| A | B |
|---|
| 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 |
| milestone - infant 1 mo - 1 year | doubles birth wt 6 mo - posterior fontanel closes |
| triples birth wt by ___ months | 12 |
| wt at 30 months s/b ___ | 4 times birth weight |
| age 2, they are approximately | 1/2 of adult height |
| 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 |
| 3 types of dehydration | isotonic, hypotonic, hypertonic |
| 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 |
| cystic fibrosis | leads to thick mucus in bronchioles, small I, pancreas, liver |
| 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 |
| 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 |
| beta 2 agonist do what | relax smooth muscle |
| anticholinergic do what | inhibits bronchoconstriction - lows mucus production |
| cystic fibrosis administer ___ with meals | pancreatic enzymes |
| 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 |
| cystic firosis - increased viscosity of secretions causes | obstruction of small passageway or organs |
| teach hemophilia - | safety, s/s internal bleeding, soft toothbrush - NO ASA |
| function of immune system | recognize any foreign substance |
| immune system responds to invasion of foreign by | antibodies |
| hypoxemia | low blood ox level |
| hypercapnia | excessive carbon dioxide in blood |
| hypoxia | low ox in tissue |
| signs of empending R failure | grunting, dyspnea, tachpnea, nasal flaring |
| sinuses | ethmoid sphenoid maxillary |
| grunting is | impending R distress |
| retractions | indentations between ribs |
| S1 = lub | close of tricuspid mitral - lub |
| S2 = dub | closure of aortic and pulmonic |
| aortic | 2nd intercostal right sternal border |
| pulmonic | 2nd intercostal left sternal border |
| tricuspid | 4th intercostal left sternal border |
| mitral | 5th intercostal - midclavicular |
| metabolic rate, ox needs, kcal needs are | high |
| turgor - where to check | abdomen, forearm, thigh |
| ears - children under 3 | down and back |
| ears - children over 3 | up and back |
| Pain - vitals will return to | normal despite persistance of pain |
| FLACC - pain assessment | face legs activity cry consolabilit |
| unrelieved pain causes | R problem, delay gastric/bowel, anorexit, low insulin |
