrated to avoid vaso-occulsive episodes or aplastic crisis
the ___ ___ connects to pulmonary artery to aorta carrying mixed/partially o2 blood
ductus arteriosus DA
going to treat as if it is bacterial to prevent the risk of encephalitis or pneumonia
influenza
iron supplements; teach parents liquid form of iron may do what
stain the teeth; use a syringe or straw
what to assess for in leukemia pts?
assess for s/s of anemia, hgb levels, bleeding
decrease in clotting factors resulting in bleeding risk and poor renal perfusion are classified as what?
Hemophilia; factor VII, IX, XI + Von WIllebrand
Goal for infant with fluid overload and impaired perfussion?
decrease blood flow to the lungs related to one of the 4 defects
Nasopharyngitis nursing considerations and what to teach parents?
if tachypnea (>50 breaths per minute) keep infant NPO and
Family Teaching regarding when to call physician: fever >101, wheezing,
coughing, irritable, refusal to eat, prevention by protect from exposure
appropriate morphine dosage for children
0.1-0.3mg/kg q4-6h
difference between Hodgkin and Non- Hodgkin Lymphoma?
Non- Hodgkin diffuse rather than nodular and aggressive chemo and radiation
this autoimmune disease causes mom to make antibodies that kills babies and shows petechial rash + bleeding gums?
immune thrombocytopenic purpura ITP
goal of poor pulmonary blood flow and increased right sided heart pressure?
increase blood flow to the lungs; surgical repair in first year of life (trans cath or stent)
Epiglottitisis a subtype of croup but what is the medical emergency with epiglottitis?
stabilize airway, obstructive airway
DROOLING, DYSPAGIA, AGITATION + ABSENCE OF SPONTANEOUS COUGH
what type of precautions are chemo pts or immunosuppressed on?
Neutropenic precautions: strict hand hygiene, avoiding crowds and sick people, wearing a mask in public, eating only cooked foods, avoiding raw produce/flowers, and immediately reporting any fever over
condition where infant has no immune system related to inheritance, autosomal, recessive or x-linked?
Severe Combined immune deficiency -scid’s
this hemophilia disorder is secondary to shock, trauma, medication, congenital heart disease causing ischemia of tissue or organs, hemorrhage and anemia?
disseminated intravascular coagulation DIC
when pulmonary artery is too constricted and theres an increase in vascular resistance a child may do what
knee to chest position; "tet spells"
Respiratory disease in newborn related to Mechanical ventilation causes chronic lung disease an interrupted development of alveoli, inflammation,hypoxia
Bronchiopulmonary Dysplasia (BPD)
what medication is given IM once a month to Reduces severity of RSV
Synagis (Palivizumab) 15 mg/kg from oct 1 to april 30th