PEDS 3

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Author:
strawberrymacarons
ID:
95666
Filename:
PEDS 3
Updated:
2011-08-01 23:56:04
Tags:
NEUROMUSCULAR NEUROLOGICAL INTEGUMENTARY ENDOCRINE
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Description:
GU, ORTHO
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  1. What's an alternative to diazepam, cheaper, and has less s/e, longer duration?
    ativan
  2. This is a rescue drug for acute epileptic seizures. It is intransal route, less invasive than rectal route of Diastat
    Midazolam (Versed)
  3. What are some ND for severe closed head injury?
    • 1. Monitor neuro status closely
    • 2. Preventing & ceasing any seizure activity
    • 3. Treat other injuries that may have occureed as a result of trauma
    • 4. Maintain quiet environment
    • 5. Monitor ICP
  4. Is status epilepticus a life threatening condition?

    What are the treatments of status epilepticus?

    What is the drug of choice?
    Yes, it is is a life-threatening condition in which the brain is in a state of persistent seizure

    BLS ABCs, establish IV access, admin of anticonvulsants (benzodiazepines (Lorazepam & diazepam & fosphenytoin)

    Diazepam is the drug of choice
  5. What are the assessments in a child w/ febrile seizure?
    • 1. Core temp increased rapidly, above 102.2
    • 2. Generalized tonic-clonic last seconds to 10 minutes followed by brief postictal period
    • 3. Simple febrile sz is generalized seizure lasting less than 10 min in a 24 hr period, & a fever
    • 4. Family h/o febrile seizure
  6. What is the treatment for AGN/APSGN?
    No specific treatment. Focus on hypertension & fluid volume. Abx if currently have strep

    • 1. Give antihypertensives, monitor BP
    • 2. Restrict fluid & sodium to decrease edema. Monitor daily weight, I&O
    • 3. Bed rest & avoid strenuous activity

    However most cases resolve within 14 days
  7. What are some lab findings in nephrotic syndrome?
    • 1. Proteinuria (in urine dip)
    • 2. Low serum albumin
    • 3. Cholesterol/triglycerides elevated (d/t liver producing lipoproteins in response to hypoalbumenia)
    • 4. Creatine & BUN elevated d/t damaged kidney function

    *increased risk of clotting
  8. What would the nursing management be for a kid with nephrotic syndrome?
    • 1. Promoting diuresis (d/t edema)
    • 2. Preventing infxn (d/t low albumin)
    • 3. Adequate nutrition & growth
    • 4. High protein, low sodium diet during edematous phase
    • 5. Bedrest or private room if hospitalized
  9. What is a treatment for candidial diaper rash?
    Nystatin (antifungal)
  10. When is airway edema evident in burn injury?
    after 2 days

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