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pedi
musckuloskeletal ch. 43
| Question | Answer |
|---|---|
| Myelinization | Children nervous system, myelinization is incomplete. In adult it is complete. |
| Brain & Spinal Cord Development | child's spine is very mobile,brain & spinal cord may be altered if any trauma, infection, malnutrition, or teratogen exposure |
| Implications on Myelography | Inj. of contrast medium into the CSF via lumbar punctar,after procedure.Keep HOB elevated for several hours.Encoourage hydration.Observe for signs of meningeal irritation. |
| Duchenne Muscular Dystrophy | Position in an upright position. |
| Classification of cerebral palsy-Athetoid | Abn. involuntary mvmt.infant limp & flaccid. Uncontrolled slow worm-like, writhing,or twisting mvmts.Affects all 4 extremeties & possible nvlvmt of face,neck,& tongue. Mvmt ↑ during periods of stress.dysarthria & drooling may be prese |
| TXT Cerebral palsy | physical, occcupational or speech therapy, orthotics, braces. |
| nursing implications for corticosteroids | admi. w/food to decrease GI upset.may mask signs of infection. don't stop txt abruptly or acute adrenal insufficiency can occur.Monitor for Cushing syndrome. dosage amy be tapered over time. |
| Sign & Symptoms of cholinergic crisis | severe muscle weakness, sweating, increased salivation, bradycardia, and hypotension. |
| Health HX.-Initial presentation for a child w/gillain-Barre syndrome | pain,especially in lower extremities, and preceding motor involvement. |
| intervention preventing further cns injury (slip and falls) | ensure side rails of bed r elevated when caregiver isn't directly @ bedside, use appropriate safety restraints w/adaptive equip. & wheelchair don't leave child unattended in tub,avoid restraing use if @ all possible,close observation |
| Preventing infection before surgical repair of myelomeningocele | keep sac from drying out,prevent trauma to sac.Position infant in prone position or supported on the side to avoid pressure on the sac. Keeep the lesion free of feces & urine to help avoid infection. |
| Preventing latex allergic reaction for myelomeningocele | must be identified, wear medical alert bracelet, educate al who are in frequent contact with child. |
| Poper resonse to anxious parents on educating following a myelomeningocele repair. | understand that it is a lifeline change, which is in constant need of teaching to the parents. |
| Cerebral palsy hospitalized for a test & stable.Proper response to parents who are exhausted & stress | Feel free to go home & rest your child is in good hands |
| Intervention promoting skin integrity. | Monitor condition of entire skin surface @ least daily.Avoid excessive friction or harsh cleaning products that may increase risk of breakdown, keep skin free from stool & urine 2 decrease pressure 2 susceptible areas,Monitor condition affected by braces |
Created by:
yvettep119
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