ATI Unit 2 - Cardiovascular and Hematological Disorders (Josh) Flashcards Preview

Peds ATI & Final (Josh) > ATI Unit 2 - Cardiovascular and Hematological Disorders (Josh) > Flashcards

Flashcards in ATI Unit 2 - Cardiovascular and Hematological Disorders (Josh) Deck (31):
1

-- is acute systemic vasculitis.

Kawasaki Disease

2

With epistaxis, seek medical care if bleeding lasts --

more than 30 mins

3

With infants, hold Digoxin if pulse is less than ---

In other kids, hold Digoxin if pulse is less than ---

90/min

70/min

4

Lab tests for Cholesterol

Lipid Profile (fast for 12 hours prior)

Fasting Blood Glucose

5

With epistaxis, --- can be inserted after a nose bleed to prevent crusting.

water-soluble jelly or petroleum

6

Expected Hgb levels

2 months: 9-14

6-12 yrs: 11.5-15.5

12-18 yrs: 13-16 (male) / 12-16 (female)

7

Gamma globulin administered IV in high dosage for ---

kawasaki disease

8

Prophylactic Antibiotics for RF

Penicillin G

Sulfadiazine

9

Apply direct continuous pressure --- above the catheter entry site to localize pressure over the location of the vessel puncture.

2.5 cm (1 in)

10

Nursing considerations w/ Iron Supplements

Give 1 hr before or 2 hr after milk or antacid

GI upset is common but will decrease

Administer on empty stomach if tolerated

Give w/ Vit C to increase absorption

Use straw to prevent teeth staining (brush teeth afterwards)

Use Z-track and don't massage

Expect tarry green stools

11

Why assess client for febrile illness 3 weeks prior to cholesterol screening?

illness will alter results

12

After Kawasaki Disease, avoid live immunizations for ---

11 months

13

Jones Criteria for RF

(child needs 2 major, or one major and 2 minor to be positive for RF)

Major:
- Carditis
- Erythema Marginatum
- Polyarthritis
- Chorea
- SubQ nodules

Minor:
- Fever
- Arthralgia

14

To prevent Iron deficiency anemia, limit milk intake in toddlers to --

32 oz /day

15

Don't give ASA except with ---

Kawasaki Disease

- high dosage

16

What is Acute Chest Syndrome?

life-threatening complication from SCD

- chest, back, and abdominal pain
- fever 38.5 (101) or higher
- cough
- tachypnea
- dyspnea
- retractions
- decreased O2 sat

17

What is the definitive diagnosis for SCD?

Hgb Electrophoresis

18

Meds for Hemophilia

DDAVP

Factor VIII

Corticosteroids

NSAIDS

19

Hyperlipidemia meds

- used in clients w/ LDL o1 190 or higher or 160 or higher if they have risk factors

Cholestyramine

Colestipol

20

Rheumatic Fever is an inflammatory disease caused by ---

Group A beta-hemolytic streptococcus (GABHS) infection of the throat

21

Sources of Iron

Dry beans and lentils

Peanut Butter

Green, leafy veggies

Poultry

Red meat

22

S/S of Kawasaki Disease

High Fever (38.9 / 102)

Red eyes w/ drainage

Bright red, chapped lips

Strawberry Tongue w/ white coating or red bumps

Red oral mucous membranes

Swelling of hand/feet w/ red palms/soles

Nonblistering rash

Bilateral joint pain

Enlarged Lymph Nodes

23

Expected HCT levels

2 months: 28-42%

6-12 yrs: 35-45%

12-18 yrs: 37-49% (male) / 36-46% (female)

24

S/S of Iron Deficiency Anemia

SOB

Pallor

Brittle, spoon-shaped fingernails

Fatigue, irritability, and muscle weakness

Systolic Hear murmor, cardiomegaly, and/or HF

25

What is the med DDAVP

synthetic form of vasopressin that increases plasma factor VIII for hemophilia

26

--- and --- are potassium wasting diuretics uses with Congential Heart Disease.

Furosemide

Chlorothiezide

27

Rheumatic Fever usually occurs --- following an untreated or partially treated URI (strep throat)

2-6 weeks

28

Hemophilia A is treated with Factor ---

Hemophilia B is treated with Factor ---

VIII

IX

29

When hypoxic, which position improves ventilation?

knee-chest position

30

Why could Iron Deficiency cause HF?

increases demand on heart to supply O2 to tissues, overworking it

31

Iron deficiency will result in decreased --- levels in the blood.

Hgb