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Small oral cavity/large tongue
-Increased risk of obstruction; nasal patency critical in infants
Newborns and young infants are nose breathers
-Will not automatically open mouth if nose is obstructed
Rapid growth of tonsils and adenoids during childhood; atrophy after age
12
-Larger tissues in smaller pharyngeal structures; infection can easily cause
obstruction of upper airway
Larynx and glottis high in neck
-Increased chance of aspiration
cont...
,Inguinal Hernia
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*** Responsible for materia - under readings in Sakai
Inflammatory Bowel Disease
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Term used for two forms of CHRONIC intestinal inflammation
-Crohn Disease
-Ulcerative colitis
Cause of IBD is largely unknown
-Genes (~5-22% have parent/child or siblings with disease)
-Environment (virus, bacteria - no real conclusions)
-Immune reaction (Environmental prompt or body attacking itself)
Chronic disease but treatable conditions
What causes ADHD?
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Genetic component: Occurs commonly in first-degree relatives.
Other risk factors: Maternal substance use, comorbid neurological
disorders (epilepsy), complications during labor & delivery, chaotic/abusive
environments.
Prefrontal and limbic system connections: Neurologic functional
, abnormalities? Possible sluggish neurologic electrophysiologic response
to stimulation.
*Epiglottitis
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Inflammation of epiglottis
Hemophilus Influenzae type B is most common etiology until 1980's ***
Typically age 2-7 years
Life-threatening illnesses requiring immediate nursing attention
Complications --- pnuemothorax, pulmonary edema, death from hypoxia
***Shows up on exams
Daily Fluid needs for Hospitalized Pediatric Patient
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Fluid needs should be calculated on every patient to assure that the infant /
child is receiving the correct amount of fluids.
Standard formula for pediatrics needs to be memorized.
Asthma Medication
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, BE SPECIFIC and CLEAR about the differences between medications.
Reinforce when to use each of the prescribed meds and proper technique
Advocate for a spacer device
Nursing Diagnosis: ICP
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Analyze:
Altered Level of Consciousness
Risk for Injury
Imbalanced Nutrition
Interrupted Family Processes
Altered level of consciousness related to increased ICP
Risk for injury related to seizures
Imbalanced nutrition: Less than body requirements related to feeding
difficulties
Interrupted family processes related to child with life threatening illness
Chest PT and positioning
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