Neuro/renal/infex/dermal/psych/cardiac
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| amblyopia aka lazy eye | strabismus, cover good eye and force bad eye to work
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| cerebral palsy | intellectual disability seen in <1/2 kids with CP
speech vision and hearing impaired
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| trisomy 21 aka downs syndrome | protruding tongue flat forehead, low set ears, caused by 3 chromosomes on the 21st pair, may need smaller special spoon
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| febrile seizures | most common between 6m-3yrs uncommon greater than 5
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| ICP | sunset eyes are late s/s, avoid activities that will increase ICP, low stimulation hold and whisper
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| meningocele | hernia protrusion of saclike cyst containing meninges but no spinal cord
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| mylomenigocele | protruding sac containing CSF most common type of spina bifida
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| neural tube defects preoperative assessment | monitor spontaneous movement, know head circumference baseline, position pt prone off sac, cover sac with saline and sterile dressing
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| postoperative neural tube defects | assess for paralysis and neurogenic bladder post volume voids >20ml very important tx for neonates , avoid latx
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| meningitis | LP will show decrease glucose seen in bacterial meningitis
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| leading poisoning (plumbism) | blood lead level >5 treatment >45, >70 really bad, carried by RBC so hbg level will be low and neuro s/s, need IV therapy
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| restraints | need order every 2hr, behavioral every 15 min assess
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| UTI | kidney infx. pyelonephritis, ecoli most popular, avoid bubble baths, bed wetting
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| hypospadias | underside of meatus sx around age 1-4yrs avoid infx
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| nephrotic syndrome | autoimmune process that occurs after 1 wks from immune assault, increase, protein loss and urine will be fark and foamy, albumin levels decrease, dehydration, no salt foods
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| acute glomerulonephritis | occurs 1-2 wks after group A streptococcal, loses permeable, ASO titer inceased, increase BP, intervention steroids,
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| nephrotic syndrome | increase glomei increased permeability, loses albumin, 3rd spacing
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| live vac | MMR, varicella, nasal influenza, rotavirus
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| don't give influenza vac | if allergic to eggs, or <5 years with asthma and wheezing
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| MMR | do not give with severe immunosuppression not associated with HIV
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| side effects live vac | 2-3wks, varicella itching
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| MMR | give at 12-15 months and 4-6yrs don't give <12 months
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| varicella | transmission 1-2 days before the appearance of rash, until scabbed, incubation 10-21 days, vesicles,
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| Mononucleosis | inscreased atypical lymphomas, virus in monocytes, lethargy positive mono spot test, activity restrictions
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| TB | read in 48-72 hrs children are usually asymptomatic
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| fifth diseasse | human parvoviruss, slapped face,droplet, contagious the week before rash
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| lyme disease | bacterial illness by ticks: 3 stages. early bulls eye rash with burning warmth 3030 days after bite, early head and nerves, late disease: nerve damage and brain inflamed tx: antibiotics
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| scabies | apply scabicided leave for 8-12 hrs repeast 1 week later, treat everyone in ccontact, mite bites and eggs
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| ring warm (tinea) | fungus, selsun blue shampoo, antifungal powder
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| head lice | nix apple 2nd time 7-10 days later
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| steven Johnson syndrome | sloughing of skin, maybe causes by antx or anticonvulsants, worsening burn, begins lik flu, eye lubricants prevents blindness
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| tetralogy of fallot | cyanotic heart disease, pulm. artery stenosis, ventricular septal defect, hypertrophy of right ventricle, and over riding aorta
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| tetralogy of fallot s/s | bone marrow makes more RBCs to compensate for decrease 02 knee to chest positioning
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| ventricular septal defect | most common will have lower HR, digoxin and diuretics high cal food, surgery
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| rheumatic fever | 1-6wks after group A beta inx, untreated strep, prevention is key
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| Kawasaki disease | leading cause of acquired heart disease, 25% heart damage, CHF, and thrombosis is complications
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| Kawasaki disease acute phase | give antipyretics, inflamed mouth and tongue, rash, swollen
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| Kawasaki disease subacute phase | fever goes away, hands and feet peel, irritability persists
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| Kawasaki disease convalescent phase | ESR and C reactive protein remain elevated arthritis present
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| Kawasaki disease interventions | IVIG, aspirin 80-100mg/kg divided every 6hrs, cardiac monitoring, and fluids
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| spastic CP | needs high cal diet due to hypermobility
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| ataxic cp safety | wear helmet
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| dyskinitic CP | moves face more
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| dilantin/phenytoin can cause | gum hyperplasia
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| increase icp s/s | bludging font. increase BP, decrease HR
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| lead poisoning | combines with hemoglobin in liver
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| babinski reflex disappears at | 2yrs
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| stops holding finer at what age | 4m
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| mishaped or placed ears needs to be seen by | urologist
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| chelating process | lead excretes lead through the urine
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| Babinski disappears at what age | 2yrs
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| dilatin causes | hitsutism
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| febrile sz patter familia? | yas
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| ICP Vitals | decreased everything
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| external VP shunt level | eye level
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| bacterial meningitis precautions | mask
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| reyes syndrome caused | saliclated during viral ifx
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| phenobarbital preassess | pregno?
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Created by:
rmak47