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Abraham Jacobi Father of Pediatrics
These thorist helped change society's view on childhood Erickson and Piaget
SCHIP State Children's Health Insurance Program Branch of Social Security Medicaid (iunsurance for uninsured children ineligible for medicaid)
Mortality # of deaths per 1000 live Births CAUSE: low birth weight main contributor
> 1 year old leading cause of Infant mortality rate Congentital anomalies
Leading cause of death in children >1 injury resulting in from accidents
Childhood Morbidity cause Illness, Chronic disease, disability, Socioeconomic status
Founder of Public Health Lilian Wad
Hospitalization in children causes (toddler and infant) seperation anxiety (6 months and >), and regression
Three stages of Seperation Anxiety {Step one} 1.) Protest- loud, long cry and continuous crying, freqently fall asleep from exhustion.
Three stages of Seperation Anxiety {Step two} 2.)Despair- look sad and depressed, move about less and withdraw from strangers, do not play actively.
Three stages of seperation anxiety {step three} 3.)Denial- deny need for the parent become detached or uninterested in visits. Increase interest in surrounding, toys and playmates
Preschooler Reaction to Hospitalization need to understand it is not a punishment May feel guilty if in the hopsital is r/t an accident----- I got sick because I was mad at my brother.
Adolescent in the hospital Body Image. Watch privacy. They are all about there friends visiting
The parents reaction to Hospitilization The whole family is affected
Interventions for siblings for hosp. Allow them to assist with care if comfortable
how would you give ear drops? >3 up and back <3 down and back warm the solution
When would you give a injection IM on a 18 month old? Vastus Lateralis
When giving oral med's for a infant how should it be given? with a oral syringe and place in side of infant's mouth
Thrombosis, hyperglycemia, and Infection are complications of? TPN
Normal output for a child? 1 ML/KG/HR
Reaction of a spinal tap Fever, CSF, leakage, HA
Treatment for AIDS AZT, give a high protein diet high cal
S/S of AIDS Chronic Diarrhea and Failure to thrive
Transmission of AIDS Placenta breast milk and through secretions at birth
Thrush- Oral Candidiasis transmitted direct contact during delivery or by contact with the nurse or mothers contaminated hands
Treatment of thrush Nystatin
With thrush what would you worry about? Anorexia d/t discomfort
Infectious Diarrhea what do you watch for? dehydration and changes in electrolyte
S/S of infectious diarrhea Increased temp, lethargic,
Treatment for infectious diarrhea Keep them isolated give them oral glucose- electrolyte for rehydration
S/S OF TB night sweats, difficult to feed, fever, failure to thrive
treatment for TB INH rifampin
sign of positive TB + tb skin test, + CXR
S/S OF Congenital Heart Disease small for age, poor weight gain, increase pulse and resp, upper resp infection and cyanosis
The most common birth defect? Congenital Heart disease
risk factor with congenital heart disease Rubella, poorly nurished mom, alcohol and drug use, DM, cocaine, accutane, materinal, lithium salt, Down's
define Congenital heart disease defects in structure and or in one or more of large blood vessels that lead to and from the heart
Patent Ductus Ateriosus treatment Indomethacin to facilitate closure
4 defects in Tetrology of Fallot 1. Stenosis of pulomonary artery 2. Hypertrophy of the right ventricle 3. Dextroposition of aorta 4. ventral septal defect
s/s of coarctation of the aorta upper extremities: HTN, Bounding pulseslower extremities: weak pulses, cool, lower BP
S/S of tetrology of fallot frequent resp. infection
how can you place a child with tetrology of fallot when they have trouble breathing? place child in a knee chest position eases breathing with increase blood flow to the lungs.
Hypoplastic Left Heart syndrome define left side of the heart underdeveloped
treatment for hypoplastic left heart syndrome treatment digoxin give to slow heart rate, giving for rate and rhythm. Take apical pulse for 1 min <90-100 monitor levels
Cleft Lip is a Fissure or opening in the upper lip
how would you feed a cleft lip child? with a asepto syringe
when feeding a cleft lip pateint what should you prevent prevent sucking motions as much as possible
Nursing goals for a child post-op with cleft lip Prevent the baby from sucking and crying r/t tensionon the suture line
Created by: sarahe