1307 Unit 4 BP
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| show | asceptic necrosis of head of femur; s/s pain in hip and groin and a limp with muscle spasms and limitation of motion; mimic synovitis (innovation of a joint); difficult to diagnose; diagnosis done by radiographic examiniation that may need to be repeated
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| stages of Legge-Calve-Perthes Disease | show 🗑
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| treatment of Legge-Calve-Perthes Disease | show 🗑
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| Bryant's traction | show 🗑
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| show | body provides countertraction to weights; used for short-term immobilization to correct contractures and bone deformities such as Legg-Calve-Perthes disease; don't let child slide down in bed; weights hang freely; ropes aligned with pulleys
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| show | more effective for older children; same as Buck's but leg is elevated and hoist is placed under knee (see pg. 885)
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| show | most common muscular dystrophy; x-linked; mostly in males, females are carriers; first signs within 3-4 yrs; difficulty standing and walking and later trunk muscle weakness; mild mental retardation; Gower's sign when getting up from floor; lordosis
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| show | highly increased serum creatinine phosphokinase levels; decrease in muscle fibers seen in biopsy (confirms diagnosis); no treatment; kyphosis can develop and cause decrease in respiratory function, increasing infections; breathing exercises necessary
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| treatment for soft tissue injury | show 🗑
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| x-ray definition | show 🗑
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| bone scan | show 🗑
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| CT | show 🗑
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| MRI | show 🗑
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| show | rule out foreign body in soft tissues, joint effusions, developmental dysplasia of the hip
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| show | bone infection from Staph. aureus; more common in boys; results from a primary infection burns, or furuncle, penetrating wound or fracture; infection carried through blood to metaphysis (growing portion) of bone where abcess forms, ruptures and spreads
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| show | CMS - circulation, movement, sensation; assesses for impaired neurovascular function; observe, document, report the five P's (pain, pulse, paresthesia, paralysis, pallor); check for heat, non-fitting cast, temperature (danger signals)
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| scoliosis - functional - define | show 🗑
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| Milwaukee brace | show 🗑
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| show | upper (proximal) end of the esophagus ends in a blind pouch and the lower (distal) segment from the stomach is connected to the trachea by a fustulous tract
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| s/s tracheoesophageal fistula and nursing care | show 🗑
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| dehydration - how do you know? | show 🗑
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| show | characterized by hypertrophy of the circular muscle fibers of the pylorus, severe narrowing of its lumen; distal end of stomach becomes dilated
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| s/s pyloric stenosis | show 🗑
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| nursing care for pyloric stenosis | show 🗑
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| show | impaired colon removed and anastomosis of intestine performed; temporary colostomy with closure in a few months; no tap water enemas - can lead to WATER INTOXICATION and death; use only normal saline enemas
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| show | child unknowingly swallows pinworm eggs; hatch in intestinal tract and grow in cecum; femal work lays eggs on the perineum; s/s - anal itching; treatment - antihelmintics (Mebendazole (Vermox); repeat meds in 2-3 weeks; teach handwashing; change bedding
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| roundworms | show 🗑
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| hookworms | show 🗑
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| constipation | show 🗑
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| diarrhea | show 🗑
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| show | infectious diarrhea; inflammation of stomach and intestines; identify and erradicate cause; oral rehydration
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| show | can cause alkalosis
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| diarrhea | show 🗑
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| show | acetylcystine (Mucomyst)
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| lead poisoning | show 🗑
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| show | malabsorptive disorders; malabsorption with steatorrhea(fatty stools); common causes cystic fibrosis and gluten-induced enteropathy; malabsorption prob.; 6 mos - 2 yrs; large bulky frothy stools, triggered by URI; restrict wheat, barley, oats, rye
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| show | Pedialyte
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| show | fungal infection in the oral cavity; causes white patches on the tongue; treatment - Nystatin
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| show | common in "diaper age" and 2-6 years; fever, n/v, foul-smelling urine, weight loss, increased urination; little or no fever; short urethra in females; abnormal urinary system; urinary stasis; short-term indwelling catheter; antimicrobrial agents
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| show | tight clothing, poor hygiene, local inflammation, oils in bubble bath/shampoos
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| hypospadias | show 🗑
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| epispadias | show 🗑
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| nephrotic syndrome | show 🗑
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| show | accute inflammation of glomeruli; most common form of necrosis; 1-3 weeks after strep infection; s/s coke, tea colored urine, increased BUN, creatinine, ESR; decreased albumin; severe oliguria; mild-mod edema; peri-orbital edema; HTN; abdominal pain
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| assessment of burns | show 🗑
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| show | 2nd degree burns will hurt around edges; 3rd degree - nerve damage - won't hurt as bad at first; give pain meds 30 minutes before wound care; clean with mild soap and water; debridement - to remove necrotic skin
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| show | temporary; to drain urine from kidneys when there is an issue or blockage
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| Willm's tumor | show 🗑
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| show | when one or both testes do not descend, called cryptochordism; usually normal in size, cause for failure to descend not clearly understood; orchiopexy is procedure to bring testes down into scrotum and anchor it there; injections of hcg
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| show | diagnostic test for vesicoureteral reflux; inject with dye and pee on table
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| acidic urine | show 🗑
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| show | female mite burrows in areas between the fingers and toes and in warm folds of body, like axilla and groing; seen as black dot at the end of burrow; severe itching, causing scratching with secondary infection
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| show | Elimite or lindane lotion - scrub with soap and water the apply lotion as directed. Permiethrin is preffered due to decreased risk of neurologic problems; left on skin 8-14 hrs; treat people in close contact; wash clothing, soft toys, bedding
