Fluid-Acid Base Balance
What is the expected urine output for an infant up to 1 year of age?
2ml/kg/hour
Jones Criteria is directly correlated to what disease process?
Acute Rheumatic Fever
What are two symptoms we see in the Progressed Stage of CHF?
Tachypnea
Cyanosis
What diagnostic test is commonly used in Pediatrics when assessing the functionality of the heart
ECHO
What is the common antibiotic treatment for Acute Rheumatic Fever?
Penicillin
A nurse is completing the intake and output (I&O) record for an infant. A dry diaper weighs 47 grams. The infant's diaper weighs 157 grams when removed. The nurse should record the volume of the infant's urine output as how many milliliters?
110mls
What is one admission question you would ask if you suspected the patient may have Acute Rheumatic Fever?
Have you recently had a sore throat or strep infection?
At what stage of CHF do we see an infant with weight loss?
Early
What blood labs do we commonly see when testing for Acute Rheumatic Fever?
Throat culture
ASO Titer
Increased CRP and ESR (Inflammation)
What medication is highly discouraged for pediatric use that is highly encouraged with Kawasaki and Acute Rheumatic Fever?
Aspirin
An infant has AGB's drawn and you are called the results:
pH: 7.28
PaCO2: 55
HCO3:25
What metabolic Disorder is this and what are 3 things that could cause this in an infant?
Respiratory Acidosis
Croup
Pneumonia
Aspiration
What disease process is "CRASH and BURN" related to?
Kawasaki Disease
Which side of the heart mostly commonly fails and why?
Left
Because of the systemic pressure/resistance the heart has to pump blood from the left ventricle out to the circulation
What blood labs do we commonly see ordered to rule out Kawasaki Disease?
CBC with Kawasaki
• Mild anemia
• WBC may be elevated
• Increased platelet count
• Erythrocyte sedimentation rate (ESR) and c-reactive protein (CRP)
elevated
Enoxaparin, Aspirin, and IVIG are all medications used to treat what disease?
Kawasaki Disease
What are 3 main or common causes of Respiratory Acidosis in infants?
3 total
Croup
Pneumonia
Aspiration
In the Acute Phase of Kawasaki you would find what symptoms?
Conjunctivitis
Rash
Adenopathy
Strawberry Tongue
Hand and Foot swelling
Fever (BURN)
What is a common medication used in CHF to help with increasing contractility of the heart?
Digoxin
An ASO Titer looks for what?
The ASO titer test measures antibodies produced by your body in response to a toxin known as streptolysin O. Streptolysin O is a toxin produced by group A Streptococcus (GAS) bacteria. Your body makes the antistreptolysin O antibodies when you have a strep infection caused by GAS bacteria
With Spironolactone what lab should be closely monitored?
Potassium
What are some classic signs of moderate to severe dehydration in an infant on physical assessment?
3 total
>4 sec cap refill
Sunken Fontanelle
Absence of tears
We understand that _______ is common in the subacute phase of Kawasaki Disease and that ________ is common in the Convalescent phase.
Coronary Artery Aneurysms
Beau Lines
What is one important assessment you want to conduct prior to administering digoxin and why?
Auscultate the apical pulse for 1 full minute if bradycardic alert the physician and hold digoxin
It is important for a child who has Kawasaki Disease to follow this specialty life long?
Cardiology
With what disease process will the patient be required to have pre procedure prophylactic antibiotics?
Acute Rheumatic Fever