Pharmacology
This medication is a bronchodilator and is used as a rescue medication for asthma. It can be delivered via a inhaler or as a nebulized medication for severe cases
Two Parts:
1. What is the typical visual acuity of a newborn baby?
2. At what age does a child's vision become 20/20?
1. 20/400
2. 5-years-old
This is an abnormal enlargement of the distal phalanges usually associated with cyanotic heart disease or advanced chronic pulmonary disease
Clubbing
What is the #1 nursing intervention for an infant with upper respiratory congestion?
Suctioning
True or False
Parents of special needs children become the experts on their child’s care, and as such should be taken seriously not ignored, and viewed as having reliable and valuable information about their children.
True
With this medication you must monitor serum drug levels. Nursing interventions include assessing the apical heart rate before administration. Toxicity symptoms include nausea, vomiting, diarrhea, and lethergy.
Digoxin
This is the reason that children are more apt to get ear infections... what is different between the eustachian tube of the pediatric patient and adult?
The childs eustachian tube is shorter, wider, and more horizontal
What cardiac condition is associated with a femoral pulse that is weak or absent in comparison to the brachial pulse
Coarctation
What sound is heard when auscultating breath sounds when the alveoli have fluid or pus in them?
Rales/Crackles
This inheritance pattern makes it so theres a 50% chance of having an affected child, and 50% chance of an unaffected child
Autosomal Dominance
This medication is given to patients with Cystic Fibrosis at meal times and snacks. If the patient can not swallow these pills they can be broken open and sprinkled into foods.
Pancreatic Enzymes
This common condition may be allergic, viral, or bacterial in nature and is the inflammation of the bulbar or palpebral conjunctiva
Conjunctivitis
This normally closes shortly after birth but may remain open in some children with congenital heart disease.
Ductus Arteriosis
This respiratory disorder is not as common anymore because of the availability of a vaccine. It is considered a medical emergency and a nursing goal is to not make the child upset
Epiglottis
This inheritance pattern results in 25% chance to have an affected child, 50% chance of a carrier child, and 25% of an unaffected child
Autosomal Recessive
This is a loop diuretic. Careful monitoring of electrolytes will be important if administering this to your patient.
Furosemide
The treatment of this eye condition is patching or surgical repair
Amblyopia
This illness occurs a few weeks after a strep infection and will usually have a murmur present on exam.
Acute Rheumatic Fever
What liter flow should the oxygen be at when administering oxygen via a non-rebreather mask?
10-12L/min
This is a program that children with special needs should be referred to in order to help support and encourage development.
Early Intervention
These two medications are given to patients with moderate to severe stridor due to croup
Decadron and racemic epinephrine (nebulized epinephrine)
Name 3 risk factors of Otitis Media
1. Frequent respiratory infections
2. Smoking in the house
3. Child in daycare
The treatment of this disease includes high dose aspirin and IVIG
Kawasaki Disease
What causes the altered mental status in children experiencing respiratory failure
Build up of CO2
Name 5 features that are associated with Down's Syndrome
Hypotonia Short stature Flattened occiput Small (brachycephalic) head Flat facial profile Depressed nasal bridge and small nose Oblique palpebral fissures (an upward slant to the eyes) Brushfield spots (white spots on the iris of the eye) Low-set, small ears Abnormally shaped ears Small mouth Protrusion of tongue; tongue is large compared to mouth size Arched, narrow palate Hands with broad, short fingers A single deep transverse crease on the palm of the hand (simian crease) Congenital heart defect Short neck, with excessive skin at the nape Hyperflexibility and looseness of joints (excessive ability to extend the joints) Dysplastic middle phalanx of fifth finger (one flexion furrow instead of two) Epicanthal folds (small skin folds on the inner corner of the eyes) Excessive space between large and second toe