ENJOY! <br />Summer  <br />@ <br />PEAK!!!<br />
RATIONALE<br />BY: <br />RANDEL DALAUTA,RN <br />
Intrauterine Growth Retardation<br />Intervention:<br /><ul><li> 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</li></li></ul><li>CONGESTIVE HEART FAILURE<br />
Tonsilitis<br />Tonsillectomy<br />Throat Soreness & Pain<br />Obstruction on Swallowing & Breath<br />Nfxn Antibiotics & ...
Occur 5-6 times /yr</li></ul>Post-op:<br /><ul><li>Bleeding – black stool</li></ul>                    - frequent swallowi...
Diet:Bland, ice cold
Avoid: clear of throat, sneezing,blowing of nose, coughing</li></li></ul><li>Pyloric Stenosis<br />Projectile vomiting<br ...
Pyloric Stenosis<br />
Congenital Hip Subluxation<br />
Hydrocephalus<br /><ul><li>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</li></li></ul><li>Crutch field Tong<br />
W<br />Fetal Circulation<br />E<br />
W<br />Foramen Ovale<br />E<br />
W<br />DuctusArteriosus<br />E<br />
 First Aid for Dog Bites<br />The wound should be wiped clean of any saliva if the dog is suspected to be rabid (infected ...
First Aid for Epistaxis<br /><ul><li>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
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Summer review brain enhancer (pedia)

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Transcript of "Summer review brain enhancer (pedia)"

  1. 1. ENJOY! <br />Summer <br />@ <br />PEAK!!!<br />
  2. 2.
  3. 3.
  4. 4.
  5. 5. RATIONALE<br />BY: <br />RANDEL DALAUTA,RN <br />
  6. 6. Intrauterine Growth Retardation<br />Intervention:<br /><ul><li> Treatment of Asphyxia
  7. 7. Measure weight, head circumference & length to categorize type.
  8. 8. Careful physical examination for anomalies & dimorphic features features.
  9. 9. Blood glucose & hematocrit
  10. 10. Serum Calcium and WBC count and platelet count
  11. 11. If due to placental factor, provide;
  12. 12. Increase O2
  13. 13. Increase fluid intake
  14. 14. Increase nutritional intake</li></li></ul><li>CONGESTIVE HEART FAILURE<br />
  15. 15. Tonsilitis<br />Tonsillectomy<br />Throat Soreness & Pain<br />Obstruction on Swallowing & Breath<br />Nfxn Antibiotics & Analgesics<br />Soft Liquid Diet<br />Ice collar & edema<br />Lozanges & warm gargles<br />Side turning & School restriction (10-14 days)<br />Pre-op:<br /><ul><li> coughing exercise
  16. 16. Occur 5-6 times /yr</li></ul>Post-op:<br /><ul><li>Bleeding – black stool</li></ul> - frequent swallowing<br /><ul><li>Positioning: prone, head to side, awake:semi-fowlers
  17. 17. Diet:Bland, ice cold
  18. 18. Avoid: clear of throat, sneezing,blowing of nose, coughing</li></li></ul><li>Pyloric Stenosis<br />Projectile vomiting<br />1-2 cm Olive Shaped Mass<br />- visible peristalsis,like rolling balls<br />Post-op:<br />-left side lying position<br />-small frequent feeding, in semi-upright (40-60mims), position slightly to the right, slowly burp<br />Its is a birth defect<br />
  19. 19. Pyloric Stenosis<br />
  20. 20. Congenital Hip Subluxation<br />
  21. 21. Hydrocephalus<br /><ul><li>Increase head circumference( >15 ins)
  22. 22. Bulging fontanels
  23. 23. Dilating scalp vein
  24. 24. Sunset eyes
  25. 25. Late: shrill/high pitch cry & seizures
  26. 26. Doc: mannitol & Decadro
  27. 27. Avoid: upright position
  28. 28. WOF: constant sleeping</li></li></ul><li>Crutch field Tong<br />
  29. 29.
