GI
intestines "telescopes" into themselves, pain, vomiting, & bloody stools. Currant jelly stools
What is intussusception?
This congenital condition involves a backward flow of urine from bladder to kidneys.
What is vesicoureteral reflux?
post op care for Tonsillectomy & Adenoidectomy (T&A)
Cool, clear liquids (not red), Frequent swallowing=bleeding, Vomiting blood=call surgeon stat! Avoid coughing, crying, screaming. Pain meds around clock
Pediatric Indicators of Cardiac Dysfunction
Poor feeds, Tachypnea/ tachycardia, Hypoxia, FTT/poor wt gain/activity intolerance, Developmental delays
assess development regularly to ensure children are progressing normally, identify ________ delays, and provide ________ care.
developmental age-appropriate
Priority action for nurse caring for a child w/ suspected appendicitis
What is preparing for surgery?
Often dx in early childhood, an abnormal accumulation of urine in kidney, may require sx to correct.
What is hydronephrosis?
Characterized by hoarseness, “barking” cough, inspiratory stridor, and possibly respiratory distress
Croup
•Right vs left sided heart failure types of s/s
•Right: systemic symptoms
•Left: lung symptoms
Key Concepts of Family-centered care.
Effective communication, emotional support, & collaboration w/ parents & caregivers.
The RN should educate the parents of a child with this condition to avoid giving large meals & to avoid foods that trigger pain/bloating.
What is IBS?
This lifestyle modification helps prevent nocturnal enuresis in children
What is limiting fluid intake before bedtime?
Acute Epiglottitis- manifestations and management
Medical Emergency. abrupt onset, progresses rapidly to obstruction. Tripod position, drooling, inspiratory stridor, retractions, agitation. No visualization of throat
Common heart failure meds
•Digoxin (improves contractility)- *high alert med- toxicity potential! ACE inhibitors (reduces afterload, easier to pump) Beta Blockers Diuretics
Cleft Lip/Cleft Palate form when?
4th-10th week of embryonic development
Sources of lead poisoning
Lead based paints in old homes >1978, pottery, imported toys/cosmetics/paint/jewelry. Contaminated soil in yard
Your peds pt is dx with a UTI. What are some management goals?
Eliminate current infection, prevent systemic spread of infection, preserve renal function, decrease risk factors (poor hygiene/wiping while potty training, withholding urine)
A sweat chloride test is the most reliable diagnostic procedure for this....
Cystic Fibrosis
common clinical manifestations of Kawasaki
A high fever > 5 days. Rash: On main part of body or genitals. Conjunctival Hyperemia: Red eyes. Red, dry, cracked lips, red, swollen tongue ("strawberry tongue"). Swollen Extremities: red hands & feet, may peel. Enlarged lymph nodes in neck.
What does atresia mean?
congenital absence or pathological closure of an opening, passage, or cavity in the body.
s/s are: Constipation, ribbon like, foul-smelling stools. Abd distention. Failure to pass mec w/i 48 hrs
What is Hirschsprung Disease
With a dx of Acute Glomerulonephritis, the pt probably had what previously? and how long ago?
Most cases are postinfectious: streptococcal infections. Latency period of 1-3 weeks
Places that have a high chance of spreading something resp such as Pertussis are?
Schools and childcare centers, Hospitals, prisons, large cities w/ public transportation
bacteremia causes vegetations to grow on heart valves; may become emboli
Infective Endocarditis
• Immediate tx w/ high-dose ABX
First line of treatment for Intussusception
Air Enema (works 65-75% of cases). If unsuccessful do Sx