Describe Meningocele
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Meninges and CSF is affected, prognosis is excellent after correction
What are the purpose of chelation agents
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prevent further absorption of lead, increase diuresis of lead, and reduce
effect of lead on the heme system
,Define Absence Seizure
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blank stare, twitching eyes
Describe the erythrocyte protoprophyrin (EP) test
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detects an enzyme that increases as the lead levels rise and it reflects
adverse effects on the heme system, however it has a poor sensitivity to
low levels
What are some environmental factors that increase the chances of Neural tube
defects?
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pregnant lady taking Valproic Acid (Depakote) or maternal hyperthermia
What are the s/s of increased ICP in infants?
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tense, bulging fontanel; lack of normal pulsations, increased head
circumference, changes in appetite (poor feeding & vomiting) and
, behavior, high-pitched cry, inc or dec response to pain, sunset eyes,
distended scalp veins
What might you avoid in a patient with bacterial meningitis r/t positioning
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neck flexion and sudden position changes
Why are children 3-5 x more capable of absorbing lead than adults?
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High fat diet, more subcutaneous fat (p.s. lead loves fat), and GI tract
readily absorbs it
What's given as a standard of care to decrease the risk of hearing loss (CN8) in
bacterial meningitis caused by HIb
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Dexamethasone
Other uses for DDAVP
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, Nocturnal Enuresis, Von Hillenbrand disease (increases clotting factor)
What analgesic do we generally see ordered postoperatively for shunt placement or
revisions
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Tylenol+Codeine (Tylenol for the incisional pain and Codeine for the CNS
pain), Dilaudid if older child
What's a Nuclear brain scan (single photon emissions computed tomography)
[SPECT]
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3D images that show internal organs functioning
What might be on a the MAR of a child with a urinary diversion?
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Ditropan for bladder spasms
What activities should children with hx of seizures avoid
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Meninges and CSF is affected, prognosis is excellent after correction
What are the purpose of chelation agents
Give this one a try later!
prevent further absorption of lead, increase diuresis of lead, and reduce
effect of lead on the heme system
,Define Absence Seizure
Give this one a try later!
blank stare, twitching eyes
Describe the erythrocyte protoprophyrin (EP) test
Give this one a try later!
detects an enzyme that increases as the lead levels rise and it reflects
adverse effects on the heme system, however it has a poor sensitivity to
low levels
What are some environmental factors that increase the chances of Neural tube
defects?
Give this one a try later!
pregnant lady taking Valproic Acid (Depakote) or maternal hyperthermia
What are the s/s of increased ICP in infants?
Give this one a try later!
tense, bulging fontanel; lack of normal pulsations, increased head
circumference, changes in appetite (poor feeding & vomiting) and
, behavior, high-pitched cry, inc or dec response to pain, sunset eyes,
distended scalp veins
What might you avoid in a patient with bacterial meningitis r/t positioning
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neck flexion and sudden position changes
Why are children 3-5 x more capable of absorbing lead than adults?
Give this one a try later!
High fat diet, more subcutaneous fat (p.s. lead loves fat), and GI tract
readily absorbs it
What's given as a standard of care to decrease the risk of hearing loss (CN8) in
bacterial meningitis caused by HIb
Give this one a try later!
Dexamethasone
Other uses for DDAVP
Give this one a try later!
, Nocturnal Enuresis, Von Hillenbrand disease (increases clotting factor)
What analgesic do we generally see ordered postoperatively for shunt placement or
revisions
Give this one a try later!
Tylenol+Codeine (Tylenol for the incisional pain and Codeine for the CNS
pain), Dilaudid if older child
What's a Nuclear brain scan (single photon emissions computed tomography)
[SPECT]
Give this one a try later!
3D images that show internal organs functioning
What might be on a the MAR of a child with a urinary diversion?
Give this one a try later!
Ditropan for bladder spasms
What activities should children with hx of seizures avoid
Give this one a try later!
