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201: Peds Exam 2 > Interventions > Flashcards

Interventions Flashcards

1
Q

Meds for neuro disorders

A

Abx
Anticonvulsant
Benzodiazepines
Osmotic diuretics
Corticosteroids

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2
Q

Seizure precautions

A

Airway/suction
O2
Side lie
Safe environment (padding)
Anticonvulsant
Help ambulate

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3
Q

Tonsillectomy post op interventions

A

Prone or side til awake - then elevate HOB
Fluids, popsicles, ice chips
No citrus, brown, or red
Ice collar and analgesics
Edu no: cough, straw, nose blow, clearing of throat

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4
Q

Drugs for croup

A

Racemic epinephrine aerosol to decrease edema
Steroids for inflammation

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5
Q

Vax that prevents epiglottitis

A

Hib

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6
Q

Nursing for epiglottitis

A

No visualizing throat
Constant supervision
No supine
100% O2
Tracheostomy if complete obstruction
Emergency equipment available

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7
Q

Cystic fibrosis tx

A

CPT many times a day
Inhaled dornase alfa
Inhaled Abx
Pancreatic enzymes
Fat soluble vitamins
High calorie/high protein diet

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8
Q

Nursing mgmt for HF

A

Promote O2: position, suction, O2
Nutrition: more calories, small frequents
Rest to decrease cardiac demands

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9
Q

For high risk kids, reduce risk of infective endocarditis via…

A

Toothbrush
Flossing
Abx at dentist

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10
Q

Therapeutic mgmt for rheumatic fever

A

Mgmt inflammation and fever
10 day Penicillin with steroids and NSAIDs
Prophylactic Abx for years to prevent recurrence

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11
Q

Mgmt CM

A

Mechanical ventilation and vasoactive meds
ACE, BB, CCB
Pacemaker
Heart transplant

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12
Q

Kawasaki drugs

A

IV immunoglobulin
ASA (the rare exception)

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13
Q

Kawasaki nursing

A

Quiet environment
Cluster care
Lubricating ointment to lips
Ice chips
Positioning and ROM exercises

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14
Q

Kawasaki edu for parents

A

Avoid MMR and varicella vax for 11 months post IVIG
Report ASA side effects
Avoid additional NSAIDs
Must comply with regularly scheduled cardiology FU appnts
CPR

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15
Q

Rehydration therapy

A

Fluid (ORS 50 to 100 mL/kg over 4 hrs) with NaCl and glucose (Pedialyte, Infalyte, Ricelyte)
For severe: IV NS or LR

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16
Q

Drugs for thrush

A

Nystatin or fluconazole

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17
Q

Tx for GERD

A

Elevate HOB
Upright for feedings
Meds
Nissen Fundoplication

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18
Q

Procedure for Biliary Atresia

A

Kasai procedure

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19
Q

Nursing for fluid and lyte balance

A

VS
Spec grav
I & O
Diuretics
HyperK? HypoCa?
PRBC
Dialysis

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20
Q

Drug for nephrotic syndrome

A

Steroid

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21
Q

Drug for glomerulonephritis

A

Abx if from strep

22
Q

Mgmt labial adhesions

A

Estrogen cream til labia separates
Petroleum jelly for 1 month after

23
Q

Tx phimosis

A

Topical steroid and gentle retraction
Circumcision

24
Q

Parent edu post circumcision

A

Sponge baths
Normal granulation
Ointment or petroleum jelly
Call if: no UOP 6-8h post op, heavy bleeding, purulent or serous, swollen or red shaft

25
Tx club foot
Progressive casting as soon as born Corrective shoes Braces Surg
26
Mgmt DDH
Pavlik harness asap, younger than 6 months Closed reduction from 6 mo to 2 yo , spica cast for 12 w Surg - ORIF if older than 2 yo
27
Torticollis mgmt
Passive stretching several x/day
28
Nursing mgmt muscular dystrophy
Meds Promote mobility Passive stretching and strengthening Elimination Cardiopulmonary- ventilator, nasal prongs Deep breathing exercises CPT Antidepressants if depressed Steroids to slow progression- may cause weight gain, osteoporosis, mood BB and ACE to help heart
29
Rickets tx
Ca, phosph, vitamin D supplements
30
Tx legg calve perthes
Anti inflammatory Brace/cast/traction Activity limitation
31
Interventions immediately after fracture
Immobilize above/below Ice 48 hrs Elevate NV checks Pain
32
Immediate burn nursing interventions
Assess Remove clothes Brief hx ABC
33
Nursing for extensive burns
O2 Fluids Prevent hypothermia Clean site/prevent infection Pain
34
Parkland formula for fluid requirements
4 mL x TBSA% x kg (Half is given in first 8 hrs, remaining half is given over next 16 hrs)
35
Iron foods
Red meat Tuna and salmon Eggs Tofu Enriched grains Dried beans, peas, fruits Leafy greens Cereal
36
Mgmt for aplastic anemia
HSCT (marrow transplant) Immunosuppressive therapy Important to prevent injury/hemorrhage
37
Hemophilia mgmt
Factor administration during bleeding and before procedures that can cause bleeding (surg, needles, dentist) Prevent injury/bleeding - non contact sports etc
38
Tx and mgmt wilms tumor
Don’t palpate the mass Surgical removal of affected kidney Avoid contact sports to protect remaining kidney Radiation and chemo
39
Congenital adrenal hyperplasia mgmt
Lifelong meds (cortisone, glucocorticoid, mineralocorticoid fludrocortisone) Prevent/tx acute adrenal crisis (IV roids, D5NS)
40
Factors in calculating insulin dosing
BG Activity Meals
41
Factors that influence behavior
Genetics Nutrition Physical health Environment/family interactions Temperament Parent’ response to behavior
42
AHA Chain of survival for kids
Prevent arrest/injury CPR EMS PALS Post cardiac arrest care
43
ABCDE of life support
Airway Breathing Circulation Disability (neuro) Exposure
44
Nursing mgmt for child in emergency
Airway O2 Ventilation Monitor changes Support and education for kid and family
45
Mgmt sinusitis
Abx Saline nasal spray Humidifier Oral fluid
46
Epilepsy tx
Anticonvulsant Surg Vagal stimulator Ketogenic diet
47
This drug can help the drooling associated with cerebral palsy
Botulinum toxin type A
48
Drugs for impetigo
Cephalosporin Mupirocin ointment Clindamycin for MRSA
49
Tx arteriovenous malformation
Surgery Endovascular embolization Radiation
50
Initial fluid bolus for kids
20 mL/kg

201: Peds Exam 2 (3 decks)

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