| A | B |
|---|
| milestone - infant 1 mo - 1 year | doubles birth wt 6 mo - posterior fontanel closes |
| triples birth wt by ___ months | 12 |
| milestone - toddler 1-3 yrs | parallel play, "NO" |
| wt at 30 months s/b ___ | 4 times birth weight |
| age 2, they are approximately | 1/2 of adult height |
| milestone - preschool 3-6 yrs | associate play, aware cause and effect, talk talk |
| milestone - school age 6-12 | permanent teeth, collect things |
| milestone - 1-3 yrs | parallel play "no" gender idenity |
| milestone - 1 mo -1 year | solitary play object still exists when no longer in view |
| intro to solids at what age | 6 months |
| rice cereal first, then | yellow veggies, fruit, meat |
| toddler nutrition | no hot dogs, hard veggies, candy whole grapes, popcorn |
| school age nutrition | may want 2 b like peers, permanent teeth |
| wt gain and teaching - school age | flouride to water or supplements - nutrition need depend on activity level |
| TPN | check blood glucose levels, lab values, cl site |
| TPN - formula can be changed daily based on | daily labs |
| any infusion of TPN w/concentration of glucose over 10% need | central line |
| 3 types of dehydration | isotonic, hypotonic, hypertonic |
| fontanels mild dehydration | normal, moderate and severe suken |
| iron defeciency | take w/orange juice, use straw, iron formula cereal |
| CHF - assessment findings | develop subtly - tires easily wt loss, diaphoresis |
| CHF - what we will see | fluid overload, periorbital and face edema, jugular, cool extremities |
| rheumatic fever - how get it | strep a |
| rheumatic fever affects | heart, joints, cns, tissue involvement |
| rheumatic fever when occurs | 1-3 weeks after strep |
| 1st indication of congenital heart defect | heart murmor |
| bradycardia is a significant warning sign of | cardiac arrest |
| jones criteria | 2 major or 1 major, 2 minor |
| jones - major | polyarthritis, carditis, chorea, erythema, subq nodules |
| jones - minor | fever spiking, hie erythrocyte sed rate |
| cystic fibrosis | leads to thick mucus in bronchioles, small I, pancreas, liver |
| cystic firosis - increased viscosity of secretions causes | obstruction of small passageway or organs |
| CF - lungs what happens | thick sticky secretions pool in bronchioles causing atelectasis and provide bacteria growth |
| CF - pancreas and small i - what happens | pancreas becomes damaged - diabetic - unable to absorb fats & protein |
| sickel cell replaces normal hemoglobin with | abnormal sickle shape |
| sickle cell causes | high blood viscosity - obstrusts blood flow - ischemia |
| factors that contribute to sickle cell | fever, altitude - extreme temp boose, pregnancy |
| sickel cell - most common reasons for hospitalization | acute painful episodes |
| sickle RBC causes 3 things | vaso occlusion, MI, ischemia |
| pain in sickle cell - areas | back, abd, chest, joint |
| sickle cell - nursing | hydration IV, ox, blood, PAIN meds, rest, resposition, joint pain |
| hemarthrosis - what to do | RICE |
| hemophilia - what is it | deficiency in clotting factors |
| hemophilia A VIII aka | classic hemophilia |
| hemarthrosis | bleeding in joints - |
| hemarthrosis - most common joints to bleed | knee, ankle, elbow |
| meds - hemophilia | DDAVP - med alert bracelet |
| teach hemophilia - | safety, s/s internal bleeding, soft toothbrush - NO ASA |
| apnea | stop breathing 20 sec - or cyanosis, pallor |
| Apparent life threatening event ALTE | apnea accompanied by cyanosis, limp, pallor, choke |
| if you have ALTE, increased risk for | cardiopulmonary arrest |
| croup | broad classification of upper airyway illness |
| epiglottitis, LTB, bacterial s/s | stridor, seal-like bark cough, hoarseness |
| LTB is | viral invasion of upper airway |
| epiglottitis is | life threatening - 2-8 years |
| laryngotracheobronchitis LTB | danger children under 6 b/k airway obstruction |
| airway tissues respond to virus w/ | inflammation and edema |
| bronchopulmonary dysplasia | lung disease due to prolong ox therapy |
| asthma | chronic inflammation - airways narrow and hyper reactive to stimuli |
| lasix | diuretic - need potassium |
| aldactone | diuretic - potassium sparing |
| step 1 | mild intermittent - less 2 per week no meds |
| step 2 | mild persistent - more 2/week - not daily - low dose inhaled corticosteriods |
| step 3 | moderate persistent - daily - low dose inhaled corticosteriods - beta 2 agonist |
| step 4 | severe persistent - continuous - high dose corticosteriod - long act beta 2 |
| beta 2 agonist do what | relax smooth muscle |
| anticholinergic do what | inhibits bronchoconstriction - lows mucus production |
| cystic firbrosis leads to | thick mucus - bronchoiles, small I, pancreas |
| cystic fibrosis administer ___ with meals | pancreatic enzymes |