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| pediculosis capitis - treatment | show 🗑
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| pediculosis capitis - prevention | show 🗑
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| show | well-balanced nutritious diet; caused by increased hormones, especially androgens; heredity; irritation and irritating substances (vigorous scrubbing; growth of anaerobic bacteria
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| show | seborrheic dermatitis - thickened, yellow, oily, adherent, crustlike scales and forehead; resembles eczema; doesn't itch; treatment - shampooing on regular basis
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| eczema - cause | show 🗑
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| show | usually starts on cheeks and spreads to extensor surfaces of arms and legs; entire trunk may become affected; reddening of skin is quickly followed by papule and vesicle formation; itching is intense, scratching makes skin weep and crust
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| show | foods (egg white, cow's milk, wheat products, orange juice, tomato juice); inhalants (house dust, pollens, animal dander); materials (wool, nylon, plastic)
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| show | elimination diet; hypoallergenic diet; relieve itching (emollients, special baths, alternate soaps), hydrating skin (bathing, special soaps); relieve inflammation (medications); prevent infection (meds, special baths)
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| spongiosis | show 🗑
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| show | asthma is also often seen along with eczema; rarely seen in breastefed babies until solids are introduced; symptom rather than disease; oversensitive to allergens; some children devleop triad of symptoms (atopic dermatitis, asthma, hay fever)
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| show | best applied right after warm bath; in direction of hair growth; pea-size amount of ointment; use elbow restraints; no topical steroids if viral infection present; avoid cortisone creams
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| show | miliaria - caused by excessive heat and moisture; retention of sweat and glad becomes blocked and inflammation response begins; tiny, pin-head reddened papules develop; may itch; harmless; seen in hot weather; reversed by removing clothes
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| strawberry nevus | show 🗑
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| show | change frequently without waiting for obvious leaking; wash and cleanse each change; no baby powder; A&D ointment
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| frostbite - areas affected | show 🗑
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| diabetes mellitus | show 🗑
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| hypoglycemia treatment | show 🗑
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| show | s/s - sluggishness, dry skin, cold hands and feet, dry brittle hair, enlarged tongue; treatment - Levothyroxine
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| diabetes insipidus | show 🗑
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| show | contact precautions (after sores appear); droplet/airborn precautions (before sores)
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| show | 14-21
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| Hep B immunizations | show 🗑
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| Hep A | show 🗑
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| show | cannot get flu, varicella, MMR vaccines (pros/cons would be weighed for MMR)
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| show | hand-foot-mouth - rash on palms and trunk; looks like they've been slapped - sores in mouth; droplet/airborn precautions
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| show | immune system is down; takes advantage of low immune system (when taking corticosteroids or chemo)
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| show | active, or artificially acquired
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| show | no fresh flowers or fruits; protecting them from us - put on mask when entering; they mask when leaving their room
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| show | TB test
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| Emula Cream | show 🗑
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| show | take it all; use birth control
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| show | pertussis; live, attenuated vaccine
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| show | fever or viral infection
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| Lyme Disease | show 🗑
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| Rubeola - tell-tell sign | show 🗑
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| MMR schedule | show 🗑
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| show | immunocompromised or family member who is immunocompromised
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| show | chemo, corticosteroids
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| VCUG | show 🗑
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| show | parasitic infection caused by itch mite. Female mite burrows under the skin and lays eggs. Itching is intense. Seen in body folds
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| show | Elimite - ecveryone is treated.
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| show | do not forget to clean the sheets, stuffed animals, couch, and anything child may have come in contact with.
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| Prevention of lice | show 🗑
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| show | Nonprescription meds are available to treat cases of head lice. Products such as Pronto, RID, NIX. These are safe and usually effective in killing the lice.
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| show | epidermis is inuured but there is no destruction of tissue or nerve endings - prompt regen. dry, no blisters or edema, painful.
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| Partial-Thickness or Second Degree burns | show 🗑
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| Full-thickness or Third Degree Burns | show 🗑
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| Emergency Treatment of burns | show 🗑
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| show | foods are not a trigger, general hygiene: cleanliness, rest, and avoidance of emotional stress. Do not squeeze.
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| show | deficiency of enzyme needed for fat metabolism. Evident at 5-6 months of age when their growth starts to slow. Causes mental and physical deterioration. Blindness. Mental retardation. There is no treatment. Emotional support.
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| Ultimate goal for child with diabetes is | show 🗑
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| Staphylococcal infection | show 🗑
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| Treatment and nursing care for a staph infection | show 🗑
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| Scalded skin syndrome- staph aureus | show 🗑
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| show | Athletes foot. Between toes, on instep and on soles. OTC topical therapy. Aggravated by heat and moisture. Keep feet DRY.
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| Nutrition for healing with burns | show 🗑
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| Six C's of burn care | show 🗑
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| RSV precautions | show 🗑
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| show | caused by a deer tick bite. Incubation: 3-30days. Not communicable bw people. Avoid ticks. Inspect skin after being in wooded area. Starts as a red papule that spreads and becomes a large round red ring. Antibiotics to treat.
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