you have a peds pt who comes in tachycardia, cool skin to touch, decreased urine output, slow cap refill
shock
what would be an early sign of respiratory distress in peds pt?
nasal flaring
sick cell disease in child in pain crisis what is 1st intervention
oxygen
sickle cell disease these pt should avoid dehydration ,why?
can cause vasocrisis
varicella when are they considered not contagious??
crusted over lesions
immunity from immunization
antibodies
kid who comes into peds ER they have what looks like a rash on their face on one side but it looks like a handprint
5ths disease
toddler who has high fever for 4 days then it suddenly goes away and they get a pink rash on their trunk, which disease is this?
roseola
we have a child who has congenital heart defect they start to become sweaty, tachypneic, and tired while feeding what is happening
CHF
what would suggest on an assessment with child poor perfusion
cap refill would be slow
tetralogy of allot, their heart has a hard time pumping out blood; on an assessment finding on their hands?
clubbing of the fingers
how would you educate parents on fever management @ home?
-encourage fluids
-okay not to drink as long as they drink fluids
-no aspirin
-give Tylenol or Motrin
following fever management question, it has not been 24 hrs, not drinking fluids. ask pt if they are peeing but why?
go to the ER, they are super dehydrated
fetus while in utero diagnosed with hypoplastic left hear syndrome, what does this mean?
absence of left ventricle in heart
how would you notice a degraded kid
-sunken eyes
-dry lips
-tired
-weakeness
-tented skin turgor
-decreased urine output
tetralogy of allot (TOF) toddlers when they are playing they become cyanotic so when they are playing with their friends they start to squat down it help what?
raise their blood pressure, help them keep their knees to chest
cortication of the aorta, what do you think kids who have this would be off?
blood pressure, do BP in all 4 extremities , it would be off in the lower extremities
polycythemia
produce many blood cells
polycythemia- why do you think this happens for TOF toddlers
since they are getting lack of oxygen, body tries to compensate by making more red blood cells
TOF toddlers, 4 things in the heart that make up TOF.
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