Health Issues in Children
What organs does cystic fibrosis affect?
What is lungs, pancreas and reproductive.
Child with cyanotic heart defect begins to cry after blood draw. The nurse should:
Place child in knee to chest position.
Types of burns:
Thermal, chemical, electrical, and radiation.
A medication that inhibits the function of protease, an enzyme needed for HIV replication
Protease inhibitor
Infant Stage of Development
Trust vs Mistrust: separation anxiety, based on caregiver meeting needs
Test that uses electrical impulses to produce and collect sweat to test for chloride concentration.
What is "sweat test".
The nurse educates parents with a child with CF on diet. The diet should be:
High fat, high calorie.
Degree of burn that can be superficial partial or deep partial that affects the epidermis and the dermis:
Second degree or partial thickness
Involuntary weight loss of 10% baseline body weight. Chronic diarrhea, weakness
and fever
Wasting Syndrome
At what age can kids run and fall, throw a ball overhead, jump in place with both feet, and pull and push toys, manage a spoon w/out rotation:
18 months
Two types of congenital heart defects.
Acyanotic (atrial septal defect, ventricular septal defect, patent ductus arteriosus)
Cyanotic (tricuspid atresia, tetrology of fallot)
The nurse educates a child with CF to wear their vest:
30 minutes before meals.
From time of injury to 48 hours after, systemic inflammatory response, fluid & electrolyte shifts, hypovolemia, airway and fluid resuscitation.
Emergent Phase
HIV Patho
HIV targets & destroys T cells, decreasing
and eventually eliminating cellular
immunity (also affects humoral immunity)
Age that parallel play turns to associate play
Expected findings of this heart condition: murmur, cyanosis during stress, slow growth, polycythemia.
What is Transposition of the Great Arteries
The nurse administers these vaccines at a 6 month well child visit:
HepB, DTap, hib, PCV, IPV
Abnormal lab values during acute phase:
Elevated BG, low H&H, low albumin/protein, low sodium, low potassium, elevated WBC
3-drug antiviral regimen (zidovudine, lamivudine, and
lopinavir) is effective at HIV prevention if initiated ASAP after exposure – ideally within 2 hours, but can be started within 72 hours
Post-Exposure Prophylaxis (PEP)
What skills should a toddler be able to perform?
throw a ball overhand, use a spoon without rotation
A combination of 4 defects; VSD, narrowing of the pulmonary valve, enlarged aortic valve and ventricular hypertrophy.
What is Tetralogy of Fallot
Medications for CF
CFTR modulators, bronchodilators, antibiotics, mucolytics, and pancreatic enzymes.
A quick way to measure surface area of burns on a body:
Rule of 9's
Opportunistic cancers:
Kaposi Sarcoma, Burkitt lymphoma, squamous cell carcinomas
Birth weight doubles by this age:
12 months