PEDS PPT

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Jme
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99812
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PEDS PPT
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2011-09-05 08:05:56
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PEDS PPT
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  1. IVPB
    When Buretrol is empty of the IV medication, most of the drug will be in the?
    For this reason, an IV flush of how many mL must be added to the Buretrol after?
    Tubing

    15-20mL must be added after the medication is infused to ensure that the patient receives the drug.
  2. GI tract provides a vast absorption area for meds, but the problem is that?
    The infant / child may cry and refuse to take the medication or spit it out.
  3. Giving a child oral medication? -- five possibilities
    • Hold child / infants hands away from face
    • Infant give a syringe or nipple
    • DO NOT add to formula
    • Small child: mix with small amt. of juice or fruit
    • Offer syringe in medication cup
    • Parent may give if YOU are standing in the room
  4. EMLA STANDS FOR

    NOT FOR INFANTS!
    Eutectic Mixture of Local Anesthetics

    Lidocaine / Prilocaine

    Lidocaine - local anesthetic & antiarrhythmic drug to relieve itching, burning and pain from skin inflammations, injected as a dental anesthetic or local anesthetic for minor surgeries.

    Prilocaine - local anesthetic

    SE: severe burning, stinging, swelling, redness, sudden dizziness, bruising
  5. IM injections used when?
    • Rarely acute settings
    • Immunizations
    • Antibiotics
    • EMLA
  6. IM injection sites are?
    • Vastus lateralis
    • Deltoid
    • Dorsogluteal
  7. Nursing care for a child is based on?
    Developmental level
  8. Are children little people, NO, but they differ by?
    • Physical
    • Emotional
    • Cognitive
  9. Stages of Development
    • Neonate Birth 28 weeks
    • Infant 1mth-12mth
    • Toddler 12mth-3yrs
    • Preschool 3-4yrs
    • School age 5-6yrs
    • Preadolescence 10-12
    • Adolescence 13-20
  10. Psychosocial
    Ericson
  11. Cognitive
    Piaget
  12. Moral
    Kohlberg
  13. Psychosexual
    Freud
  14. psychosexual - ID, ego, superego - Concept of anxiety an defense mechanism
    Sigmund Freud
  15. Moral development, acceptance of values and rules in society in such ways that shape behavior

    Do not always go from one stage to the other
    Lawrence Kohlberg
  16. Cognitive acts which the mind organizes and adapts to its environment (schema, shemata, assimilation, accommodation

    schema - diagram, plan or scheme
    Jean Piaget
  17. Pyschosocial tasks that are accomplished through a life cycle
    Human life cycle as 8 ego developmental stages
    Ea. stage crisis / conflict
    Goal - integrate physical, maturation and social demands
    Must resolve the conflict to move on to the next stage
    UNSUCCESSFUL_ EMOTIONALLY HANDICAPPED
    Erik Erikson
  18. 5 stages of Erikson's pyschosocial theories
    • Infancy birth-18mth
    • Early childhood - 18mth-3yrs
    • Late childhood - 3-6yrs
    • School age - 6-12yrs
    • Adolescence - 12-20yrs
  19. DDST
    Denver Developmental Screening Test

    • <6 yrs NOT an IQ test
    • Personal - social
    • Fine motor adaptive
    • Language
    • Motor
  20. How can nurses maximize client / family nurse contact?
    • INITIAL assessment NEED for immediate care (stabilization and comfort)
    • Physical findings, VS, nutrition, skills, play and safety
  21. Not toilet drained - how to obtain a specimen?
    Clean catch
  22. Stool specimen for incontinent and toilet trained
    • Incontinent / diaper - scrape specimen from diaper and into appropriate container
    • Potty trained - Bedpain container to collect (use tongue depressor or scope)

    • Document - time, color, consistency and odor
    • Consistency - normal: clear liquid; Abnormal: mucous plugs, viscid, thick, infectious process
    • Viscid- sticky
  23. Stool specimen, what are you trying to find?
    Fat, blood, bacteria, parasites
  24. Anesthetic creams, TAC stands for?
    tetracaine, atropine, & cocaine

    • tet-potent local anesthetic
    • atro-sulfate injection antagonist, anticholinergic drug (parasymptomatholytic) - increases firing of the SA node and conduction of the AV node
    • Coc- stimulant drug
  25. What do NOT use for infants?
    Chlorahexidine or NS w/ additives
  26. LP for children usually performed for?
    Meningitis (bacterial)
  27. Tube 1
    Tube 2
    Tube 3
    Tube 4
    • 1 ...
    • 2. glucose and protein
    • 3. C&S
    • 4. RBCs
  28. I&O measure diaper
    Before and After wet
  29. TPN stands for
    Total Parental Nutrition - a way of supplying nutrional needs of the body by bypassing the digestive system and dripping nutrient solution directly into the vein
  30. I&O include what?
    • PO fluids - jello, broth
    • IV's
    • Blood products
    • TPN
    • Flushes (ngt/meds)
  31. Hospitalized toddler or infant may experience what?
    • Separation anxiety
    • Fear of injury or pain
    • Loss of control
  32. Hospitalized school aged child may experience?
    • Separation anxiety
    • Fear of injury or pain

    Any type of sexual exam
  33. Hospitalized adolescents may experience?
    • Separation anxiety
    • Fear of injury or pain

    • Unsure if they want their parents there
    • May give impression not afraid
  34. Developmental characteristics
    • Physical
    • VS
    • Nutrition
    • Skills
    • Bowel bladder
    • Play
    • Safety
  35. EFM stands for
    Electronic Fetal Monitoring

    - allows to listen to baby w/ belt, tranducer etc...
  36. A/O means
    Alert and oriented

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