FINAL REVIEW
(40:39 on BB Collab)
1. Treatment for Pulmonary Atresia Prostagladin E to keep PDA
Treat symptoms of CHF
Surgery
2. Where to give intramuscular injection Infants = vastus lateralis Peds = deltoid 3. Anatomy and physiology of infant’s heart 4. Childhood patent ductus arteriosus... What to find on assessment? dyspnea , tachycardia
Full, bounding pulses
Hypotension “Machine” murmur
5. Know what pertussis (Whooping Cough) is Patho:
Pertussis is primarily a toxin-mediated disease. The bacteria attach to the cilia of the respiratory epithelial cells, produce toxins that paralyze the cilia, and cause inflammation of the respiratory tract , which interferes with the clearing of pulmonary secretions. s/s:
Runny nose
Low-grade fever (generally minimal throughout the course of the disease)
Mild, occasional cough
Apnea – a pause in breathing (in babies)
Vaccine for it is → DTap
6. Kawasaki disease.... Know what they are likely to develop While the majority of heart disease in children is congenital (present at birth), it is possible for kids to develop heart disease later in childhood. Kawasaki disease is the leading cause of acquired heart disease in kids. Acute: Irritability
high fever lasting 5 or more days red throat
Subacute: afebrile, cracking lips and fissures, desquamation of skin on tips of toes and fingers, 7. Know how to treat Rheumatic fever Antibiotics
Aspirin
Prophylactic antibiotics for invasive procedure and dental work
8. Know what successive vaccinations are releasing antibody antigen response ?? 9. Know the evaluation of the infants that are septic Infants under 2 months → Any fever in an infant under 1-2 months needs to be evaluated for neonatal sepsis
At risk for neonatal sepsis
Workup → LP , Blood & urine cultures, IV antibiotics ASAP & monitoring
10. Atrial septic defect.. what kind of shunt is it? LEFT to RIGHT shunting of blood
11. know different disorders that fall under the umbrella of cyanotic disease Pulmonary Atresia
Tricuspid Atresia
Tetralogy of Fallot
12. therapeutic regimen for patient with heart failure will be Maintain fluid and electrolyte balance
Decrease workload of the heart
Provide adequate nutrition Increase tissue oxygenation -- not sure? maybe?
Meds: diuretics, ACE inhibitors 13. client education for sickle cell disease Often at an early age this child becomes opioid tolerant
Seizure precaution
14. parenteral education for patient with hemophilia (Things they need to avoid) AVOID BLEEDING EPISODES
15. Foods they need to take for iron deficiency anemia Foods high in iron such as
Shellfish
Spinach
Live and other organ meats
Legumes (beans, lentils, chickpeas, peas, soybeans)
(40:39 on BB Collab)
1. Treatment for Pulmonary Atresia Prostagladin E to keep PDA
Treat symptoms of CHF
Surgery
2. Where to give intramuscular injection Infants = vastus lateralis Peds = deltoid 3. Anatomy and physiology of infant’s heart 4. Childhood patent ductus arteriosus... What to find on assessment? dyspnea , tachycardia
Full, bounding pulses
Hypotension “Machine” murmur
5. Know what pertussis (Whooping Cough) is Patho:
Pertussis is primarily a toxin-mediated disease. The bacteria attach to the cilia of the respiratory epithelial cells, produce toxins that paralyze the cilia, and cause inflammation of the respiratory tract , which interferes with the clearing of pulmonary secretions. s/s:
Runny nose
Low-grade fever (generally minimal throughout the course of the disease)
Mild, occasional cough
Apnea – a pause in breathing (in babies)
Vaccine for it is → DTap
6. Kawasaki disease.... Know what they are likely to develop While the majority of heart disease in children is congenital (present at birth), it is possible for kids to develop heart disease later in childhood. Kawasaki disease is the leading cause of acquired heart disease in kids. Acute: Irritability
high fever lasting 5 or more days red throat
Subacute: afebrile, cracking lips and fissures, desquamation of skin on tips of toes and fingers, 7. Know how to treat Rheumatic fever Antibiotics
Aspirin
Prophylactic antibiotics for invasive procedure and dental work
8. Know what successive vaccinations are releasing antibody antigen response ?? 9. Know the evaluation of the infants that are septic Infants under 2 months → Any fever in an infant under 1-2 months needs to be evaluated for neonatal sepsis
At risk for neonatal sepsis
Workup → LP , Blood & urine cultures, IV antibiotics ASAP & monitoring
10. Atrial septic defect.. what kind of shunt is it? LEFT to RIGHT shunting of blood
11. know different disorders that fall under the umbrella of cyanotic disease Pulmonary Atresia
Tricuspid Atresia
Tetralogy of Fallot
12. therapeutic regimen for patient with heart failure will be Maintain fluid and electrolyte balance
Decrease workload of the heart
Provide adequate nutrition Increase tissue oxygenation -- not sure? maybe?
Meds: diuretics, ACE inhibitors 13. client education for sickle cell disease Often at an early age this child becomes opioid tolerant
Seizure precaution
14. parenteral education for patient with hemophilia (Things they need to avoid) AVOID BLEEDING EPISODES
15. Foods they need to take for iron deficiency anemia Foods high in iron such as
Shellfish
Spinach
Live and other organ meats
Legumes (beans, lentils, chickpeas, peas, soybeans)
