Infection
What are 3 symptoms of septic shock?
Hypotension, low blood flow, multisystem organ failure
What are the nursing interventions for a tonsillectomy due to tonsillitis?
What are some nursing implications before a cardiac catheterization?
Allergies: iodine/shellfish, consent signed, height and weight, NPO prior to procedure, baseline VS, fever and or s/s of infection, check results of labs - hgb and hct
What is the therapy used for when there is over 44 mcg/dL of lead in the blood?
Chelation therapy
What medications are given for fever in children?
Acetaminophen or Ibuprofen
What are the two medications used for the treatment of Lyme Disease?
Doxycycline over 8 years old, amoxicillin under 8 years old
Supplemental oxygen, suctioning, bronchodilators, hydration, maintain airway
What is the treatment for Kawasaki disease?
High doses of aspirin and IVIG
True or False. Von willebrand disease ONLY affects males
False. Von willebrand disease affects both males and females
Croup
What are the precautions for rubella? What are the precautions for rubeola?
Droplet, airborne
This condition involves excess mucus production that lines the airways causing decreased resistance to infection and air trapping
Cystic fibrosis
What condition am I describing? Narrowing of the aorta, the major blood vessel, carrying highly oxygenated blood from the left ventricle of the heart to the rest of the body.
Coarctation of the aorta
reccurent vaso occlusive pain crisis, stroke, sepsis, splenic sequestration, reduced visual acuity, chronic leg ulcers, delayed g&d, delayed puberty, pripism, multiple organ dysfunction
What are some complications of mumps?
Parotid swelling, orchitis in males, meningitis, pancreatitis, auditory neuritis, hearing loss
Usually seen in children 5-15 years old, fever greater than 101, child, body aches, tonsils may have yellow or white specks of pus, rash that is all over the body except the palms and soles
Scarlet Fever
What is the management of mononucleosis?
Analgesics, salt-water gargles, bed rest, corticosteroids
What are the defects that make up tetralogy of fallot?
Pulmonary stenosis, right ventricular hypertrophy, overriding aorta, and ventricular septal defect
What is the difference between autologous hematopoitic stem cell transplantation (HSCT) and allogeneic HSCT?
Autologous HSCT is achieved through harvest and treatment of the child’s own bone marrow, followed by infusion of the treated stem cells. Risk for relapse of the original disease is highest in autologous HSCT.
Allogeneic HSCT refers to transplantation using stem cells from another individual that are harvested from the bone marrow, peripheral blood or umbilical cord blood.
What is the therapeutic range for digoxin?
0.8-2 ng/mL
What are nursing interventions for head lice and scabies?
What are some signs and symptoms of epiglottitis?
Describe the types of atrial septal defect.
Ostitium primum (ASD1): the opening is at the lower portion of the septum
Ostium secundum (ASD2): the opening is near the center of the septum
Sinus venosus defect: the opening is near the junction of the superior vena cava and the right atrium.
What is retinoblastoma? What are the s/s?
Highly malignant tumor that arises from embryonic retinal cells. Most common intraocular cancer in childhood. Caused by a gene mutation that causes the cells in the retina to grow out of control
s/s
leukocoria - pupil appears white
strabismus
vision issues
eye pain
swelling
redness of the eye
Pneumonia, abscess formation, hypoxia, death