CA/D&D/Blood
Preschoolers w/ death and dying
Believe their thoughts can cause death. View illness as punishment.
ADHD Management
Behavioral therapy (ABA); positive reinforcement, Organizational charts, Frequent breaks, Meds, Safety measures due to impulsivity
the 6 P's of Fxs:
Pain, Pulselessness, Pallor, Parasthesia, Paralysis, Pressure
ICP nursing management
Osmotic diuretics (Mannitol), HOB 15-30, Cluster care, Quiet, dim environment, No airway suctioning unless necessary, Strict I&O
School aged children with Death and Dying:
Still associate misdeeds w/ causing death. Personify death (monster, grim reaper). Have a big fear of the unknown
ASD red flags:
No eye contact, Failure to interact socially, no smile by 3 mths, no babbling by 1 yr, no words by 16 mths, tiptoeing, hand flapping, regression
Deformity of foot; Foot pointed down & inward is what? What is management?
Club foot. Serial casting (weekly) for 6-10 weeks; possible heel-cord release with casting; Ponseti shoes
Pt and family DM education
Insulin admin, Diet, Exercise, Glucose monitoring
S/S of hyper & hypoglycemia, Scheduled meals & snacks; Stress importance of follow ups; referrals as necessary, support groups
blood transfusion knowledge:
• Verify recipient & donor’s blood type
• Monitor VS, Use appropriate filter (Y tubing)
• hang w/i 30 mins of arrival, Infuse < 4 hrs.
Manifestations of ICP
Bulging fontanels, Shrill cry, Increased head circ, Irritability, Distended scalp veins, Drowsiness, HA, Lethargy, Vomiting (forceful)
Management of scoliosis
<10* - no tx. if 10-25* - no tx if nonprogressive
25-45* - bracing. if >45* - surgery
Nursing considerations with Wilms Tumor:
Do not palpate abdomen, Monitor BP
Sickle Cell Care
HOP. Hydrate, O2, Pain control
Most common Neural Tube Defect in US
Spinal Bifida
Prevention: folic acid during pregnancy
Impetigo treatment and management
Most common bacterial skin infection in children
Manifests Itchy lesions w/ honey-colored crusts
Tx: Remove crusts, topical abx, Prevent spread
Enucleation Nursing considerations:
After face will be edematous & bruised- prep family. Can be fitted for prosthesis in 3-4 wks
Protect the other eye. Wear glasses.
Peaks between 2-3 yrs old
Manifests: Painless, firm mass in abd, deep in flank area, Wt loss, Fever, HTN, Anemia, Lymphadenopathy
Wilms Tumor
Diagnosis w/: CT, MRI, U/S of abd
A 6-year-old w/ CP is given baclofen for muscle spasticity. The RN should monitor for what adverse effects?
Drowsiness & weakness- Rationale: Baclofen is a muscle relaxant used to treat spasticity. Common SE: include drowsiness, weakness, & fatigue
Tx for pt who comes in with bullseye rash
Early abx tx for 14 - 21 days; monitor for 30 days for s/s
1st thing to do if someone comes into ER w/ Fever, chills, Seizures, HA, Nuchal rigidity, Photophobia
Isolate (droplet) for suspected meningitis