Cardiology
What are the three main signs of Digoxin toxicity in a child?
What are bradycardia, arrhythmias, and vomiting
These are the 2 most common symptoms in pediatric concussions.
What are confusion and amnesia.
What CN’s/areas of the brain does the Doll’s head maneuver test?
Assess brainstem function and CN 3, 6, and 8
While the rash for measles generally starts on the face, the rash for Varicella starts here.
What is abdomen/trunk.
What type of cells are affected in Sickle Cell Disease?
What are RBC
What are the four main defects comprising Tetralogy of Fallot?
What are VSD, Over-riding aorta, pulmonary stenosis, and right-sided hypertrophy
This number on the Glasgow Coma Scale (or lower) is indicative of a coma.
What is 8.
What are some nursing interventions you can do for your patient currently having a ‘Tet” spell? (list three to get points!)
knees to chest positioning, calm child, administer 02, IV morphine bolus, IV replacement fluid
What are the three “C”s of measles?
What are cough, conjunctivitis, and coryza (cold like symptoms)
Which medication is used to help prevent infection and for functional aspleenia in SCD?
What is Penicillin.
What congenital cardiac condition manifests with a drastic difference in blood pressures of the upper and lower extremities?
What is coarctation of the aorta.
The 3 late signs of increased ICP involved in Cushing’s triad are?
Increased systolic BP(causing a widened pulse pressure), irregular respirations and bradycardia.
What are some nursing interventions that need to be avoided with patients with increased ICP? (list 3 to get points!)
no suctioning, no percussion, no rectal temps, no bright lights or loud noises, no supine positioning
In order for “herd immunity” to be achieved, this percentile range of the population must be vaccinated.
What is 80-90%
Which immunizations are contraindicated in SCD?
What is none; no immunizations are contraindicated.
This drug would be considered first choice for an infant experiencing an acute hypercyanotic “tet” spell.
What is Morphine (IV)
When distinguishing CSF from clear nasal drainage, a urine dipstick may be utilized to check for the presence of what?
What is glucose.
What is the likelihood (%-%) of a second seizure after the first febrile seizure?
30-40%
Expectant mothers should receive this vaccine during each pregnancy, ideally between her 27-36 weeks.
What is Tdap vaccine.
How can a baby be tested for SCD before birth?
What are amniocentesis and chorionic villi testing.
This cardiac defect is deemed incompatible with life due to the lack of communication between the right atrium and right ventricle.
What is tricuspid atresia.
This steroid can be used for short periods of time to treat “Jackknife Seizures” or Infantile Spasms.
What is ACTH.
What are non-pharmacological pain interventions for sickle-cell patients?
warm soaks, imagery, hydration, teach patient relaxation techniques, breathing exercises, and distraction to ease pain.
Positive results of these 2 clinical signs would provide strong suspicion for bacterial meningitis.
What are Kernig and Brudzinski signs.
This adjuvant drug, commonly administered alongside of blood transfusions to SCA patients; has been known to cause hearing loss and orange discoloration of urine.
What is Desferol (iron binding agent).