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CHAP 29- PEDS
LANGE Q&A
| Term | Definition |
|---|---|
| first 28 days outside the mother | neonate |
| 1-18 mo | infant |
| 30mo-5yrs | preschool |
| 6-12 yrs | school age |
| 13-18 yrs | adolescent |
| what are fears of peds patients? | anesthesia and separation from parents |
| how do you reduce peds anxiety? | let them bring toy or stuffed animal to OR, introduce surgical staff, let parents acompany them to OR |
| transfer of heat between the body and objects that are not in direct contact w/ each other. | radiation |
| when wet surfaces are exposed to air, heat loss occurs. | evaporation |
| when infants skin comes in contact w/ cold surfaces | conduction |
| when surrounding air is cool, heat is lost. | convection |
| what is a major complication of extubation | airway obstruction |
| when infants body temp drops below 36.5 C/97.7F | hypothermia |
| what do infants lack the ability to do? | shiver |
| what can you do to reduce risk of hypothermia? | increase OR temp, use heat lamps, warp infants limbs, warm solutions |
| what is used during an intra arterial monitor on a neonate during surgery? | umbilical artery |
| where are central venous caths placed? | external jugular vein |
| performed for pyloric stenosis | pyloromyotomy |
| performed on infants and children who experience severe gastroesophageal reflux | lap nissen fundoplication |
| fatal blood disorder in infants where the mothers blood is incompatible w/ the infant | erythroblastosis |
| birth defect in which the esophagus is closed off at some point between the mouth and the stomach | esophageal atresia |
| birth defect where the trachea is connected to the esophagus | tracheoesophageal fistula |
| intestines' telescope into one another | intussusception |
| twisting of intestines causing obstructin | volvulus |
| congenital defect caused by absence of ganglion cells in the intestines'. affects peristaltic contractions | Hirschsprung disease |
| defect where there is no anus but a fistula between the anus and vulva or bladder | imperforate anus |
| common hernia in infants and children | umbilical hernia |
| Congenital defect were the organs of the body are covered in an amniotic for sac and protrude through a defect in the umbilical ring | Omphalocele |
| Defect in the Spine were part of the spinal cord and the meninges are exposed through the end opening in the backbone | Spina bífida |
| Failure of the neuro tube to close. Causes meninges and spinal cord to protrude through the skin within a sac | Myelomeningocele |
| Can be performed on children who are diagnosed as obese with a body mass index of 40 combined with life-threatening medical conditions | Bariatric surgery came |
| What position should I bariatric patient be placed immediately after a surgical procedure | Reverse Trendelenburg |
| What is a complication of gastric bypass surgery | Hernia |
| How are complications of bariatric surgery diagnosed | With a laparoscopy |
| Upper lip does not totally form properly and leaves an opening on the skin between the nose and the lip | Cleft lip |
| How is a cleft lip repair performed | In stages |
| What is also performed for a cleft lip repair | Z-plasty |
| Roof of the mouth is not completely close this to form ready cause complications with eating in speech | Cleft palette |
| Also known as nephroblastoma an intra-abdominal tumor | Wilms tumor |
| Cancerous tumor commonly found in the retroperitoneum and adrenal medulla | Neuroblastoma |
| This tumor is located near the sacrum and the coccyx. It is made of different cells during early development. It can be solid or cystic | Sacrococcygeal teratoma |
| The urethral meatus is on the dorsome of the penis | Epispadias repair |
| The urethra meatus is on the ventral surface of the penis | Hypospadias repair |
| Procedure performed to remove the prepuce/foreskin from the glans penis | Circumcision |
| And abnormal accumulation of fluid in the scrotum. It can cause an infection. I scrolled on scission is made and the fluids suctioned out | Hydrocele |
| Procedure performed to bring the testicle to its normal position in the scrotum after the testicle Has traveled up into the inguinal canal | Orchiopexy |
| And undescended testicle | Cryptorchidism |
| Procedures perform for hydrocephalus | Ventriculoarterial and VentrículoPeritoneal chance |
| When fluid is shunted from the lateral ventricle of the brain to the atrium | Ventriculoatrial shunt |
| Fluid is stunted from the lateral ventricle to the peritoneal space | Ventriculoperitoneal shunt |
| What are two types of common shock to children | Septic and hypovolemic |
| Commonly caused by a bacterial infection | Septic shock |
| Dehydration is the cause of this and children | Hypovolemic shock |
| What kind of tubes are commonly used on the pediatric patient following a G.I. procedure | Gastrostomy feeding tubes |
| Most common gastrostomy tube used. It is for gastric decompression an external feedings | Peg tube |
| What does child abuse include | Shaken baby syndrome Neglect Sexual abuse Unexplained falls or skin, facial, or thermal injuries and fractures |
| What is the leading cause of injury of a pediatric patient. Causes include car accidents, falls bicycle accidents, drowning ,burns, and poisonings | Head trauma |
| How is pediatric medication prescribed | According to the child weight in kilograms |
| Surgical Intervention to repair a birth defect while the fetus is still in the heaters. Can be repaired percutaneously with a fetoscope or an open procedure | Fetal surgery |
| Premature closure of the cranial suture lines. It can occur a long one or more suture lines. The procedure is a Craniectomy | Craniosynostosis |
| Includes premature closure of cranial central lines causing skull and facial deformities | Crouzon’s syndrome |
| Congenital disorder that causes cranial facial deformity’s and can also include syndactyly | Aperts syndrome |
| Deformity of one or both feet. The affected foot rotate inward. Treatment varies from braces and tapes to surgical intervention | Club foot |
| One type of surgical procedure performed for club foot. It is also used for patients with cerebral palsy. It helps to release contractures | Tendon lengthening |
| Perform to correct protruding ears from traumatic injury or a congenital deformity | Otoplasty |
| Small ears defect in which all or part of the external ears are missing. The rib is used as a graph for the patient ear | Microtia |
| Can occur naturally such as want an infant receives a mothers anybody’s through the placenta or breastmilk | Passive immunity natural |
| When anybody’s are injected into the patient | Passive immunity artificial |
| When a person requires an infection and build their own anybody’s | Active immunity natural |
| Vaccines | Artificial acquired active immunity |
Created by:
karsanmira
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