Summer review brain enhancer (pedia)
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Summer review brain enhancer (pedia) Summer review brain enhancer (pedia) Presentation Transcript

  • ENJOY!
    Summer
    @
    PEAK!!!
  • RATIONALE
    BY:
    RANDEL DALAUTA,RN
  • Intrauterine Growth Retardation
    Intervention:
    • Treatment of Asphyxia
    • Measure weight, head circumference & length to categorize type.
    • Careful physical examination for anomalies & dimorphic features features.
    • Blood glucose & hematocrit
    • Serum Calcium and WBC count and platelet count
    • If due to placental factor, provide;
    • Increase O2
    • Increase fluid intake
    • Increase nutritional intake
  • CONGESTIVE HEART FAILURE
  • Tonsilitis
    Tonsillectomy
    Throat Soreness & Pain
    Obstruction on Swallowing & Breath
    Nfxn Antibiotics & Analgesics
    Soft Liquid Diet
    Ice collar & edema
    Lozanges & warm gargles
    Side turning & School restriction (10-14 days)
    Pre-op:
    • coughing exercise
    • Occur 5-6 times /yr
    Post-op:
    • Bleeding – black stool
    - frequent swallowing
    • Positioning: prone, head to side, awake:semi-fowlers
    • Diet:Bland, ice cold
    • Avoid: clear of throat, sneezing,blowing of nose, coughing
  • Pyloric Stenosis
    Projectile vomiting
    1-2 cm Olive Shaped Mass
    - visible peristalsis,like rolling balls
    Post-op:
    -left side lying position
    -small frequent feeding, in semi-upright (40-60mims), position slightly to the right, slowly burp
    Its is a birth defect
  • Pyloric Stenosis
  • Congenital Hip Subluxation
  • Hydrocephalus
    • Increase head circumference( >15 ins)
    • Bulging fontanels
    • Dilating scalp vein
    • Sunset eyes
    • Late: shrill/high pitch cry & seizures
    • Doc: mannitol & Decadro
    • Avoid: upright position
    • WOF: constant sleeping
  • Crutch field Tong
  • W
    Fetal Circulation
    E
  • W
    Foramen Ovale
    E
  • W
    DuctusArteriosus
    E
  • First Aid for Dog Bites
    The wound should be wiped clean of any saliva if the dog is suspected to be rabid (infected by rabies). The wound should be washed well with soap and running water.
    After drying, the wound should not be closed if it is a puncture wound, may be covered with a dry dressing if there is a cut or laceration.
    The person should be taken to the doctor immediately.
    Since there is a chance of being infected with tetanus, the doctor will administer an injection containing tetanus vaccine.
    The owner of the dog should be informed and the dog taken to a Veterinarian immediately, to check for symptoms of rabies.
    The dog should not be killed, but should be kept under observation for 10-15 days to see whether it develops symptoms of rabies. If it does not develop symptoms within 10 days, then chances are that it is not infected by rabies. treatment to provide immunity against the disease.
  • First Aid for Epistaxis
    • Do not tilt head
    • Sit up right
    • Lean forward (breath on mouth)
    • Spit out any blood
    • Gently squeeze fleshy portion
    • Put little wad of cotton inside victims lip against the gum
    • Wait 5 minutes before re-checking
    • if not yet stop gently blow nose to evacuate clots
    • If slowed pack nose with a tissue
    • Coat tip of tissue with petroleum jelly
    • If totally stopped avoid blowing of nose, bending, lifting, & coughing
  • Normal Course in Immunization
  • APGAR Scoring
  • - Hospitalization : keep up with school work
    Hospitalization : allow to wear preferred cloths; let friends visit, or call
  • Congenital Hypothyroidism
    s/sx:
    • Jaundice
    • Constipation
    • Lethargy
    • feeding problems
    • large tongue
    • puffy face
    - distended abdomen
    Intervention:
    • thyroid hormone (synthroid, levothroid)
    - monitor T4 & TSH level
  • Down Syndrome
    • Post-op priority: prevent trauma to suture line
    • Logan’s Bar – to avoid trauma
    • Elbow restraints
  • Umbilical Hernia
  •  Comparisson!
    Nephrotic
    Sydrome
    Glomerulo-
    nephritis
    • Autoimmune
    • Increase glomerolar permeability
    • Hallmark sings:
    - Protienuria –classics sign
    - Edema
    - Hypercholeteremia
    • Plasma Expanders
    • Diuretics
    • Streroids
    • GABHS
    • Inflammation of kidney
    • Periorbital Puffy eyes
    • Hematuria(tea colored)
    • Classic sign:
    Hypertension
    • Plasmapheresis
    • Diuretics
    • Steroids
  • Reye’s Syndrome
    -aspirin overdose
    -unable to convert urea to ammonia for excretion
    -seizures
    -AVOID GIVING ASPIRIN TO BELOW 10 y.o. CHILDREN
  • Battle sign, Raccoon Eyes & Periorbital Edema
  • Juvenile Rheumatoid Arthritis
    • Stiffness – morning & after activity 
    • Swelling
    • Limited ROM
    • Painful tender joints
    • DoC:
    - ASA
    - NSAIDS
    - Corticosteroids
  • Bilateral Club Feet
    InAdEquate
    INVERSION
    ADDUCTIONEQUINUS
  • Cerebral Palsy
    without mental retardation
    Impaired movement & posture
    Persistence of primitive infantile reflexes
    Not evident until child attempts to walk
    Criteria:
    Hyperextension
    Scissors gait
    Hearing impaired
    Athetosis- poor balance
    Ataxia
  •  Spina Bifida
  •  Dubowitz-Ballard Scale
  • ANY QUESTIONS????????????????????
  • THE END