Podcast
Questions and Answers
What laboratory testing is specifically mentioned for children with low IGF-1, IGFBP-3, and short stature when investigating potential hypopituitarism?
What laboratory testing is specifically mentioned for children with low IGF-1, IGFBP-3, and short stature when investigating potential hypopituitarism?
Growth Hormone (GH) stimulation testing.
Describe the key steps involved in the procedure for Growth Hormone (GH) stimulation testing.
Describe the key steps involved in the procedure for Growth Hormone (GH) stimulation testing.
The child must have nothing to eat/drink and limited activity for 10-12 hours prior. A baseline blood sample is drawn between 0600-0800. A medication that triggers GH release is administered. Blood samples are then collected every 15-30 minutes for a 3-hour period.
How is skeletal maturity assessed to aid in the diagnosis of hypopituitarism?
How is skeletal maturity assessed to aid in the diagnosis of hypopituitarism?
Skeletal maturity is assessed by comparing the child's epiphyseal centers (growth plates) on radiographs to age-appropriate published standards.
What type of radiographic assessment is specifically recommended for diagnosing hypopituitarism in children under 3 years of age?
What type of radiographic assessment is specifically recommended for diagnosing hypopituitarism in children under 3 years of age?
What type of radiographs are typically used to assess bone age for suspected hypopituitarism in older children?
What type of radiographs are typically used to assess bone age for suspected hypopituitarism in older children?
What two key aspects related to growth do skeletal surveys provide information about in the evaluation of hypopituitarism?
What two key aspects related to growth do skeletal surveys provide information about in the evaluation of hypopituitarism?
What kind of structural abnormalities might be detected by a series of skull films during the diagnostic workup for hypopituitarism?
What kind of structural abnormalities might be detected by a series of skull films during the diagnostic workup for hypopituitarism?
During nursing care for growth hormone deficiency, what two measurements must be taken and documented on a growth chart at every visit?
During nursing care for growth hormone deficiency, what two measurements must be taken and documented on a growth chart at every visit?
In children with growth hormone deficiency, which is typically more affected: their height or their weight?
In children with growth hormone deficiency, which is typically more affected: their height or their weight?
In a child with growth hormone deficiency, which 'age' does bone age usually match?
In a child with growth hormone deficiency, which 'age' does bone age usually match?
What is crucial to emphasize to parents regarding growth expectations for their child with growth hormone deficiency?
What is crucial to emphasize to parents regarding growth expectations for their child with growth hormone deficiency?
What medication is used as replacement therapy for hypopituitarism (GH deficiency), and what is its primary action?
What medication is used as replacement therapy for hypopituitarism (GH deficiency), and what is its primary action?
List four key nursing actions related to the administration of Somatropin.
List four key nursing actions related to the administration of Somatropin.
What critical status assessment must be performed frequently during cast care?
What critical status assessment must be performed frequently during cast care?
How should a limb with a new cast be positioned for the first 24-48 hours, and why?
How should a limb with a new cast be positioned for the first 24-48 hours, and why?
What should be applied to the cast during the first 24 hours after application?
What should be applied to the cast during the first 24 hours after application?
How often should the affected extremity typically be turned or repositioned while in a cast, especially during the drying phase?
How often should the affected extremity typically be turned or repositioned while in a cast, especially during the drying phase?
What should be ensured regarding the affected extremity's positioning while in a cast (aside from elevation)?
What should be ensured regarding the affected extremity's positioning while in a cast (aside from elevation)?
What thermal changes on the surface of the cast should be assessed for, potentially indicating a problem underneath?
What thermal changes on the surface of the cast should be assessed for, potentially indicating a problem underneath?
What should be monitored for that might seep through or stain the cast?
What should be monitored for that might seep through or stain the cast?
What specific assessment related to the integumentary system is crucial during cast care?
What specific assessment related to the integumentary system is crucial during cast care?
