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pediatrics unit 2
pidiactrics
Question | Answer |
---|---|
what are the separation anxiety stages? | protest, despair, denial/detachment |
what is protest stage of anxiety separation | child experiences sense of abandonment, cries loudly |
what is despair stage of separation anxiety | crying stops, but appears sad and depressed. does not play at all. |
what is denial or detachment stage of separation anxiety | child is detached and disinterested in parents visit; if prolonged, will interfere with bonding |
interventions with detachment or denial | facilitate bonding |
what is a sign that a child is hurting? | lying still and very quite |
max dose of acetaminophen | 15mg/kg/dose maximum of 5 doses in 24 hours |
if a child is showing regression | do not acknowledge or punish just ignore it. praise appropriate behaviors |
when examining or having to make contact with a child | make them feel comfortable, and safe. Have another person in the room. |
what should you do if at all possible before a child is admitted to the unit | orientate child to the facility, may give them a toy from home for comfort. get child ready for admission 3-4 days prior to being admitted if possible |
parent with separation anxiety | assure them that it is okay for them to leave |
hospitalization with adolescence | may pose threat of postponement of career and future plans, keeping contact with school is important always establish trust |
adolescent roommates | teens usually do better with room mates of like peers, rather than single rooms. no dying or elderly people. |
inform teens of what two conditions that must be reported | plans to harm self or plans to harm others |
underage can seek medical treatment for what with out parent consent | stds, contraception, pregnancy, abortion or drug abuse |
if patient is unattended in the bed you should | keep rails up at all times |
when a baby is going to sleep how should you lay them | on their backs |
keep what away from babies | lotions, powders, medications |
early sign of shock | tachycardia |
late sign of shock | hypo-tension |
what is a medical emergency | bradycardia |
vital signs for an infant | apical pulse 120-160 respirations 26-40 |
adolescence vital signs | respiration 16-24 pulse 70-110 make sure to take for a full minute |
when administering medication | use dropper, syringe or measuring cup. do not mix medication with formula, food or water |
when a toddler is taking medication | encourage autonomy of assisting with taking own medication by squirting into own mouth or drinking it out of cup |
check iv for | inflammation, irritation or redness |
children who live in a smoking house hold | are more at risk for infections |
breast feeding | decreases risk for infections |
when going out to cold, windy, atmosphere with baby | cover ears with a hat |
amblyopia | means lazy eye |
stragisumus | means cross eyed |
conjunctivitis | inflammation always wipe inner to outer. |
reye syndrom | nonspecific encephalopathy with fatty degeneration of the viscera . mainly affects the liver and brain. get it from taking aspirin or anything with aspirin in it |