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11-09 Exam 12

QuestionAnswer
What are the diagnostic evaluations used what which is most common for cardiac assessment ECG: most commonly used, Echocardiography; cardio cath
what are pre-procedural nursing considerations child must be NPO, make sure there is IV access, assessment for baseline,
what are post-procedural nursing considerations assessment, BR for 4-6 hours
what is the principle cause of death during the first year of life that occurs in 8 out of 1000 births congenital HD
what are manifestations of CHD Additional S3/S4 sounds, discrepancies betweena pical and radial pulses, pericardial rubs, tachypnea, hepatomegaly, splenomegaly
Crackles are heard in the _ airway and wheezing in the _ airway Lower and upper
plumonary artery banding CHD tx includes
what are the three types of Atrial Septal Defect ostium primum (ASD1), ostium secundum (ASD2), sinus venosus defect
what are the manifestations of ASD asymptomatic, systolic murmur heard over left intercostal space, pulomanary congestion
What are the two tx for ASD. explain surgical; dacron patch closure of moderate to large defects, median sternotomy with cariopulmonary bypass. Nonsurgical; ASD 2 closed during cardiac catherterization
VSD manifestations; asymptomatic at birth, loud harsh systolic murmur with palpable thrill, poor feeding, pulmonary congestion, cyanosis ( late)
PDA manifestations; machinelike murmur, full and bounding pulses d/t runoff, wide range between systolic and diastolic bp, hypoxia
PDA tx; indomethacin (Indocin)closes patent ductus in newborns and premature infants
what is indomethacin (Indocin) used for? to close PDA in newborns and premature infants
which defect may be necessary to sustain life in neonates with a cyanotic heart defect patent ductus arteriosus
what are manifestations of coarctation of the aorta bp in arms will be 20mmHg higher than in legs, bounding pulses in upper extremities, leg cramping on exertion in older children, epistaxis
Tx of coarctation of the aorta sx- anastomosis, nonsx- ballon angioplasty
what are the four defects that need to be present in a tetralogy of fallot ventricular septal defect, pulmonic stenosis, overriding aorta, right ventricular hypertrophy
what is the pathophysiology of tetralogy of fallot VSD, stenosis of pulmonary artery decreases blood flow to the lungs, dextraposition of the aorta, obstruction of flow to the pulmonary artery
Manifestations of TOF clubbing of fingers/toes, poor growth, feeding problems, frequent respiratory infections, dyspnea on exertion, polycythemia,
TX for TOF surical, medical IV prostaglandin
what are the three groups of CHF impaired myocardium functioning, pulmonary congestion, systemic venous congestion
what are the manifestations of impaired myocardial functioning tachycardia, sweating, decreased urine output, fatigue, weakness and restlessness, anorexia, decreased peripheral pulses and bp, gallop rhythm, cardiomegaly
what are the manifestations of pulmonary congestion retractions and nasal flaring, exercise intolerance, orthopnea, cough, hoarseness, wheezing, grunting
what are the manifestations of systemic venous congestion wt gain, hepatomegaly, hepatomegaly, peripheral edema, ascites, neck vein distension
how is digoxin given and what does it do orally or IV, slow and strengthen the heartbeat
what are some ACE inhibitors given for CHF captopril (Capoten) qid; enalapril (Vasotec) bid
what abx are given to tx rheumatic fever penicillin/erythromycin
what infection is responsible for triggering rheumatic fever GAS
What meds are given to a child if diet changes do not work cholestyramine (Questran), Colestipol (Colestid)
cardiomyopathy is divided into 3 categories; dilated, hypertrophic, restrictive
which category is most common with children dilated cardiomyopathy
signs and symptoms of dilated cardimyopathy is tachycardia, dyspnea, hepatosplenomegaly, fatigue, poor growth
what are the three formed element of blood erythrocytes, leukocytes, thrombocytes
whcih of the following are a part of the lymphatic system thymus gland, tonsil and adenoids, spleen,
what is anemia reduction in the number of RBC or amt of hemoglobin is below normal