How should wet plaster casts be handled to avoid creating pressure points?
How should wet plaster casts be handled to avoid creating pressure points?
What material can be applied to the cast edges to prevent skin friction?
What material can be applied to the cast edges to prevent skin friction?
Especially with spica casts, what measure should be taken to prevent soiling?
Especially with spica casts, what measure should be taken to prevent soiling?
What assistance should the nurse provide if a child requires crutches while casted?
What assistance should the nurse provide if a child requires crutches while casted?
When handling a wet plaster cast, besides using the palms, what thermal sensation is normal, and what would be abnormal?
When handling a wet plaster cast, besides using the palms, what thermal sensation is normal, and what would be abnormal?
What basic skin care should be performed after cast removal?
What basic skin care should be performed after cast removal?
Define Talipes equinovarus (clubfoot).
Define Talipes equinovarus (clubfoot).
What instruction regarding massage/manipulation might be part of clubfoot education for parents?
What instruction regarding massage/manipulation might be part of clubfoot education for parents?
Describe the general timeline and process of serial casting (Ponseti method) for clubfoot treatment.
Describe the general timeline and process of serial casting (Ponseti method) for clubfoot treatment.
When might surgical repair or tenotomy be indicated for clubfoot, and what typically follows the surgery?
When might surgical repair or tenotomy be indicated for clubfoot, and what typically follows the surgery?
Describe the bracing phase used to maintain correction after clubfoot casting/surgery.
Describe the bracing phase used to maintain correction after clubfoot casting/surgery.
What condition is a Pavlik harness primarily used to treat in infants?
What condition is a Pavlik harness primarily used to treat in infants?
What is crucial regarding the Pavlik harness itself during treatment?
What is crucial regarding the Pavlik harness itself during treatment?
How often should Pavlik harness straps be checked for adjustment by a healthcare provider?
How often should Pavlik harness straps be checked for adjustment by a healthcare provider?
Should parents/caregivers be discouraged from holding an infant in a Pavlik harness?
Should parents/caregivers be discouraged from holding an infant in a Pavlik harness?
What aspects of the infant's overall well-being should be promoted while they are being treated with a Pavlik harness?
What aspects of the infant's overall well-being should be promoted while they are being treated with a Pavlik harness?
What should be placed directly against the skin under the straps of a Pavlik harness?
What should be placed directly against the skin under the straps of a Pavlik harness?
What type of checks must be performed regularly when an infant is in a Pavlik harness?
What type of checks must be performed regularly when an infant is in a Pavlik harness?
According to the provided text, when is the only time the Pavlik harness should typically be removed by caregivers?
According to the provided text, when is the only time the Pavlik harness should typically be removed by caregivers?
What should caregivers do to confirm their understanding and ability to manage Pavlik harness care at home?
What should caregivers do to confirm their understanding and ability to manage Pavlik harness care at home?
What does the Trendelenburg sign assess, and how is the test performed?
What does the Trendelenburg sign assess, and how is the test performed?
What observation indicates a positive Trendelenburg sign?
What observation indicates a positive Trendelenburg sign?
The Trendelenburg sign is noted as being seen in children with which specific hip condition?
The Trendelenburg sign is noted as being seen in children with which specific hip condition?
What is osteomyelitis?
What is osteomyelitis?
List five classic signs and symptoms of osteomyelitis in a child.
List five classic signs and symptoms of osteomyelitis in a child.
What labs are typically assessed initially for suspected hypopituitarism?
What labs are typically assessed initially for suspected hypopituitarism?
Describe the procedure for GH stimulation testing.
Describe the procedure for GH stimulation testing.
What is assessed to diagnose hypopituitarism relating to skeletal maturity?
What is assessed to diagnose hypopituitarism relating to skeletal maturity?
What test is done in children under 3 years of age for hypopituitarism diagnosis regarding skeletal assessment?
