Pediatric Nursing 4
Terms
undefined, object
copy deck
- How is Pyloric stenosis diagnosed?
- Barium Swallow
- How is Pyloric stenosis treated?
- Pylonomyotomy
- What are the nursing considerations following a Pylonomyotomy?
-
Promoto hydration
Prevent aspiration by feeding slowly, burping, HIGH FOWLERS position - What is intussusception?
- Telescoping of intestines - usually the ileosecal value which causes ischemia & obstruction
- What is the hallmark sign for Pyloric stenosis?
-
Projectile vomiting (2-4 weeks old)
Also olive shaped mass to right of umbillcus - What is the hallmark sign for Intussuseption?
- Normal first stool then current jelly like stools.. abdominal pain, vomiting, sausage shaped mass
- How do you treat Intussusception?
-
Barium enema
If not - colostomy may need to be done - What is celiac disease?
-
Gluten-sensitive enteropathy (GSE)
Lack of enzyme required to break down protein found in gluten products (breads- wheat products)
Inherited disorder - usually seen after 6 mos when start feeding - What are the dietary considerations for patients with Celiac disease?
-
No processed meat or cheese, margarine, yogurt, hot dogs, gravy, etc.
No BROW (barley, rye, oats, wheat) - How are seizures different in infants?
- seizure signs are repetitive sucking, smaking of lips, eyeblinking, tonguing
- Which syndrome is known to follow a viral illness and is non-recurring, non-inflammatory encephaopathy associated with fatty infiltration of interanl organs (liver, brain)?
- Reye's Syndrome
- Which disorder results in a relaxed or incompetent lower esophageal sphincter?
- GERD (gastroesophageal reflux)
- What complications can occur r/t GERD?
-
Aspiration pneumonia
Apnea (first sign that sends them to MD) - How is GERD dx?
-
pH probe study
Barium esophagography - What nursing considerations are there with patients with GERD?
-
Thicken formula with rice cereal
Small, freq. feedings 24 cal/oz
Prone with HOB up (no car seat as this increased ICP!)
Antacids, Histamine blockers
Upright 1 hour post feeding - What is the classic triad for Celiac Disease?
-
Steatorrhea
Abdominal enlargement
Malnutrition - What are the signs of progession of Celiac disease?
-
Loss of subcutaneous fat (esp. buttocks)..muscle wasting.
Malnutrition
Paleness due to anemia (decreased vit. K absorption)
Abdominal pain/vomiting - Which disorder is linked to aspirin use during a viral infection?
- Reye's Syndrome
- What is the therapeutic management of Reye's Syndrome?
-
Medication to paralyze
Anticonvulsants
Mechanical ventilation
ICP monitoring
Fluid and electrolyte replacement - How are the signs and symptoms of diabetes different in children vs adults?
-
Bedwetting may be 1st sign in children
Dry skin, blurred vision, sores slow to heal, tireness
Recurrent yeast infections in adolescents - Which disorder is characterized by the interruption of vascular supply to the proximal femoral epiphysis?
-
Legg-calves-perthes
(common in boys 3-10 yo w/ highest incident around 6 yo)
Rarely bilateral
Necrotic bone absorption
No weight bearing 2-4 years - What is the therapeutic managment of patients with Scolosis?
-
Prolonged bracing or spinal fusion (rod replacement)
Must wear brace 16-23 hours/day - but based on child's age and severity - What is Duchene's Muscular Dystrophy?
-
Most severe form of MD - muscle wasting & weakness w/ fatty deposits
Sex linked recessive gene
Males more common
Death within 10-15 years
Dx: Changes in gait; freq falls; diff. rising from sitting or supine position - What is the Gower's sign and what is it associated with?
-
Waddling gate and lordosis
Associated with Duchenne's MD - What is the most common fracture in children less than 3 years of age?
- greenstick
- What do you expect of the lab values in a child with Nephrotic Syndrome?
-
Proteinuria
Hypoalbuminuria
Hyperlipidemia (high serum cholesterol)
(lots of edema) - Which disorder is acute self-limiting autoimmune disease that follows A Beta-hemolytic infection?
-
Acute Glomerular Nephritis
(antigens lodge in glomeruil leading to inflammation/obstruction - excrete RBC) - What do you expect the lab values to be in a child with AGN?
-
Hematuria
Positive Antistreptolysin 0 titers
Elevated SED rate
Elevated BUN and Creatinine