what are signs and symptoms of a person with anemia SOB, lightheadedness, disaphorsis, and tachycardia
what is the most prevalent nutritional disorder iron deficiency anemia
which age group is at the highest risk for iron deficiency anemia 12-36 months
Tarry stools are a manifestion of iron medication..t/f true
newborns with sickle cell are generally asymptomatic..t/f True
what meds can be used to treat sickle cell acetominephine,ibuprofen,codeine,PCA, steroids
inherited blood disordeer characterized by deficiencies in the rate of the production of specific globins in Hgb Beta-Thalassemia
bone marrow failure conditionin whch formed elemtns are simulatensously depressed aplastic anemia
what is fanconi anemia hyper/hypo pigmentation
what are factors that cause aplastic anemia exposure to household or industrial chemicals, irradation, infection, drugs
antilymphocyte, antithymocyte are used for therapeutic management T/F true
what are therapeutic measures against hemophilla coricosteroids, regular exercise and prophylatic infusion of factor VIII
an autoimmune system reaction to a virus causes ITP Leukemia
what are signs and symptoms of initial phase of leukemia low grade fever, tendency to bruise, listlessness, ABD pain, enlargement of lymph nodes
what are progressed manifesations of leukemia testicular, hepatoo/, spleen/o enlargement and ulcerations
malignancy of the lymph system causes what disease Hodgkin's disease
which type of Hodgkin's disease is more prevalant inc hildren less than 14 yrs old non-Hodgkin's
which Hodgkin's disease is prevalant in adolesence 15 - 19 Hodgkin's disease
what are manifestations of Hodgkin's disease painless lump on neck, night sweats, unexplained weight loss
Stagin of Hodgkin's disease is bases on what the number of lymph nodes affected
what is the tx of hodgkin's disease radiation, mopp, abvd, splenectomy
newborns lose a large amt of _cellular fl extracellular
which type of dehydration is the primary form in children isotonic
what is the greatest threat of isotonic dehydration in children shock
which type of dehydration is most dangerous hypertonic
what is the most common cause of serious gastroenterisits rotavirus
what is obstipation long intervals between BM
what is encopresis constipation with fecal soiling/ lack of stools
the majority of children have constipation dt poor hydration t/f f...no identifiable cause
meconium stool is normally passed within 24-36 hrs
what is the difference between meuconium plugs and meuconium ileus reduced water content, obstruction
in infants increase the amt of _ to relieve constipation carbohydrates in formula
lack of normal peristalsis, common in boys, familia tendency is what type of disease hirschsprung's disease
what will stools look like in hirschsprung's diease ribbon-like
manifestation of dirschsprung's are enterocolitis, fialure to thrive, abd distention, shock
sx correction, avoidance of tap water and temporary colostomy are treatments for hirschsprung's vomiting
what is mallory weiss syndrom tears inthe mucosal layer at the junction of the esophagus and stomach
infants and children prone to ger include premature infants, disorders, neurologic d/o, cystic fibrosis, cerebral palsy
what are clinical manifestations of ger excessive crying,irritability, arch of the back, dysphagia
small blind pouch near illeocecal valve fails to disappear, may be connected to umbilicus by a cord meckel's diverticulum
what is the common congenital malformation of the gi tract meckel's diverticulum
what are manifests of meckel;s diverticulum before 2yrs, painless bright or dark red bleeding, abd pain
how is meckel's diverticulum dx barium enemia
what is chorn's disease chronic inflammation that involves all layers of the bowel wall
what are manifests of chron's anorexia, anal fistual, rectal bleeding
what meds are used to control inflammation of chron's disease corticosteroids, sulfasalazine, abx
what type of diet is recommended for one c chron's disease high protein, high cal, enteral formula, tpn
what are symptoms of peptic ulcer disease nocturnal pain, hematemesis, melana
what are the H2 receptors used to tx peptic ulcers cimetidine (tagament) rantidine (zantac) famotidine (pepcid)
what are the proton pump inhibitors omeprazole (prilosec) lansoprazole (prevacid)
Created by: tcihla