What test is done in children under 3 years of age for hypopituitarism diagnosis regarding skeletal assessment?
What type of radiographs should older children have for hypopituitarism diagnosis to assess bone age?
What type of radiographs should older children have for hypopituitarism diagnosis to assess bone age?
What information do skeletal surveys provide in the context of diagnosing hypopituitarism?
What information do skeletal surveys provide in the context of diagnosing hypopituitarism?
What can a series of skull films potentially detect in the diagnosis of hypopituitarism?
What can a series of skull films potentially detect in the diagnosis of hypopituitarism?
What measurements are essential during nursing care for growth hormone deficiency at EVERY visit?
What measurements are essential during nursing care for growth hormone deficiency at EVERY visit?
How does growth hormone deficiency typically affect a child's height relative to their weight?
How does growth hormone deficiency typically affect a child's height relative to their weight?
In a child with growth hormone deficiency, what parameter typically matches their height age?
In a child with growth hormone deficiency, what parameter typically matches their height age?
What should be stressed to parents regarding their child's growth expectations when diagnosed with growth hormone deficiency?
What should be stressed to parents regarding their child's growth expectations when diagnosed with growth hormone deficiency?
What medication is used as a growth hormone replacement for hypopituitarism?
What medication is used as a growth hormone replacement for hypopituitarism?
What are the key nursing actions when administering Somatropin for hypopituitarism?
What are the key nursing actions when administering Somatropin for hypopituitarism?
What critical status should you assess and monitor during cast care?
What critical status should you assess and monitor during cast care?
How should a casted extremity be positioned during the first 24-48 hours after application?
How should a casted extremity be positioned during the first 24-48 hours after application?
What should be applied to the cast during the first 24 hours to minimize swelling?
What should be applied to the cast during the first 24 hours to minimize swelling?
How often should you turn or reposition the affected extremity during cast care, especially when drying?
How often should you turn or reposition the affected extremity during cast care, especially when drying?
What should you ensure for the affected extremity while it is in a cast?
What should you ensure for the affected extremity while it is in a cast?
What temperature-related signs should you assess for in the casted area?
What temperature-related signs should you assess for in the casted area?
What should you monitor for on the cast surface?
What should you monitor for on the cast surface?
What should be assessed around the edges of the cast?
What should be assessed around the edges of the cast?
How should wet plaster casts be handled to avoid causing indentations?
How should wet plaster casts be handled to avoid causing indentations?
What material can be applied to cast edges to prevent friction rub against the skin?
What material can be applied to cast edges to prevent friction rub against the skin?
In cast care, especially for hip spica casts, what should be covered to prevent soiling from urine or feces?
In cast care, especially for hip spica casts, what should be covered to prevent soiling from urine or feces?
What assistance should be provided to a patient requiring crutches?
What assistance should be provided to a patient requiring crutches?
How should a wet plaster cast be handled, and what temperature sensation is normal during drying?
How should a wet plaster cast be handled, and what temperature sensation is normal during drying?
What nursing care advice should be given after cast removal regarding skin care?
What nursing care advice should be given after cast removal regarding skin care?
What is Talipes equinovarus?
What is Talipes equinovarus?
What initial parent education regarding manipulation might be included for club foot?
What initial parent education regarding manipulation might be included for club foot?
Describe the serial 'casting' phase of club foot treatment (Ponseti method).
Describe the serial 'casting' phase of club foot treatment (Ponseti method).
When might surgical repair or a tendon tenotomy (lengthening) be performed for club foot, and what does it typically involve?
When might surgical repair or a tendon tenotomy (lengthening) be performed for club foot, and what does it typically involve?
Describe the bracing phase using a Denis Browne Bar and shoes in club foot treatment.
Describe the bracing phase using a Denis Browne Bar and shoes in club foot treatment.
What is crucial to maintain regarding a Pavlik harness?
What is crucial to maintain regarding a Pavlik harness?
