CF
The glucose regulation issue that some clients with CF develop
What is Cystic fibrosis-related diabetes (CFRD)?
Factors to prevent RSV
Hand washing
Breastfed infants
Cover mouth when cough/sneeze
Clean surfaces
Avoid touching mouth and face
Causes of acute diarrhea
Viral and bacterial infections, antibiotic therapy, contaminated water, allergies
Autoimmune destruction of pancreatic beta cells, leads to insulin deficiency and hyperglycemia.
What is Type 1 diabetes?
Autonomy in children with disabilities
Provide choices and option for feeding, dressing and activities.
Keep child safe, not overprotective
CF meds
What are tobramycin, vitamins A, D, E, K, albuterol, and dornase alfa?
“midnight or twilight croup”?
What is the nickname for Acute spasmodic laryngitis?
Most reliable indicator of fluid loss
What is body weight?
DKA assessment findings
Polyuria, polydipsia, polyphasia, ketonuria, acetone breath, tachypnea, hyperglycemia
What is normalization and mainstreaming?
Mainstreaming: process of integrating children with disabilities into regular classrooms.
Normalization: efforts family members make to create a normal family life for the child with disabilities.
S&S of CF
What are wheezing, clubbing of the fingers and toes, and a barrel-shaped chest, thick mucus, delayed growth, dry non-productive cough.
Bronchiolitis interventions
should administer humidified oxygen and suction the nasopharynx as needed
Contact precautions until RSV is ruled out.
Reasons for a loop diuretic
Hypercalcemia, Edema, Hypertension and Heart Failure
subcutaneous injection results in absorption of the drug into the general circulation, thus reducing the concentrations of insulin to which the liver is exposed
Define bargaining, shock and denial, acceptance
Bargaining: attempt to negotiate with a higher power or searching for ways to reverse or postpone the diagnosis.
Shock and Denial: avoiding the reality of the diagnosis and refusing to accept it.
Acceptance: seeking information and asking questions
Pancreatic enzyme admin considerations
Take with food (all meals and snacks)
This is also known as acute supraglottitis and is a medical emergency that requires immediate medical attention.
What is epiglottitis. acute supraglottitis, is a medical emergency that requires immediate medical attention.
Colostomy/Ostomy care
Empty pouch when it is 1/3-1/2 full.
Clean skin around the stoma with soap and water
Change ostomy pouch every day
Insulin & absorption time
Lantus
Novolin N
Novolog
Novolin R
Lantus - Long (6-14 hours)
Novolin N - int (2-6 hours)
Novolin R - Short acting (30 min)
Novolog - Rapid (within 15 min)
Helping child with disabilities adjust in a classroom setting
Teach class about condition, abilities, and special needs. A visit by the parents to the school and encouragement child to make friends.
Nursing interventions for CF to help avoid constipation.
Increase fluid intake to 2-3 liters daily
Adequate physical activity/Chest compression therapy, laxatives or stool softeners
Croup that is most likely be between the ages of 2-5 years old, with fever, tachypnea, and tachycardia
What are manifestation of acute epiglottitis?
Differences between Hypertonic, Isotonic and Hypotonic dehydrations
Hypertonic dehydration: water loss in excess of electrolyte loss; most dangerous type
Isotonic dehydration: electrolyte and water deficits are present in balanced proportion.
Hypotonic dehydration: occurs when the electrolyte deficit exceeds the water deficit, leaving the serum hypotonic.
Insulin preparation precautions
Check BS before admin
Dispose of needles appropriately
Store insulin in fridge
Double check dosage with other RN
NEVER mix short and long acting insulin in same syringe
Adaptive vs Maladaptive coping skills
Adaptive: accepts physical limitations, function well at home, at school, w/ peers. They understand disorder and treatments.
Maladaptive: denying limitations.Harming themselves or not seeking appropriate treatments, getting non EBP research