NR 328 Peds Final

Gastrointestinal

100

These dilate the bowl and are avoided in inflammatory conditions

Laxatives and enemas

200

Given an infant to reduce gastric regurgitation

H2 and PPI

 Thicken formula through a large nipple

300

Arching back, weight loss, and spitting up are signs of

GER

400

Intussusception relief finding

Normal stool passage

500

Hirschsprung repair may require

Temporary ostomy

Renal, GU, Fluids and Electrolytes

100

the 3 P's

Polyuria, polydipsia, and polyphagia

200

Lab finding when ordering hypotonic IV solution

Elevated sodium, hypernatremia

300

To reduce fluid retention with renal inflammation

Restrict sodium

400

3 inflammatory changes in glomeruli finding of face and urine

 Increase BUN and creatinine

 Periorbital edema

 Protein in urine

500

Preferred fluids for a toddler dehydration

Oral rehydration solution, Pedialyte

Glucose regulation

100

Type 1 needs to _______ more often when ____ and _____

Checking blood sugar (more often when) sick and stressed

200

Fatigue, hunger, weight loss, and cellular starvation

Hyperglycemia leading to DKA

300

15-15 rule

 For hypoglycemia to recheck sugar

 15 g carbs recheck in 15 min

400

3 types of insulin orders taken before meals and/or at bedtime

 ACHS or Q4

 Correction, base (given right before meals)

 Basal dose (long-acting insulin) 24 hour acting

500

Impaired metabolism of fats proteins and carbohydrates

Insulin deficiency or resistance

Hormonal and Cellular regulation

100

Release of this hormone increases during sleep

Growth hormone

200

Amino acid arginine inject to stimulate pituitary to release

 Growth Hormone 

 this is known as the Growth hormone stimulation test

300

3 pituitary hormones

 Growth hormone

 ADH

 Thyroid stimulating hormone

 ACTH

 FSH

400

Leukemia depresses the bone barrow causing these hematologic changes

Low WBC, neutrophils, platelets

500

The side of chemotherapy increases the risk for bleeding

Low platelets, thrombocytopenia

Neuro

100

For <2 years old, what LOC score is given to a TBI that cries inappropriately

3; GCS scale

200

Therapeutic goal in cerebral palsy

Promote independence and ADL’s

300

Hypothermia and hypoxia reduce the brain’s cellular function, what is the priority of care

Temperature regulation and oxygenation

400

4 steps needed when SIRS criteria are met

 Worried about sepsis

 Lactic acid

 Blood cultures before antibiotics

 Fluids given at 30ml/kg bolus

500

Newborn/Infant hydrocephalus physical findings

 Increase head circumference 

 Fontanel is firm or bulging

 periorbital edema 

Neuro-Muscular

100

A “clunk” is positive sign in this hip test

Positives Ortolani test for HHD

200

This exam raises the legs and may cause pain

 Kernig Sign (Sign of meningitis)

300

No lotions, inspect daily, keep dry and clean, keep on 24/7 and massage underneath

Pavlik harness

400

Junior idiopathic arthritis (JIA) medication classes

 Methotrexate

 NSAIDS

 Corticosteroids

500

Requires serial manipulations and casings due to rapid growth

DDH- developmental dysplasia of the hip