How often should the straps of the Pavlik harness typically be checked for adjustment by a healthcare provider?
How often should the straps of the Pavlik harness typically be checked for adjustment by a healthcare provider?
What parent-infant interaction should be encouraged for a child in a Pavlik harness?
What parent-infant interaction should be encouraged for a child in a Pavlik harness?
What general aspect of the child should be actively promoted while they are using a Pavlik harness?
What general aspect of the child should be actively promoted while they are using a Pavlik harness?
What should ideally be placed directly under the straps of a Pavlik harness to protect the skin?
What should ideally be placed directly under the straps of a Pavlik harness to protect the skin?
What type of checks should be performed regularly on the skin of an infant wearing a Pavlik harness?
What type of checks should be performed regularly on the skin of an infant wearing a Pavlik harness?
According to typical instructions, when is the only time the Pavlik harness should be removed?
According to typical instructions, when is the only time the Pavlik harness should be removed?
What should caregivers be able to do regarding the Pavlik harness before discharge?
What should caregivers be able to do regarding the Pavlik harness before discharge?
What does the Trendelenburg sign primarily assess, and how is the test performed?
What does the Trendelenburg sign primarily assess, and how is the test performed?
How is a Trendelenburg test determined to be positive?
How is a Trendelenburg test determined to be positive?
The Trendelenburg sign can be seen in children with which musculoskeletal condition?
The Trendelenburg sign can be seen in children with which musculoskeletal condition?
What are the classic signs and symptoms observed in a child with osteomyelitis?
What are the classic signs and symptoms observed in a child with osteomyelitis?
What lab test is often used to investigate hypopituitarism, especially in children with short stature and low IGF-1/IGFBP-3 levels?
What lab test is often used to investigate hypopituitarism, especially in children with short stature and low IGF-1/IGFBP-3 levels?
Describe the preparation and procedure for a Growth Hormone (GH) stimulation test used in diagnosing hypopituitarism.
Describe the preparation and procedure for a Growth Hormone (GH) stimulation test used in diagnosing hypopituitarism.
What key factor is assessed to help diagnose hypopituitarism, often involving comparing epiphyseal centers to standards?
What key factor is assessed to help diagnose hypopituitarism, often involving comparing epiphyseal centers to standards?
What diagnostic imaging test is typically performed on children under 3 years old to assess skeletal maturity for suspected hypopituitarism?
What diagnostic imaging test is typically performed on children under 3 years old to assess skeletal maturity for suspected hypopituitarism?
For older children being evaluated for hypopituitarism, which specific type of radiographs are commonly used to assess skeletal maturity?
For older children being evaluated for hypopituitarism, which specific type of radiographs are commonly used to assess skeletal maturity?
What two key types of information do skeletal surveys or bone age radiographs provide when evaluating hypopituitarism?
What two key types of information do skeletal surveys or bone age radiographs provide when evaluating hypopituitarism?
In the context of hypopituitarism diagnosis, what might a series of skull films or other pituitary imaging reveal?
In the context of hypopituitarism diagnosis, what might a series of skull films or other pituitary imaging reveal?
During every nursing visit for a child with growth hormone deficiency, what essential measurements should be taken and documented?
During every nursing visit for a child with growth hormone deficiency, what essential measurements should be taken and documented?
In children with growth hormone deficiency, weight is typically more severely affected than height.
In children with growth hormone deficiency, weight is typically more severely affected than height.
In a child with growth hormone deficiency, their bone age is most likely to match which other 'age'?
In a child with growth hormone deficiency, their bone age is most likely to match which other 'age'?
What is crucial to emphasize to parents regarding expectations for their child undergoing treatment for growth hormone deficiency?
What is crucial to emphasize to parents regarding expectations for their child undergoing treatment for growth hormone deficiency?
What is the medication used for growth hormone replacement therapy in hypopituitarism?
What is the medication used for growth hormone replacement therapy in hypopituitarism?
