Case Study - PEDS

Hb levels - normal level for kids??? this is higher or lower than for adults.

11-13 gm/dl. higher than for adults

croup let's taco bout this: aka __________________ usually caused by a _________________ swelling inside the __________________ classic symtpom is a __________ cough Croup is typically diagnosed based on signs and symptoms after potentially more severe causes, such as epiglottitis or an airway foreign body, have been ruled out.

Croup, also known as laryngotracheobronchitis, is a type of respiratory infection that is usually caused by a virus.[1] The infection leads to swelling inside the trachea, which interferes with normal breathing and produces the classic symptoms of "barking" cough, stridor, and a hoarse voice.[1] Fever and runny nose may also be present.[1] These symptoms may be mild, moderate, or severe.[2] Often it starts or is worse at night.[1][2] It normally lasts one to two days.[5] Croup can be caused by a number of viruses including parainfluenza and influenza virus.[1] Rarely is it due to a bacterial infection.[4] Croup is typically diagnosed based on signs and symptoms after potentially more severe causes, such as epiglottitis or an airway foreign body, have been ruled out.

NCLEX: A child with croup is placed in a cool mist tent. The mother becomes concerned because the child is frightened, consistently crying and trying to climb out of the tent. Which is the most appropriate nursing action? a) Tell the mother that the child must stay in the tent b) Place a toy in the tent to make the child feel more comfortable c) Call the healthcare provider and ask for an order for diazepam d) Let the mother hold the child and direct cool mist over the child's face

Let the mother hold the child and direct the cool mist over the child's face.

4. An infant diagnosed with pyloric stenosis is admitted with a history of vomiting for several days. Which nursing diagnosis would be the priority? a) Deficient fluid volume related to prolonged vomiting b) Ineffective airway clearance related to impaired swallowing c) Imbalance nutrition: less than the body requires related to prolonged vomiting d) Anxiety related to loss of body control

a) Deficient fluid volume related to prolonged vomiting

2. The mother of a hospitalized 2 year old with viral croup asks the nurse why the healthcare provider did not prescribe antibiotics. Which response should the nurse make?a) "The child may be allergic to antibiotics"b) "The child is too young to receive antibiotics"c) "Antibiotics are not indicated unless a bacterial infection is present"d) "The child still has the maternal antibodies from birth and does not need antibiotics"

c) "Antibiotics are not indicated unless a bacterial infection is present"

what can be causing the s/sx?

croup flu virus

t/f can croup cause low hemoglobin?

no. hemoglobin drops usually from bleeding and anemia.

why draw peaks and troughs for gentamycin? Between which doses?

peaks and troughs between 3rd and 4th dose. for gentamycin ototoxicity and nephrottoocty is why ou want to draw this level

Arterial Blood Gas: pH 7.20 CO2 64.2 O2 72.8 HCO3 24.8 BE -3.8 Hgb 7.8 Hct 24% What does this blood gas show?

uncompensated respiratory acidosis because pH is acidic, CO2 is high, her HCO3 is in normal range, so not compensating.