| A | B |
|---|
| cleft lip | sutures using diagonal - zig zag |
| cleft surgeries use | elbow retraints |
| sucking motion strengthens muscles for | speech |
| cleft palate surgeries usually | 18 months |
| cleanse cleft area by ___ | giving 5-15 ml water after feeding |
| use sterile technique when | working with sutures |
| cleft surgery post-op | airway management - remove restraints q 2 hrs (never leave alone) |
| no after cleft surgery | metal utensils, pacifers, straws |
| big risk with cleft | aspiration |
| GERD what is it | return of gastric contents to esophagus |
| premies at ___ risk for GERD | big |
| GERD - most common sign | regurgitation - small or forcefull |
| GERD pt are at risk for what | aspiration |
| GERD tx | small frequent meals, add rice cereal to milk |
| Hold child ___ 20-30 min w/GERD | upright |
| GERD associated with | poor wt excessive spitting up or forceful, blood in stool |
| zantac pepcid tagament is what | inhibition of histamine, blocking gastric acid |
| Hirschsprungs is aka as | megacolon |
| Hirschsprung is | inadequate motility - causes obstruction |
| Hirschsprung s/s | abdominal distention and emesis |
| Hirschsprung special things | newborns fail to pass meconium, pencil stools |
| intussuseception is | portion of intestine prolapses and telescopes n 2 another |
| intussuseception is the most common | intestinal obstruction |
| intussusception onset | abrupt w/acute abd pain, vomit |
| intussusception stools can be | red current jelly |
| intussusception mass is in | RUQ |
| intussusception nursing management | iv fluids s/s infect, ng tube, bowel sounds |
| pinworms is a | intestinal parasitic disorder |
| pinworms - what will itch | perinal - itching worse at night |
| pinworms use ___ test | tape |
| pyloric stenosis is what | circular area of muscle pulorus hypertropy and block gastric empty |
| pyloric stenosis will vomit | forcefully or projectile - may be blood tinged |
| pyloric stenosis pt are always | hungry - fail to gain weight |
| pyloric stenosis what u hear/feel | olive size mass upper abd - hyperactive bowel sounds |
| pyloric stenosis - what is so important to obtain | history |
| pyloric stenosis treatment of choice is | surgery |
| celiac | intolerance to gluten |
| gluten is a protein found in | wheat, barley rye oats |
| celiac will have ____ stools | fatty |
| celiac are unable to absorb | iron, folate, vitamins DAEK B12 |
| rotavirus is the most common type of | gastroentroitis |
| rotavirus is what route contamination | fecal oral |
| tracheoesophageal fistula is | failure of esophagus to develop |
| tracheoesophageal fistula tube may | end in blind pouch |
| TEF s/s | excessive salvation and drooling |
| TEF during feedings, infants | return fluid thru nose mouth |
| TEF is at risk for | aspiration |
| TEF - nursing | NPO, IV for antibotics - SURGERY ASAP |
| otitis media who gets more often | daycare allergies smoke pacificer |
| pacifier changes the dynamics of | eustachian tube |
| conjunctivitis how to tell bacteria | purulant discharge - yellow white |
| conjunctivitis - nursing | elevate head (reduce swelling) 24hrs before back to school |
| pharynigitis is 80% | viral - enterovirus |
| pharynigitis s/s | nasal congestion, mild sore throat, cough, hoarsness, fever less 101 |
| tonsilitis s/s | breathing & swallowing - w/or w/out exudate |
| tonsillectomy offer | chilled liquids |
| tonsillectomy NOs | no straw, citrus, red liquids |
| tonsillectomy teaching for home | sore throat 1 week, 10 days back to school |
| tonsillectomy watch for | excessive swallowing - s/s bleeding |
| leukemia is | cancer of blood forming organs |
| leukemis is characterized by | profileration of abnormal WBC in body |
| leukemia dx | blood counts, bone marrow aspiration |
| neutropenia is | decreased neturphils to fight infection |
| wilms tumor where is it | abdominal |
| if fell tumor in abdomen, | stop and report |
| never ____ liver or abdomen if | have Wilms tumor |
| function of immune system | recognize any foreign substance |
| immune system responds to invasion of foreign by | antibodies |
| immune not developed unil age | 6 |
| immunity is either | natural or acquired |
| natural immune defense is | intact skin, antibodies, ph, inflammatory, phagocytic |
| antibodies are found (3) | serum body fluids certain tissues |
| lupus | abnormal immune system response to own tissue |
| lupus has many | remissions and excerbations |
| chronic inflammatory disease | lupus |
| tissues most likely to be affected by lupus | small blood vessels, spleen, heart valves glomeruli joints |
| lupus can lead to | renal failure |
| most common s/s w/ lupus | butterfly rash, arthritis, skin rash |
| tests for lupus | coombs, bun, anemic |
| goals of medical management of lupus | create remissions - corticosteriods, nsaids, immunosuppresant |
| lupus has to have ___ daily | sunscreen |
| juvenile arthritis is | chronic autoimmune inflammatory disease |
| JRA causes | joint inflammation, decreased mobility and ROM - scar tissue |
| JRA s/s | fever, rash, swelling in joints |
| treat JRA w | ASA, NSAIDS |
| JRA goal of treatment | relieve pain, prevent contractures |
| JRA and asa run risk for | Reye - teach family |
