Dermatology, GI, Respiratory,
Dermatology, GI, Respiratory, NUR 405
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This 0 page Study Guide was uploaded by Caroline on Friday November 6, 2015. The Study Guide belongs to NUR 405 at La Salle University taught by in Summer 2015. Since its upload, it has received 44 views. For similar materials see Care of Children & Adolescents in Nursing and Health Sciences at La Salle University.
Reviews for Dermatology, GI, Respiratory,
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Date Created: 11/06/15
Peds Exam 2 Review Dermatology know how to describe rashes Vocabulary Impetigo O 0000 Bacterial quothoney colored crustsquot topical or oral antibiotics usually around nose and mouth cant go back to school until fever free for 24hrs or antibiotics 24hrs Cellulitis O O O O O Redness warmth pain Red streaks radiate from the infected area Does not always have to MRSA can be staph stepp etc If fever l worried about SEPSIS IV wide range antibiotics before culture comes back Involvement of lymph nodes Candidiasis O O O Fungal THRUSH white tongue overgrowth of fungus Diaper Dermatitis o o o Tinea o o O O Fungal Diaper rash Topical antifungal ungaD Capitis head Has to be treated with an oral antifungal Can not treat capitus with topical Griseofulvin is the oral antibiotic that is used for about 68 wks Corporis body ringworm Topical antifungal Common in wrestlers adolescents Red scaly round lesions High contagious Cruris groin jock itch Topical antifungal Pedis feet athlete39s foot Topical antifungal Herpes simplex Viral Cold sore Painful burning sore o Relieve discomfort with Tylenol topical anestheitics Pediculosis Capitus Licez o Nits eggs the hardest thing to get rid of o Hatch in 710 days 0 Treated with pediculicides ask about ragweed or turpentine allergies contraindicated o wash everything in hot water Scabies Sarcoptes scabiei Burrow underneath the skin Maculopapular lesions black dot at the end of a grayish brown threadlike burrow causes in ammatory response begins 3060 days after initial contact 0 proper PPE is very important Atopic Dermatitis Eczema 0 Dry scaly skin Hydrocortisone cream Can come with allergies or asthma Cool wet compresses Mild soaps cotton clothing 0 Reduce are ups can be chronic Seborrheic Dermatitis o Dandrif for adults 0 For kids cradle cap 0 Needs oil and to be brushed Contact Dermatitis COO 0000 0000 Respiratory Assessment of the respiratory system Respiratory therapy Respiratory failure URI Acute viral nasal pharyngitis Acute streptococcal pharyngitis Tonsillitis Otitis Media Blocked Eustachian tubes Croup Acute Epiglottitis Acute Spasmodic Laryngitis 000000 0 GI o BacteriaITracheitis LRI lower respiratory infections 0 Bronchitis 0 Respiratory Syncytial Virus RSVBronchioitis o Pneumonia o Aspiration Asthma RAD Cystic Fibrosis Celiac o Intestine is unable to digest gliadin o Gluten free diet 0 Causes malapsorption stomach pains diarrhea cramping bloating overall GI irritation Hirschprung Disease Congenital Aganglionic Megacolon 0 Missing ganglion cells 0 Causes decreased peristalsis constipation abdominal distention risk for perforation o No meconium at birth 0 Distended abdomen chronic constipation alternating with diarrhea o Might need surgery to remove part of the intestine that s missing the ganglion cells Possible colostomy bag temporary or permanent Pyloric Stenosis o Pyloric valve entrance from stomach to small intestines 0 Usually happens in males 24 weeks old 0 Causes propulsive vomiting 0 Infants are hungry losing weight irritated decreased urination continual propulsive vomiting dehydration uid and electrolyte imbalance 0 Olive shaped mass in the upper stomach that is the pyloric valve 0 The valve becomes stenosis hypertrophy and the uids cannot pass threw the pyloric vave Has a genetic component Get an ultrasound to diagnose o Laproscopic surgery to x this BUT correct uid imbalance BEFORE surgery Small frequent feedings 0 Post OP OO O Pain FLACC scale Care for sutures lf child is projectile vomiting after surgery CALL SURGEON AND DOC The valve may not be xed Intake and output is very important lntussusception 0 Usually at the ileocecal valve 0 Small intestines go into the large intestines 0 Diagnostic and therapeutic hydrostatic reduction 0 O If that is not successful then surgery Especially if perforated More at risk for uid and electrolyte imbalances Post op PAIN Tracheoesophageal Fistula or Atresia O O O O O Fistula tunnel opening that shouldn t be there Atresia pouch 3 Cs Coughing choking cyanosis esophagus ends with a blind pouch so feedings go into the lungs instead of the stomach have to do surgery to repair and reconstruct the anatomy o lmperforate Anus O O No opening Or stula Cleft Lip and Palate 0 00000 00 Not sucking well Trouble feeding Problems latching on if being breastfed Opening in the mouth and nasal cavity Cleft lip can do surgery when child is 10 pounds Cleft pallet wait until child is about 1 year old usually takes more than one surgery depending on how severe Parent teaching is very important Post OP Sutures Might need restraints so they cannot reach their mouth No straws or binkies spoons Main goal prevent injury Liquids soft foods PAIN acc Assess for bleeding Hernias o Umbillical Assess if it is reducible and document More common in pre mature babies Most close by 5 years of age or early Failure to close will need surgery 0 Inguinal Protrusion into the groin Avoid incarceration Fluids and Electrolytes o Dehydration o Isonatremic Equal loss of water and electrolytes The most common kind of dehydration in kids 0 Hypernatremic Primarily loss of water Increased sodium levels Can cause seizures 0 Hyponatremic Primarily loss of electrolytes particularly sodium Decreased sodium levels 0 Stages of dehydration Assessment of dehydration Management of dehydration Rehydration 0 Family education 0 Diarrhea 0 Acute 0 Chronic o Vomiting 000 Question Review Nasal congestion in an infant what do you suggest SSH saline suction humidi cation Aganglionic segment in the colon hirschprungs disease ganglionic cells are nerve cells A means without NG tube after appendectomy is put to prevent abdominal distention ln ammitory bowel disease high ber diet is NOT recommended vitamen supplements are recommended PPl is part of management of peptic ulcer disease Hep A is a virus you can get from drinking infected water or food Effects the liver Causes jaundice Hep A vaccine is important when traveling Liver transplant may be needed when a pt is diagnosed with biliary atresia Tracheoesophageal stula THREE Cs coughing choking cyanosis espohagus ends in a blind pouch feedings end up in the lungs ss excessive amount of frothy saliva in the mouth lntussusseption if the baby has diarrhea and then passes a normal brown stool the tangle should ve straightened out by itself so TELL THE PHYSICIAN Apnea discharge teaching ressusitation CPR Why is a humidi ed atmosphere recommended for a young child with a URI soothing Acute streptococcal pharyngitis should be treated with antiobiotics to prevent Acute rheumatic fever Barking cough croup what should the nurse recommend coo mist vaporizer watch to breathing difficult Synergist is used for Pulmonary function tests forced expiratory volume purpose Assess severity of asthma 4 year old child using MDI the child cannot coordinate her breathing to use it effectively what should the nurse recommend and teach about spacer goal for a child with asthma to prevent RI UR can be a trigger CF primary factor responsible for multiple clinical manifestation mechanical obstruction caused by increased viscosity of secretions from mucous membranes CF supplements A D E K because they have malabsorption and are unable to absorb fat soluble vitamens