GU
Most common causes of UTI
E. coli most common organism, may be associated with vesicoureteral reflux
Preschoolers w/ death and dying
Believe their thoughts can cause death. View illness as punishment.
ADHD Management
Behavioral therapy (ABA); positive reinforcement, Organizational charts, Frequent breaks, Meds, Safety measures due to impulsivity
the 6 P's of Fxs:
Pain, Pulselessness, Pallor, Parasthesia, Paralysis, Pressure
ICP nursing management
Osmotic diuretics (Mannitol), HOB 15-30, Cluster care, Quiet, dim environment, No airway suctioning unless necessary, Strict I&O
Most cases are postinfectious: streptococcal
infections w/ a Latency period of 1-3 wks
Acute Glomerulonephritis
School aged children with Death and Dying:
Still associate misdeeds w/ causing death. Personify death (monster, grim reaper). Have a big fear of the unknown
ASD red flags:
No eye contact, Failure to interact socially, no smile by 3 mths, no babbling by 1 yr, no words by 16 mths, tiptoeing, hand flapping, regression
Deformity of foot; Foot pointed down & inward is what? What is management?
Club foot. Serial casting (weekly) for 6-10 weeks; possible heel-cord release with casting; Ponseti shoes
Pt and family DM education
Insulin admin, Diet, Exercise, Glucose monitoring
S/S of hyper & hypoglycemia, Scheduled meals & snacks; Stress importance of follow ups; referrals as necessary, support groups
Nephrotic Syndrome Management
Strict I&O, daily wt, Monitor VS, edema, Reduce edema, Prevent infection, Low- Na+ diet, Diuretics, Corticosteroids x8-12 wks, Relapses occur in 2/3 of kids
blood transfusion knowledge:
• Verify recipient & donor’s blood type
• Monitor VS, Use appropriate filter (Y tubing)
• hang w/i 30 mins of arrival, Infuse < 4 hrs.
Manifestations of ICP
Bulging fontanels, Shrill cry, Increased head circ, Irritability, Distended scalp veins, Drowsiness, HA, Lethargy, Vomiting (forceful)
Management of scoliosis
<10* - no tx. if 10-25* - no tx if nonprogressive
25-45* - bracing. if >45* - surgery
Nursing considerations with Wilms Tumor:
Do not palpate abdomen, Monitor BP
Clinical state that includes hypoalbuminemia, hyperlipidemia, Edema, irritability, lethargy, proteinuria (massive)
Nephrotic Syndrome
Sickle Cell Care
HOP. Hydrate, O2, Pain control
Most common Neural Tube Defect in US
Spinal Bifida
Prevention: folic acid during pregnancy
Impetigo treatment and management
Most common bacterial skin infection in children
Manifests Itchy lesions w/ honey-colored crusts
Tx: Remove crusts, topical abx, Prevent spread
Enucleation Nursing considerations:
After face will be edematous & bruised- prep family. Can be fitted for prosthesis in 3-4 wks
Protect the other eye. Wear glasses.
Enuresis management
limit evening fluids (only evening), void prior to bed
Peaks between 2-3 yrs old
Manifests: Painless, firm mass in abd, deep in flank area, Wt loss, Fever, HTN, Anemia, Lymphadenopathy
Wilms Tumor
Diagnosis w/: CT, MRI, U/S of abd
A 6-year-old w/ CP is given baclofen for muscle spasticity. The RN should monitor for what adverse effects?
Drowsiness & weakness- Rationale: Baclofen is a muscle relaxant used to treat spasticity. Common SE: include drowsiness, weakness, & fatigue
Tx for pt who comes in with bullseye rash
Early abx tx for 14 - 21 days; monitor for 30 days for s/s
1st thing to do if someone comes into ER w/ Fever, chills, Seizures, HA, Nuchal rigidity, Photophobia
Isolate (droplet) for suspected meningitis