Peds Exam 2 Review
Tx of cystic fibrosis
O2 prn encourage fluids chest physiotherapy inhaled bronchodilator inhaled dornase alfa abx increase calorie and protein intake
what is Hypospadias
Opening of the urethra on the inferior surface of the penis -risk for UTI, infection, fistulas
what things increase the risk of respiratory disorders in kids?
-prematurity -chronic illness -daycare attendance -immune defeiciency
describe the patho of nephrotic syndrome
increased glomerular permeability protein is lost in the urine
s/s of asthma
increased wob tachypnea wheezing (turbulent air) cough
maintence asthma medications
leukotrine modifiers inhaled corticosteroids long acting bronchodilators
describe parasitic infections
lice scabies
Nursing care for tonsillectomy
maintain fluid volume discourage coughing encourage fluids and avoid citrus, red, or brown fluids
describe helminthic infections
pinworm hookworm ascariasis
manifestations of nephrotic syndrome
proteinuria (dipstick test) facial edema hypoalbuminemia hyperlipidemia increased infection risk and clots
viral infections in kids usually present with a
rash (viral exanthems)
s/s of broncholitis (RSV)
runny nose cough and wheeze low grade fever poor feeding
Rescue medication for asthma attack
short acting bronchodilator
Best position for recovering tonsillectomy
side lying or prone
glomerulonephritis is often caused by
strep
RSV tx
suction and IV fluids
describe the characteristics of cystic fibrosis
too much mucous production (plug)
describe zoonotic infections
transmitted direct/indirect from animals or vectors like ticks, mosquitoes, racoons rabies cat-scratch fever lyme disease rocky mountain spotted fever
t/f glomerulonephritis is an autoimmune disorder
true body sees glomeruli as foreign and attacks
vesicoureteral reflux (VUR)
urine backflows up to ureter results in pyelonephritis hydronephrosis renal failure
Children's risk for infections and respiratory disorders include
-immature immune system -decreased inflammatory response (immunity is reached at 10 years old)
s/s pneumothorax
-chest pain -tachypnea -retractions -nasal flaring -grunting
what causes Hemolytic Uremic Syndrome (HUS)
E.coli
s/s of glomerulonephritis
HTN edema fatigue mointor urine weight and I&O
define pneumothroax
air in the pleural space
what happens with asthma
air is trapped in lungs, cant breathe out bc of swelling
Obstructive uropathy
any obstruction along the ureter between the kidney pelvis and bladder
Is cystic fibrosis dominant or recessive?
autosomal recessive (both parents are carriers)
what diet is needed for acute renal failure
high carbs and calcium low protein, k+, sodium, phosphorus
s/s of cystic fibrosis
barrel chest clubbing of nails coughing/wheezing/dyspnea/cyanosis steatorrhea in GI
Exstrophy of the bladder
bladder is outside of the body -sex assignment bc gender inidentifiable -cover with sterile dressing post op
risk factors for pneumothorax
chest trauma or surgery intubation hx of chronic lung disease (CF)
S/S of RSV bronchiolitis?
clear runny nose low grade fever
Nephrotic syndrome nursing care
corticosteroids strict I&O daly weight IV albumin and lasix
Nursing management for hypospadias
f/c and catheter care latex precautions -1st surgery by 6-12 months castration anxiety
what should a nurse look out for in a tonsillectomy pt?
frequent swallowing = bleeding
hematuria, proteinuria, and positive ASO titer is an indication of
glomerulonephritis
Hemolytic Uremic Syndrome (HUS)
hemolytic anemia and thrombocytopenia cause acute renal failure
