cardiac
pre procedure Cardiac Catheterization
assessment, VS, mark pulses, educate developmentally
Interventions for Hemophilia
protective equipement with sports, soft toothbrush, avoid aspirin, Epistaxis-lean forward & cold compress
Infant Fluid Imbalance affects this electrolyte and risk for
Sodium with risk of seizure
Most common time for infant to experience constipation
changing type of feeding--breastfeeding to formula
Diet for Acute Glomerulonephritis
low sodium, low protein
closure of PDA
closes in 1st week of life
Meds for sickle cell
Hydroxyurea, opioids--morphine/hydromorphone
What is Hourly urine output formula
1-2 ml/kg
Risk if swallow battery or magnet
necrosis
Interventions to prevent a UTI
avoid holding, no tight pants/diapers, wipe front to back, good fluid intake, good toileting
post op Cardiac Catheterization assessment & complications
extremity temperature, site bleeding, Pulseless Extremity, Dysrhythmia, cap refill
What need before blood transfusion
type/cross, consent, VS, Y tubing, NS
why infants more at risk for electrolyte imbalance
Greater Body surface area, •Higher metabolic rate, •Immature kidneys
This can be a cause if failure to pass meconium w/in 24-48 hours
Hirschsprung disease
How to collect specimen if suspect systemic infection from urologic source
straight cath
Management of VSD
If no spontaneous closure 1 year then cardiac cath or surgery
Thalassemia treatment
blood transfusions, deferoxamine, deferasirox, vitamin C
ways to assess edema
daily weights, Lower extremity pitting edema, abd girth measurement for ascites
Education on Celiac Disease diet
•No gluten – Wheat, rye, barley, oats
Manifestations include Oliguria, periorbital edema, HTN, Hematuria, Proteinuria
Acute Glomerulonephritis
BP greater on upper extremity than lower extremity
Coarctation of Aorta
How to administer iron supplementation
liquid or tablet, water or juice, no milk, give with straw or syringe
Classic “Shocky” patient
•Cool, clammy, diaphoretic, pale
Causes of colic
feeding too quickly, overfeeding, swallowing excessive air, improper technique (position/burping), emotional stress, milk allergy
Education of taking antibiotics
compliance, brush teeth after taking at night, can crush meds, mix with soft food
management of Kawasaki Disease
aspirin, IVIG, Lip balm, cool compress, mouth care, loose clothes, soft food
diet iron deficiency anemia
nuts, seeds, beans, red meat, iron fortified cereal, avoid high amounts of milk
Stop the burn
Remove heat source! Run under cool water, remove clothing, remove jewelry; educate that hot liquids must not be left unattended
management of Encopresis
bowel cleanse, Eliminate constipation, bowel training
Manifestations include Proteinuria, Hypoalbuminemia, ascites, edema, hyponatremia, Hyperlipidemia
Nephrotic Syndrome
Post GABHS infection with manifestations of carditis, endocarditis, joint pain
Rheumatic Fever
treatment for Von Willebrand Disease
Infusion of von Willebrand protein concentrate
15 kg child--how many ml/hr of urine output is normal?
30 ml/hr
nursing care of Cleft Palate
upright position, special bottle, burp frequently, non-pharmacologic interventions--swaddle, rocking
Source of Hemolytic–Uremic Syndrome
under cooked meat, unpasteurized apple juice, public pools
How to educate child on dressing changes
use doll to show process, picture books, videos, reward systems
Education on Henoch Schönlein Purpura
Only temporary and wear long pants, sleeves
management of dehydration
oral rehydration solution (Pedialyte), weight loss >9 (severe dehydration) IV fluids
What is McBurney's point and Rovsing sign
•RLQ pain at McBurney’s point; rebound tenderness
•Rovsing sign – tenderness in RLQ during palpation of other quadrants
Most common cause of Acute Renal Failure
severe dehydration
Progressive with S&S faint pulse, hypotension, tachycardia, poor feeding, exercise intolerance
Aortic Stenosis
sickle cell risk complications/risks
Acute Chest syndrome, Pn, thrombus, Splenic sequestration, anemia, sepsis
15 kg child--how many ml/hr of fluid should the child receive?
52 ml/hr
currant red jelly-like stools (mix of blood & mucus), abdominal RUQ palpable sausage shaped mass
Intussusception
Chronic Renal failure manifestations
edema, HTN, hypovolemia, Hyperkalemia, Acidosis, anemia, ´Increased phosphorus
HF Pathophysiology of right vs left & manifestations
Right-sided failure
•Reduced function à peripheral edema
•Left-sided failure
•Increased pressure; lung congestion
Issues that lead to Sickle Cell Crisis
Stress, heat, cold, high altitude, dehydration
Manifestations of dehydration
sunken fontanel, lethargy, concentrated urine, increased cap refill, skin tenting, tachycardia, tachypnea, no tears
Controlled by a low protein diet
phenylketonuria (PKU)
UTI manifestations infant --2 yr
Lethargy, poor feed, irritable, V, D