Which of the following are important nursing actions when administering Somatropin?
Which of the following are important nursing actions when administering Somatropin?
What is a primary and essential assessment priority during routine cast care?
What is a primary and essential assessment priority during routine cast care?
How should a newly applied cast be positioned for the first 24-48 hours, and why?
How should a newly applied cast be positioned for the first 24-48 hours, and why?
What should be applied intermittently to a cast during the first 24 hours to help manage swelling and pain?
What should be applied intermittently to a cast during the first 24 hours to help manage swelling and pain?
Especially while a plaster cast is drying, how often should the patient or the affected extremity be repositioned?
Especially while a plaster cast is drying, how often should the patient or the affected extremity be repositioned?
What should be done to prevent strain and maintain alignment of a casted extremity when the patient is resting?
What should be done to prevent strain and maintain alignment of a casted extremity when the patient is resting?
When assessing a cast, what might increased warmth or specific 'hot spots' felt on the cast surface indicate?
When assessing a cast, what might increased warmth or specific 'hot spots' felt on the cast surface indicate?
If drainage is noted staining through a cast, what should the nurse do?
If drainage is noted staining through a cast, what should the nurse do?
Besides neurovascular status, what else should be regularly assessed around the edges of a cast?
Besides neurovascular status, what else should be regularly assessed around the edges of a cast?
How should a wet plaster cast be handled to prevent indentations that could cause pressure points?
How should a wet plaster cast be handled to prevent indentations that could cause pressure points?
What material can be applied to the edges of a cast in overlapping strips ('petaling') to prevent skin irritation from rough edges?
What material can be applied to the edges of a cast in overlapping strips ('petaling') to prevent skin irritation from rough edges?
For spica casts or other casts near the perineal area, what precaution should be taken to prevent soiling from urine or feces?
For spica casts or other casts near the perineal area, what precaution should be taken to prevent soiling from urine or feces?
If a patient requires crutches due to a lower extremity cast, what assistance is necessary before ambulation?
If a patient requires crutches due to a lower extremity cast, what assistance is necessary before ambulation?
After cast removal, what simple skin care instructions should be given to the client?
After cast removal, what simple skin care instructions should be given to the client?
Define Talipes Equinovarus.
Define Talipes Equinovarus.
Regarding home care for clubfoot treated with casting, what might parents be taught to do daily involving massage?
Regarding home care for clubfoot treated with casting, what might parents be taught to do daily involving massage?
Which statement best describes the typical serial casting (Ponseti method) process for clubfoot?
Which statement best describes the typical serial casting (Ponseti method) process for clubfoot?
Under what circumstances might surgical intervention, such as an Achilles tenotomy, be performed for clubfoot?
Under what circumstances might surgical intervention, such as an Achilles tenotomy, be performed for clubfoot?
What type of brace is commonly used after successful clubfoot correction to prevent relapse, and what is the typical wearing schedule?
What type of brace is commonly used after successful clubfoot correction to prevent relapse, and what is the typical wearing schedule?
What common orthopedic condition in infants is a Pavlik harness used to treat?
What common orthopedic condition in infants is a Pavlik harness used to treat?
How frequently should the straps of a Pavlik harness typically be checked and potentially adjusted by a healthcare provider due to the infant's growth?
How frequently should the straps of a Pavlik harness typically be checked and potentially adjusted by a healthcare provider due to the infant's growth?
Parents should minimize holding an infant who is wearing a Pavlik harness to avoid disrupting its placement.
Parents should minimize holding an infant who is wearing a Pavlik harness to avoid disrupting its placement.
What should be worn directly against the infant's skin underneath a Pavlik harness?
What should be worn directly against the infant's skin underneath a Pavlik harness?
What specific type of check needs to be performed regularly by caregivers when an infant is in a Pavlik harness?
What specific type of check needs to be performed regularly by caregivers when an infant is in a Pavlik harness?
