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11-09 Exam 12

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