11-09 Exam 12
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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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