ID the ID
#1 STI in Nevada, characterized by fever, malaise, splenomegaly, sore throat, and painful ulcerations at site of transmission. Polymorphic rash to hands and soles of feet
What is Syphilis
2 year old patient comes in to ED somnolent, hallow respirations, HR=55, BP 75/50. Mom states that the child got into her med cabinet and took several of her oxy pills. What would be the drug of choice for the treatment?
What is Narcan
Patient has a thumb sign on lateral chest x-ray. What does it signify?
What is epiglottitis?
Breath sound that may signify fluid overload
What is crackles
The nurse is caring for a child with the following ABG results. pH=7.21, PCO2=40, HCO3=14. What do these signify?
What is metabolic acidosis?
Most serious disease of the sexually active female adolescent commonly caused by Gonorrhea or Chlamydia
What is PID
What is #1 treatment of the pediatric ischemic stroke?
What is Heparin
In addition to hypo- or hypothermia, tachycardia and altered mental status, which of the following must be present to define septic shock? Excessive UOP, resistance to antibiotics, respiratory distress, or decreased peripheral pulses compared to central pulses?
Decreased peripheral pulses
A preterm infant appears to be sucking without pacifier, has a horizontal deviation of the eyes, and is drooling. These are signs of:
What is subtle seizure activity
What organ may be affected from elevated ammonia levels?
What is liver?
Infection and inflammation of the outer layer of the heart that results from staph or strep bacteria attaching itself to the damaged cardiac tissue
What is endocarditis
a 4-year old recently recovered from chicken pox now has petechial-type bruising scattered on extremities and neck/chest. The nurse suspects the patient has
What is ITP
Patient is brought to ER with fast shallow breathing, lethargy, and fruity odor. She is asking for glass of water and appears pale, cool, diaphoretic. What is likely condition?
What is DKA
Muffled heart tones may signify
What is cardiac tamponade
What do these lab results may indicate for a 6-year-old TBI patient?
Serum osm=331; serum Na=158;
Urine osm=262
What is DI?
Most common cause of Acute Kidney Injury in children due to toxin, such as E. Coli, translocating from GI tract to circulatory system. Other symptoms include signs of anemia, coagulopathy, and shock.
What is HUS
3-yo patient was brought in post fall >2 ft off of play structure in the park. He landed on the head and is now unresponsive. Color is lfushed, bounding pulses, brisk ca refill. VS as follows: HR=65, SpO2=100% assisted with BVM, RR=30 assisted, BP=67/35. You're suspecting neurogenic shock. What would be drug of choice to initiate at this time?
What is Norepinephrine
12-month-old presents to ED with spiral femur fracture. What type of condition would you suspect
Physical abuse
Grunting may signify
What is respiratory failure
What does ANC of 800 indicate? (Absolute neutrophil count)
What is neutropenia?
Inflammation oft he brain parenchyma due to HSV or West Nile causing changed in LOC, headache and possible seizures
What is encephalitis
Life-threatening syndrome due to the use of SSRIs and overaction of both central and peripheral nerve receptors. Characterized by neuromuscular and autonomic hyperactivity, and mental changes
What is Serotonin Syndrome
Premature infants are at risk of this condition when exposed to high concentration of oxygen during resuscitation that lead to hyperoxia
You're taking care of asthmatic who is receiving continuous heard neb. He is having wheezing sounds that have gotten louder bilaterally. What would you anticipate provider to order next?
Reduce heart neb dose/frequency
What BMP labs would increase and signify severe dehydration?
What is BUN and Creatinine