According to typical instructions, when should caregivers remove the Pavlik harness?
According to typical instructions, when should caregivers remove the Pavlik harness?
To ensure caregivers understand how to manage the Pavlik harness at home, what should the nurse have them do before discharge?
To ensure caregivers understand how to manage the Pavlik harness at home, what should the nurse have them do before discharge?
What specific muscle group's strength is assessed by the Trendelenburg test?
What specific muscle group's strength is assessed by the Trendelenburg test?
In which pediatric orthopedic condition might a positive Trendelenburg sign be observed in an older child who is walking?
In which pediatric orthopedic condition might a positive Trendelenburg sign be observed in an older child who is walking?
Define osteomyelitis.
Define osteomyelitis.
Flashcards
Hypopituitarism Labs
Hypopituitarism Labs
GH stimulation testing for children with low IGF-1/IGFBP-3 and short stature.
Hypopituitarism procedure
Hypopituitarism procedure
No food/drink, limited activity for 10-12 hr prior to testing. Baseline blood sample between 0600-0800. Med administered, blood samples q15-30 min for 3 hr.
Assess skeletal maturity
Assess skeletal maturity
Compare bone development to age-appropriate standards to determine their skeletal maturity.
Skeletal survey (under 3)
Skeletal survey (under 3)
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Radiographs for Hypopituitarism
Radiographs for Hypopituitarism
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Skeletal surveys Info
Skeletal surveys Info
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Skull films and Hypopituitarism
Skull films and Hypopituitarism
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Growth hormone deficiency measurements
Growth hormone deficiency measurements
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GH deficiency impact
GH deficiency impact
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Bone age in GH deficiency
Bone age in GH deficiency
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Growth expectations
Growth expectations
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Somatropin
Somatropin
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Somatropin (Nursing Actions)
Somatropin (Nursing Actions)
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Assess neurovascular status
Assess neurovascular status
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Positioning the cast
Positioning the cast
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Apply ice
Apply ice
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Turning the extremity
Turning the extremity
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Support to reduce swelling
Support to reduce swelling
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Assessing warmth
Assessing warmth
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Monitor drainage
Monitor drainage
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Assess skin
Assess skin
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Handle plaster correctly
Handle plaster correctly
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Prevent frictions rubs
Prevent frictions rubs
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Area to prevent soiling
Area to prevent soiling
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Crutches usage
Crutches usage
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When cast wet
When cast wet
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Cast removal
Cast removal
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Talipes equinovarus
Talipes equinovarus
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Club foot education
Club foot education
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Club foot casting
Club foot casting
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Surgical repair for club foot
Surgical repair for club foot
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Brace and shoe treatment
Brace and shoe treatment
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Pavick Harness
Pavick Harness
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Maintain harness placement
Maintain harness placement
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Straps adjust
Straps adjust
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Encourage Holding
Encourage Holding
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Promote growth
Promote growth
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T-shirt under Pavlick
T-shirt under Pavlick
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Skin checks
Skin checks
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Remove Pavlick for what?
Remove Pavlick for what?
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Return demonstration
Return demonstration
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Trendelenburg sign
Trendelenburg sign
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Trendelenburg test positive
Trendelenburg test positive
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Trendelenburg for child
Trendelenburg for child
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Osteomyelitis
Osteomyelitis
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Osteomyelitis classic signs
Osteomyelitis classic signs
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Study Notes
Hypopituitarism Labs
- Growth hormone (GH) stimulation testing is indicated for children with low levels of insulin-like growth factor 1 (IGF-1) and IGF binding protein 3 (IGFBP-3), as well as short stature.
Hypopituitarism Procedure
- Children should not eat or drink and limit their activity for 10–12 hours before the test.
- A baseline blood sample should be taken between 0600 and 0800.
- Medication is administered to trigger GH release.
- Blood samples are taken every 15–30 minutes for 3 hours after medication administration.
