immune function (3) Flashcards

1
Q

when does a fever become harmful?

A

41 degrees

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2
Q

what is a physiologic response to an infection?

A

fever

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3
Q

why can fevers be good?

A

promotes immune response and kills organisms

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4
Q

what fever is too high in infants - 2 m.o.

A

38

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5
Q

what fever is too high in children older than 2 m.o.

A

40

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6
Q

what meds are used for fever

A

ibuprofen (if older 6 m.o.) and acetaminophen

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7
Q

what is not used for a fever

A

aspirin

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8
Q

what physical intervention should be done for fever?

A

remove all clothing except for a light layer

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9
Q

is there a vaccine for mono

A

no

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10
Q

what 2 things causes of mono?

A
  • EBV
  • human herpesvirus type 4
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11
Q

how is mono transmitted

A

saliva, blood, semen

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12
Q

s/sx of mono

A

fever, HA, painful sore throat, FATIGUE, hepatosplenomegaly

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13
Q

how long do symptoms of mono last?

A

2-4 weeks

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14
Q

treatment of mono

A

supportive, corticosteroids

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15
Q

what diagnstic tests are run for sepsis

A
  • blood/urine cutures
  • lumbar puncture (collect CSF)
  • skin lesions cultured
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16
Q

what are the 3 interventions done immediately for sepsis

A
  • O2
  • IV fluids
  • IV antibiotics

these are to preserve organ fxn

17
Q

what additional interventions are done for sepsis?

A
  • cardiac/resp monitors
  • frequent vitals
  • strict I&O / DW
18
Q

what is AIDS caused by ?

A

human immunodeficiency virus

19
Q

what kind of cells does HIV/AIDS destroy

20
Q

why does AIDS occur in kids?

A

when HIV is not treated, acquired from mother in birth or breastmilk

21
Q

describe the progression of AIDS in kids

A

starts with nonspecific findings, then progresses to infections and deterioration

22
Q

wat diagnoses aids

A

HIV RNA assay

23
Q

what classifies a kid as HIV-

A

2 negative tests @ 6 m.o. or older

24
Q

all infants of mothers infected with HIV/AIDS should receive what?

A

PJP (pneumonitis jiroveci pneumonia) prophylaxis

25
what drugs treat HIV/AIDS
combo antiretroviral therapy (at least 3 drugs from 2 classes)
26
what is the initial goal of nursing management of HIV
implement health promotion measures to reduce risk of HIV transmission to newborns, infants, children, and adolescents
27
what is inflamamtion involving one or more joints that lasts longer than 6 weeks and occurs prior to 16 y.o.
juvenile idiopathic arthritis
28
what gender does juvenile idiopathic arthritis ffect more?
females
29
what 3 complications can juvenile idiopathic arthritis lead to?
* early closure of epiphyseal plate * contractures * synovitis
30
what meds help juvenile idiopathic arthritis
* NSAIDS * DMARDS (disease modifying anti-rheumatic drugs) such as methotrexate
31
what treatment for juvenile idiopathic arthritis preserves joint function and prevents deformities
PT/OT surgery (occasional)