PEDS Q6
Congenital clubfoot
*"We are happy this is the only cast our baby will need"*
Erythema multiforme minor Manifestations
Skin lesions may be preceded by fever, malaise, and upper respiratory symptoms
A 27.5 lb child is receiving antibiotics for osteomyelitis. The order reads Pen-Vee-K 40mg/kg/ day divided every 6 hours. Which dosage of antibiotics should this child receive with each dose?
Steps: 27.5 lb/ 2.2= 12.5kg 40mg x 12.5kg= 500 (remember divided every 6 hours→ so that's 24/6= 4) 500/4= 125 *Answer: 125*
A nurse is calculating the intake of a client during the past 9 hr. The client's intake includes lactated Ringer's IV at 150 mL/hr, cefazolin 2 g IV intermittent bolus in 100 mL of 0.9% sodium chloride, two units of packed RBCs of 275 mL and 250 mL; two IV bolus infusions of 250 mL of 0.9% sodium chloride, ranitidine 50 mg IV intermittent bolus in 50 mL of dextrose 5% in water. How many mL of intake should the nurse record?
Steps: add all the ml so that's (150x9 + 100ml+ 275ml+ 250ml+250ml +250ml +50ml= 2525) *Answer: 2525*
A 88 lb child is started on Augmentin (as noted in the picture 642.9mg/5ml) for cellulitis treatment. The dose is 40mg/kg given Q8 hours by mouth. How many MLS will be given for each dose? (round to the nearest whole number)
*12mL* Steps: 80lb/2.2= 40kg 40mgx 40kg= 1600mg 1600mgx 5ml= 8000 8000/ 642.9mg= 12ml
How long is the incubation period of lice?
*7-10 days* eggs usually hatch by then
What is a Green stick fracture?
*A break through the periosteum and bone on one side but the other side is intact and only bends*
Achondroplasia / Dwarfism manifestations
*Bulky forehead, saddle nose, lumbar lordosis, bow legs - Arms and legs are disproportionately short- Head looks abnormally large but this is actually an illusion* what is this? Achondroplasia
Burn care interventions for *superficial burns*
*Covering a small area, using moist soaks to stop the burning process and to relieve pain*
Diaper dermatitis client teaching (diaper rash)
*I should wash all clothes before the first wearing and to rinse clothes an extra time to remove all the soap*
What causes Red papules and edema at the site...
*Mosquito bites*
The health risks of youth backpacks (SATA)
*Practice back strengthening exercises and learn to bend at the knees when lifting objects* *Use a padded back and waist strap* *Have wide padded shoulder straps and wear the pack on both shoulders, close to the body* *Consider a rolling backpack if its too heavy*
(Duchenne) muscular dystrophy management plan
*Recommend genetic counseling*
Skin allergies what is the highest priority?
*Reducing swelling and relieving itching*
Compartment syndrome patho
*Serious condition that involves increased pressure in sheaths of the inelastic fascia and leads to massive impairment of circulation*
A black widow bite... what do you do?
*Take the child to the emergency department*
Stevens-Johnson Syndrome
*remember SJS prodromal is 1-7days*
How does scabies spread?
*skin to skin* and sexual contact
Nursing diagnosis for fracture (SATA)
- Health Behavior, Risk-Prone, related to peer group influence and chosen activities - Mobility: Physical, Impaired, related to treatment - Skin Integrity, Risk for Impaired, related to treatment - Pain, Acute, related to injury
Burns - risk factors and what to monitor for regarding severe burns SATA
-Keep infants and toddlers off the lap when drinking hot beverages or eating soup -Lower the temperature settings for hot water heaters
Tinea Corporis *"Ringworm"* manifestations
A pink, scaly circular patch with an expanding border may be scaly or erythematous throughout. *So if a patient has a red circular rash with clearer skin, it is Tinea Corporis*
Spica cast care
If parents say *"I can use baby powder on the cast to absorb moisture if it becomes wet"* → remember we never want it to get wet at all
Molluscum contagiosum manifestations
Multiple pearl-like flesh-colored smooth papules, PEARL-LIKE... what is this? *Molluscum contagiosum*
Manifestation of Hip dysplasia (sata)
a. Limited abduction of the affected hip b. Unequal gluteal folds c.Telescoping of the thigh
stage 3 pressure injury
full thickness injury
what is a *wood lamp* used for?
helps identify some form of TINEA Shining a *Wood lamp* on the lesion helps identify some forms of tinea (e.g., Microspore fluoresces brilliant green)
what age is lice most common in?
most common in ages *3-11 years old*
staging pressure sores
patient right heel: stage 2 pressure injury *know: stage 2 is Partial thickness skin loss of the dermis*
Molluscum contagiosum manifestations
pearl-like, bumps appear on face arms and legs--> Molluscum contagiosum