Hypopituitarism Diagnosis Assessments
- Skeletal maturity is assessed by comparing epiphyseal centers to age-appropriate standards.
Hypopituitarism Diagnosis Tests
- A general skeletal survey is done for children under 3 years old.
- Older children should have radiographs of their hands and wrists.
- Skeletal surveys provide data on growth and epiphyseal function.
- Skull films can detect structural abnormalities, such as a small sella turcica.
Nursing Care for Growth Hormone Deficiency
- Height and weight should be measured and marked on a growth chart at every visit.
- Height is more affected than weight in children.
- Bone age typically matches height age.
- It is important to have realistic expectations for the child's growth based on their age and abilities.
Somatropin (Hypopituitarism Medication)
- Somatropin is used as human growth hormone replacement therapy to stimulate bone and skeletal muscle growth.
- Administer via subcutaneous injections into the abdomen, thigh, buttock, or back of the upper arm.
- Use cautiously in children who are receiving insulin.
- Rotate injection sites to prevent tissue atrophy.
- Administer at bedtime to promote effectiveness.
Cast Care Assessments and Monitoring
- Assess neurovascular status.
- Monitor for increased warmth or hot spots.
- Monitor for drainage and skin issues.
Cast Care First 24-48 Hours
- Elevate the cast above the level of the heart to prevent swelling.
- Apply ice for the first 24 hours.
Cast Care Guidelines
- Turn the affected extremity every 2 hours.
- Ensure the affected extremity is supported.
- Handle plaster casts with the palm of the hands to avoid denting while wet.
- Moleskin can prevent friction rub on a cast.
- Cover areas around the cast to prevent soiling from feces.
Additional Cast Care Information
- Provide assistance with crutch fitting and usage.
- When the cast is wet, use palms of hands to handle; it should feel warm, not hot.
- After cast removal, soak off excess material and apply lotion.
Talipes Equinovarus (Club Foot)
- Club foot is a deformity of the ankle and foot involving bone deformity, malpositioning, and soft tissue contracture.
Club Foot Education
- Caregivers should massage and rotate the ankle in the correct way 5 times every day.
Club Foot Treatment: Casting
- Begins when the baby is 1–2 weeks old.
- Consists of a series of 5–7 casts over a few weeks to months.
- Involves weekly stretching of the foot muscles.
Club Foot Treatment: Surgical Repair or Tendon Lengthening
- This is done if there is no improvement by 3 months.
- The joint and tendons are cut to restore bones to their normal position.
- Casting is required for 2–3 months after and then braces.
Club Foot Treatment: Brace/Denis Browne Bar and Shoes
- After the foot is in the final correct position, it is fitted with a brace with a Denis Browne bar and special shoes.
- The foot must stay in alignment 23 hours a day for 3 months, and during the night/naps until 4 years old.
Pavlick Harness Use
- The Pavlik harness is used for developmental dysplasia of the hip and is worn for 6 to 12 weeks.
Pavlick Harness Care
- Maintain proper harness placement.
- Check straps for adjustment every 1–2 weeks.
- Encourage holding of the child.
- Promote growth and development.
- Place a white cotton t-shirt under the harness to prevent skin issues.
- Perform regular skin checks.
- Remove the harness only for baths.
- Caregivers should perform a return demonstration.
Trendelenburg Sign
- Assesses the strength of hip abductor muscles by having the child stand on one leg with the other leg flexed forward.
- A positive test is indicated by a drop in the pelvis on the side opposite the standing leg.
- It is seen in children with developmental dysplasia of the hip.
Osteomyelitis
- It is an infection within the bone due to a bacterial infection from an outside source (usually staph).
Osteomyelitis Symptoms
- Not wanting to use affected extremity.
- Appearing ill and irritable.
- Fever and tachycardia.
- Edema and pain.
- The site of infection is tender, and pain worsens with movement.
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