Diabetes
S/s DKA
n/v, lethargy, altered LOC, Kussmaul respirations, fruity breath, ketones in urine
Cancer characterized by pink tinged urine and mass in abdomen
Wilm's tumor
Kid is complaining about lower quadrant abd pain but suddenly relieves itself... what do we worry about?
perforation
This condition is characterized by projectile vomiting
pyloric stenosis
T/F pts in traction should be repositioned Q2
T
Diaper dermatitis interventions
change frequently and quickly, barrier cream, avoid wipes w/ fragrances, soap/water allow diaperless
Therapeutic administration of insulin for a child
allow a stuffed animal to also get insulin
Labs looked at for leukemia
RBC, WBC, platelets. anemia, neutropenia, thrombocytopenia
Cleft palate post sx this type of restraint
elbow restraints
diet for dehydration/vomiting/diarrhea
BRAT diet
Pavlik harness teaching points
no lotions, do not remove unless told to, diaper under straps, massage
honey crusted skin rash from s. aureus and management
impetigo, soak w/ cool compress wash clothing in hot water
Teaching point for diabetes and sports
Eat a snack 30 minutesish before participating in sports
The reason why we do reverse isolation/neutropenia precautions for kids w/ cancer
Reduce risk of infection
Reflux management
sit upright after meals, smaller more frequent meals
Acute glomerulonephritis lab values to monitor
elevated BUN and creatinine. monitor daily wt
When a kid has a cast we should allow for growth and development through activities. T/F?
T. Important to participate in normal developmental activities
other name for athlete's foot
tinea pedis
Diabetes sick day teaching
Risk for DKA, Test urine ketones and BG check Q3, continue to use insulin, drink lots of sugar free noncaffeinated liquids, rest, call provider for BG greater than 240
Elevate, compression, cold compresses
Intussusception
screaming w/ drawing knees to chest. stools mixed w/ blood and mucus red currant jelly... put in an NG, NPO, antibiotics
Condition characterized by inadequate motility of intestine = mechanical obstruction. s/s is ribbonlike stool
Hirschsprung's disease
Therapeutic teaching for casts different age groups
show on doll or toy, pictures, diagrams, explanation
Lice treatment
bag items for 14 days, wash everything in hot water, 1% permethrin shampoo
SIADH urine output, specific gravity, sodium
low UOP, High specific gravity, hyponatremia
Concerning s/s kid with cancer
Fever, infected port, not eating, not pooping, s/s infection, F/N
Best indicator of dehydration in infants and children
weight loss moderate 6-9% severe 10%
Things to do and what to watch for with intussusception.
NPO, prepare for air enema/surgery. Monitor stools and abdominal pain incase intussusception reoccurs.
Parts of the neurovascular assessment
pain, edema, color, coolness, numbness/tingling, cap refill, pulse
Atopic dermatitis other name and interventions
Eczema. moisturizer, corticosteroids, antihistamines, avoid wool
Name 2 different meds that kids w/ Juvenile Idiopathic Arthritis should use
corticosteroids-prednisone every other day, NSAIDs, heat
Name 5 neutropenia precautions/interventions
Inspect mouth,Soft bristled toothbrush,Inspect skin daily,Reposition frequently,Avoid people that are sick,bleeding precautions and management of active bleeding,Pt should be in private room if they do have to share no one with any infection,Strict hand hygiene,Treat nose bleeds with cold and pressure,Avoid activities that can lead to injury or bleeding
appendicitis s/s
abd right lower quad, rigid abd, decreased bowel sounds, fever, lethargy, n/v, mcburneys point, WBC elevated
Nephrotic syndrome s/s
facial edema, wt gain, proteinuria, RBCs, give: corticosteroids-prednisone
Cerebral palsy developmental management
slower to developmental milestones, modify environment for safety, baclofen for spasms