61 peds

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Author:
sanchez
ID:
112638
Filename:
61 peds
Updated:
2011-10-27 14:42:59
Tags:
immune integ
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Description:
immune/integ
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  1. child immune system fully develops by age ____
    6
  2. nurse mgt for communicalble disease
    • immunize
    • educate
  3. common communicalble diseases
    • chicken pox
    • diptheria
    • erythema
    • hepatitis B
    • measles
    • mono
    • mumps
    • pertussis
    • rubella
    • scarllet fever
    • tetanus, lock jaw
  4. chicken pox(varicella zoster)
    transmission:
    manifestation:
    Tx:
    • 1.C,A,D
    • 2. fever, rash, macule pustular lesions
    • 3. antihist, lotions
  5. diptheria (corynth)
    transmission: manifestation:Tx:
    • 1. contact (contaminated milk/objects)
    • 2. tonsil lesions, phayngitis
    • 3. antibio, antitoxin, analgesic
  6. chicken pox may reactivate in adults as ____
    herpes zoster
  7. hep B
    transmission: manifestation:Tx:
    • 1. blood, secretion, sexual contact
    • 2. jaundice, liver failure, flulike symptoms
    • 3. care, vaccine
  8. measles (rubeola) transmission/manifes
    • C,D
    • koplik spot
  9. mono (epstein barr virus)
    • contact
    • sore throat
    • common in young adults
  10. pertussis:
    transmission: manifestation:Tx:
    • C,D
    • URS, cough, pneumonia
    • antibi, high humidity
  11. bacterial infection of skin usually casued by ___
    strepto/staphyloccocci
  12. most common bacterial skin infection
    • impetigo
    • cellulitis
  13. most common skin infection of childhood begins in area of broken skin caused by insect bite or eczema
    impetigo
  14. impetigo manifest
    • primary/secondary lesions
    • pruritis
    • burning stinging
    • large lymph nodes
  15. impetigo lesions usually resolve
    2 weeks
  16. Cx of impetigo
    RF and golmerulonephritis
  17. pharm Mgt of impetigo
    • neosporin
    • erythromycin
  18. nurse mgt for impetigo
    • prevent spread
    • wash 3x daily
    • remove crusts with ointment
    • leave lesions uncovered
  19. bacterial infection of skin and subQ tissue affects face adn lower extremeties usually with Hx of trauma, URTI, tooth abscess, otitis media,
    cellulitis
  20. cellulitis manifes.
    • rapid onset of red lilac edmateous skin
    • enlarged lymph nodes
  21. Cx of cellultis
    • septic arthrits
    • osteomyelitis
    • brain abscess
    • blindness
  22. med mgt of cellulitis
    • antiobiotics
    • warm compress
    • IV
  23. surg mgt for cellulitis
    I&D
  24. nurse mgt for cellulitis
    • increase circulation
    • relieve pain
    • promote healing
  25. tinea (ringworm)=
    fungal infection
  26. common viral infections that could produce lesions, rashes, macules, urticaria, and warts
    • rubeola
    • rubella
    • varicella
  27. common viral infection that is contagious and has no cure or prevention
    herpes simplex virus 1
  28. viral infection that is often recurrent infection of the mouth, throat, eyes, fingers
    HSV-1
  29. HSV-1 can be reactivated by?
    • fever
    • trauma
    • sun exposure
    • periods
    • immunosuppresion
  30. med mgt for HSV-1
    • hydration
    • pain mgt
    • infection prevention
  31. pharm mgt for HSV-1
    • zovirax
    • acyclovir
    • antibio
    • T3
    • topical anesthetic
  32. major health problem in school
    • pediculosis
    • scabies
  33. infestation most typically affecting head
    pediculosis
  34. when do nits hatch
    1 week
  35. s/s of body lice
    • pruritis
    • papular dermatitis in area of tight clothing
  36. national lice association advocates?
    manual removal of lice or vacuuming vs. chemicals
  37. antilice products
    • nix (per)
    • rid (py)
  38. nurse mgt for lice
    • screening
    • education
  39. results from impregnated itch mites burrowing in epidermis to lay eggs
    scabies
  40. Tx of choice for scabies
    • (permithrin)Nix
    • benadryl
    • atarax
  41. how long could itching last with scabies
    2-3 weeks
  42. primary concern for animal bites
    • infection from rabies
    • tetanus
    • scarring

    *report animal bites to GAIN
  43. black widow venom is _____
    neurotoxic - dizziness, paralysis, seizure, death renal failure
  44. brown recluse venom is _____, but not fatal
    necrotoxic - result in necrotic ulcer 1-2 weeks, fever, NV, joint pain
  45. med mgt for black widow bite
    hospitalization supportive care
  46. med mgt for brown recluse bite
    pain mgt
  47. surgical mgt for brown recluse
    skin grafting bc of ulcer
  48. feeds on blood of mammals by embeedding head into skin
    ticks
  49. ticks can transmit _____ diseases
    • rocky mountain spotted fever
    • lyme disease (bulls eye)
  50. inflammatory reaction of the skin to allergens such as rubber, dyes, nciel, poison ivy, irritants, soap, wool, urine, stool
    contact dermatitis
  51. contact derm manifes.
    localized dry inflamed pruritic skin
  52. med/pharm mgt for contact derm.
    • discontinue exposure
    • cool compress
    • steroid cream
  53. most common health problem for adolescents, noninfectious inflamatory disease of skin involving sebasceous gland and hair follicles
    acne
  54. comedones
    white and black heads
  55. fators related to acne
    • androgen hormone level
    • stress
    • envirnment
    • periods
    • bacteria
  56. pharm Tx of acne
    individualized
  57. Accutane (isotretinoin) for acnewhat should be done prior to theray
    prgnancy test 2 weeks before, every month during and 1 month after bc of craniofascial abnormalities in fetus
  58. second leading cause of injury deaths between children 1-14
    burns
  59. burns from scalding liquids and house fires
    thermal burn (most common)
  60. burn caused by touching or ingestion
    chemical burn
  61. burns from wires, iron, oven
    electrical burn
  62. major manife. for burn
    • resp. Cx
    • nutrition deficit
    • severe wound
    • pain
  63. severity of burn injury is based on
    surface and depth of wound
  64. tool that provides accurate estimate of percentage of body surface burn
    burn wheel
  65. burn wheel provides?
    amount of fluid resusitation and continuation needed
  66. regardless of tissue amount burn what is always suspected with smoke inhalation
    airway obstruction
  67. pharm mgt for burn
    • tetanus vaccine
    • IV morphine
    • analgesics 20-30 mins before dressing
    • debridement

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