  30. 30. W<br />Fetal Circulation<br />E<br />
  31. 31. W<br />Foramen Ovale<br />E<br />
  32. 32. W<br />DuctusArteriosus<br />E<br />
  33. 33. First Aid for Dog Bites<br />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. <br />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. <br />The person should be taken to the doctor immediately. <br />Since there is a chance of being infected with tetanus, the doctor will administer an injection containing tetanus vaccine. <br />The owner of the dog should be informed and the dog taken to a Veterinarian immediately, to check for symptoms of rabies. <br />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.<br />
  34. 34. First Aid for Epistaxis<br /><ul><li>Do not tilt head
  35. 35. Sit up right
  36. 36. Lean forward (breath on mouth)
  37. 37. Spit out any blood
  38. 38. Gently squeeze fleshy portion
  39. 39. Put little wad of cotton inside victims lip against the gum
  40. 40. Wait 5 minutes before re-checking
  41. 41. if not yet stop gently blow nose to evacuate clots
  42. 42. If slowed pack nose with a tissue
  43. 43. Coat tip of tissue with petroleum jelly
  44. 44. If totally stopped avoid blowing of nose, bending, lifting, & coughing</li></li></ul><li>Normal Course in Immunization<br />
  45. 45. APGAR Scoring<br />
  46. 46.
  47. 47. - Hospitalization : keep up with school work<br />Hospitalization : allow to wear preferred cloths; let friends visit, or call<br />
  48. 48. Congenital Hypothyroidism<br />s/sx:<br /><ul><li>Jaundice
  49. 49. Constipation
  50. 50. Lethargy
  51. 51. feeding problems
  52. 52. large tongue
  53. 53. puffy face</li></ul>- distended abdomen<br />Intervention:<br /><ul><li>thyroid hormone (synthroid, levothroid)</li></ul>- monitor T4 & TSH level<br />
  54. 54. Down Syndrome<br />
  55. 55. <ul><li>Post-op priority: prevent trauma to suture line
  56. 56. Logan’s Bar – to avoid trauma
  57. 57. Elbow restraints</li></li></ul><li>Umbilical Hernia<br />
  58. 58.  Comparisson!<br />Nephrotic<br />Sydrome<br />Glomerulo-<br />nephritis<br /><ul><li>Autoimmune
  59. 59. Increase glomerolar permeability
  60. 60. Hallmark sings:</li></ul> - Protienuria –classics sign<br /> - Edema <br /> - Hypercholeteremia<br /><ul><li>Plasma Expanders
  61. 61. Diuretics
  62. 62. Streroids
  63. 63. GABHS
  64. 64. Inflammation of kidney
  65. 65. Periorbital Puffy eyes
  66. 66. Hematuria(tea colored)
  67. 67. Classic sign:</li></ul>Hypertension<br /><ul><li>Plasmapheresis
  68. 68. Diuretics
  69. 69. Steroids</li></li></ul><li>Reye’s Syndrome<br />-aspirin overdose<br />-unable to convert urea to ammonia for excretion<br />-seizures<br />-AVOID GIVING ASPIRIN TO BELOW 10 y.o. CHILDREN<br />
  70. 70. Battle sign, Raccoon Eyes & Periorbital Edema<br />
  71. 71.
  72. 72. Juvenile Rheumatoid Arthritis<br /><ul><li>Stiffness – morning & after activity 
  73. 73. Swelling
  74. 74. Limited ROM
  75. 75. Painful tender joints
  76. 76. DoC:</li></ul> - ASA<br /> - NSAIDS<br /> - Corticosteroids<br />
  77. 77. Bilateral Club Feet<br />InAdEquate<br />INVERSION<br />ADDUCTIONEQUINUS<br />
  78. 78. Cerebral Palsy<br />without mental retardation<br />Impaired movement & posture<br />Persistence of primitive infantile reflexes <br />Not evident until child attempts to walk<br />Criteria:<br />Hyperextension<br />Scissors gait<br />Hearing impaired<br />Athetosis- poor balance<br />Ataxia<br />
  79. 79.
  80. 80.  Spina Bifida<br />
  81. 81.  Dubowitz-Ballard Scale<br />
  82. 82. ANY QUESTIONS????????????????????<br />
  83. 83. THE END<br />
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