prevent sids
pacifier at bedtime
juvenille arthritis
encourage self care
celiac disease
-diarrhea
can't digest gluten
-malabsorption
-steatorrhea
tinea pedis
wear sandals (fungal infection between toes)
car seat
secure by using lower anchors & tethers instead of seat belt
head injury = diabetes insipidus
high sodium level due to dehydration
pituitary hypofunction leading to deficiency of anti-diuretic hormone
pituitary hypofunction leading to deficiency of anti-diuretic hormone
eye drops
give eye drops, wait 3 mins to give ointment
sickle-turbidity test
perform a finger stick
peripheral edema
palpate dorsum of foot
burn
wash with soap & water to prevent infection
hearing evaluation
no babbling by 7 months
gluten free
no oats,-barley, rye, wheat rice pudding is gluten free
digoxin
wash teeth after to prevent tooth decay
oral nystatin
shake medication prior to use
epidural hematoma
initiate seizure precautions
cheilopasty (lip reduction)
apply anbtibiotic ointment to sutures
sodium polystyrene enema
monitor potassium
treat hyperkalemia
spastic (pyridimal) cerebral palsy
-ankle clonus
-exaggerated stretch reflex
-contractures
suggestive physical abuse
symmetric burns of lower extremeties
inappropriate anti-diuretic hormone secretion
mental confusion
- decrease in urine
hyponatremia
-hyposmolaity (overhydration)
MMR vaccine contraindicaiton
neomycin allergy
(no allergies to eggs/gelatin)
sunburns
sunscreen with 15 SPF
4 year old
cuts shapes with scizzors
kawasaki disease
-increased temp
-xerophtalmia
-cervical lymphadenopathy
scoliosis
-unilateral rib hump
bacterial meningitis
increased protein concentration in spinal fluid
erythema infectiosum (fifth disease)
facial rash
epiglottis
prepare for nasotracheal intubation
ventricular septal defect
loud, harsh murmur
left to right shunting of blood = hypertrophy of heart muscle
cardiac cath post-op
wait 3 days before tub bath
tonic-clonic seizure
place child in lateral position
diaper dermatitis
apply zinc oxide
tobramycin (aminoglyceride)
assess for hearing loss
diabetic ketoacidosis
deep respiration rate high
blow off excess carbon dioxide
hypopituitarism
give RECOMBINANT GROWTH HORMONE
(inhibits cell growth, results in growth failure)
intussuception
-vomiting
-lethargy
burn
apply antimicrobial ointment
acute rheumatic fever
maintain bedrest, to prevent cardiac damage
failure to thrive
-observe parents reaction feeding child
-maintain strict I/O
12 month nutrition
skim milk not reccommended until age 2
lacks fatty acids for growth
toddler venupuncture
supine
most common allergy in children
cow's milk
immunizations 2 month old
haemophilus influenzae type b (HIB)
inactivated polio virus (IPV)
water heater
49 C = 120 F
do not exceed
adult tetanus booster
age 7 or older
reccommended every 10 years after 18
peek-a-boo
object permanence
object still exists when out of sight
6 month old
babinski present
(until 1 year old)
increased risk for hospitilization stress
males
temporary loss of vision
explain sounds the child is hearing
ingested bleach
injury by corrosive liquid is worse than solid
birth weight
12 months = triple
30 months = quadroopled
relaxation strategy
rock baby
intusseception
invasion of one intestine into another creating a pocket
- x ray
-ultrasound
-ct scan
management hypoglycemia
10-15 grams simple carbohydrates
(8 ounce milk)
sickle cell anemia, vaso-occlusive crisis
maintain bed rest
minimize energy & O2 needs
surgical repair cleft palate
suction gently with bulb syrine PRN
maintain airway
scoliosis brace
wear 23 hours a day
only remove for shower or PT
tracheomalacia
weakened trachea = collapse
-barking cough
-stridor
-wheezing cyanosis
-apnea
surgical myelomeningocele complication
pathway for cerebral spinal fluid is altered
risk for hydrocephalus
measels (rubeola)
koplick spots*
-fever
-malaise
-conjuctivitis
-cold ss
2 year old diet
1,000 calories
asthma
report sudden stop of wheezing
pinworms
give ALBENDAZOLE
today & again in 2 weeks
eradicate parasite & prevent infection
ASO titer
recent strep infection test
epiglottis
***drooling***
pyloromyotomy surgery
4-6 hours after, feed
small, bottle feedings of electrolyte solution
ear drops
massage anterior area of infants ear
ventricular septal defect
murmur at the left sternal border
gastroesphogeal reflux
add rice to baby's feedings
thick = reduce vomiting
5 year old immunizations
diptheria, tetanus, & pertussis (dTap)
boosters between 4-6, blood titers drop due to decreasing antibodies
nephrotic syndrome
high cholesterol bc of increased plasma lipids
school aged child surgery
schedule pre-operative visit to facility
vesicular rash
varicella
acute glomerulonephritis
monitor bp every 4 hours for hypertension
sickle cell anemia
give popsicles
hydration prevents sickeling
anaphylaxis
-nausea
-uticaria
-stridor
autism
bring stuffed animal to hospital
tetralogy of fallet
cyanosis
increase RBC in attempt to supply O2 to bod
otitis media
amoxicillin (antibiotic)
intussception
barium enema may not need surgery
transposition of great arteries
severe cyanosis
rheumatic fever pain
aspirin for joint pain
leukemia
low RBC