Pediatrics
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Questions and Answers

Sores rupture, ooze, then turn ______ -brown

yellow

Children aged ______-5 are at risk for certain infections.

2

Cleft lip repair is typically performed at ______-6 months.

3

The three C's of TEF are coughing, choking, and ______.

<p>cyanosis</p> Signup and view all the answers

Pyloric stenosis occurs in infants between ______ - 6 months.

<p>birth</p> Signup and view all the answers

Post-operative care for esophageal atresia includes monitoring for ______.

<p>dysphagia</p> Signup and view all the answers

Essentials for feeding infants with cleft conditions use the acronym ______.

<p>ESSR</p> Signup and view all the answers

The three H's of peds on why they code are hypoxia, hypothermia, and ______.

<p>hypoglycemia</p> Signup and view all the answers

Symptoms of hypoxia include difficulty eating, sternal retractions, and nares ______.

<p>flaring</p> Signup and view all the answers

Nursing interventions for TEF include ensuring the infant is ______.

<p>NPO</p> Signup and view all the answers

Infants and children should have a urinary output of ______ mL/kg/hr.

<p>1-2</p> Signup and view all the answers

Proper hygiene and ______ precautions are important for managing skin sores.

<p>contact</p> Signup and view all the answers

Children who are immunocompromised should not receive live vaccines like ______, measles/mumps/rubella, and rotavirus.

<p>Varicella-zoster</p> Signup and view all the answers

Patients with cleft lip/palate are at increased risk for ______ media.

<p>otitis</p> Signup and view all the answers

Before administering the flu shot or MMR vaccine, it is important to ask if the patient has an allergy to ______.

<p>eggs</p> Signup and view all the answers

Rubeola, or measles, is characterized by a high contagious rash and Koplik's ______.

<p>spots</p> Signup and view all the answers

Rubella is also known as ______ measles and is characterized by a rash that starts on the face.

<p>German</p> Signup and view all the answers

Pertussis, also known as ______ cough, is marked by uncontrollable coughing and respiratory distress.

<p>whooping</p> Signup and view all the answers

Neutropenic precautions include avoiding contact with sick people and those who have received recent ______.

<p>vaccines</p> Signup and view all the answers

To prevent otitis media, it is recommended to feed an infant in an ______ position.

<p>upright</p> Signup and view all the answers

Causes forceful vomiting → dehydration. Treated with ______ - pyloromyotomy.

<p>surgery</p> Signup and view all the answers

Intussusception is when part of the intestine telescopes inside ______, resulting in obstruction.

<p>another</p> Signup and view all the answers

Hirschsprung’s Disease is characterized by the absence of ______ cells in the colon and rectum.

<p>ganglion</p> Signup and view all the answers

Reye Syndrome can occur due to aspirin use after a viral ______.

<p>infection</p> Signup and view all the answers

Children born from HIV positive mothers should receive ______ treatment.

<p>antiretroviral</p> Signup and view all the answers

Hemophilia is characterized by the inability to form ______.

<p>clots</p> Signup and view all the answers

Epiglottitis is a medical emergency that causes airway ______.

<p>obstruction</p> Signup and view all the answers

Bronchiolitis is typically caused by ______ and characterized by thick secretions.

<p>RSV</p> Signup and view all the answers

Cystic Fibrosis causes secretions to be thicker and ______.

<p>stickier</p> Signup and view all the answers

Congestive Heart Failure (CHF) occurs when the heart is unable to meet the demands of the ______.

<p>body</p> Signup and view all the answers

Kawasaki Disease causes damage to vessels, mucus membranes, lymph nodes, and ______.

<p>skin</p> Signup and view all the answers

The symptoms of Rheumatic Fever can include SOB, chest pain, fever, and ______ joint pain.

<p>migratory</p> Signup and view all the answers

Children with Hydrocephalus may show signs of ______ pressure such as increased BP and decreased HR.

<p>intracranial</p> Signup and view all the answers

Cerebral Palsy is characterized by neuromuscular issues, which can include ______ movements.

<p>involuntary</p> Signup and view all the answers

Spina Bifida is a neural tube defect that occurs when the spinal cord fails to form ______.

<p>properly</p> Signup and view all the answers

Hypospadias involves an opening of the urethra located on the ventral side of the ______.

<p>penis</p> Signup and view all the answers

Infants should be exclusively breastfed from birth to ______ months.

<p>6</p> Signup and view all the answers

A dimple at the base of the spine can be a symptom of ______ Bifida.

<p>Spina</p> Signup and view all the answers

Cow’s milk is considered appropriate to give at ______ year old.

<p>1</p> Signup and view all the answers

Children with Kawasaki Disease may present with symptoms like strawberry ______.

<p>tongue</p> Signup and view all the answers

Study Notes

Pediatrics - Key Concepts

  • 3 Hs of Pediatric Codes: Hypoxia, Hypothermia, Hypoglycemia

  • Symptoms of Hypoxia: Difficulty eating, sternal retractions, nares flaring

  • Urinary Output: Infants/children should be 1-2 mL/kg/hr

  • Immunizations: Pre-immunization allergy checks (e.g., eggs for flu shot and MMR), ok with colds, HIV considerations (avoid certain live vaccines).

  • Varicella (Chickenpox): Viral disease causing itchy skin lesions, airborne precautions

  • Rubeola (Measles) and Rubella (German Measles): High contagious viral diseases, airborne precautions, measles characterised by rash, Koplik spots, and photophobia.

  • Pertussis (Whooping Cough): Infectious respiratory disease, droplet precautions

  • Neutropenic Precautions: Frequent handwashing, avoiding sick individuals, and potentially large crowds

  • Lead Poisoning: Assess for homes built before 1950's, blood levels >5 mcg/dL require follow-up

  • Otitis Media: Middle ear infection, feed upright/breastfeed, abx, tepid bath, position on affected side, possible tympanostomy tubes

  • Lice: Itchy scalp, red bumps; Use PPE (personal protective equipment), Wood's lamp, pediculicide shampoo, nit comb, daily clothes change

  • Impetigo: Red sores around nose/mouth, caused by bacteria, contact precautions, abx

  • Cleft Lip/Palate: Opening in mouth/lip, cleft lip repair 3-6 months, cleft palate 6-24 months, at risk for otitis/speech

  • Esophageal Atresia (TEF): Congenital abnormality, 3 C's (coughing, choking, cyanosis), NPO, IV fluids

  • Pyloric Stenosis: Swelling of pyloric muscle, forceful vomiting → dehydration, pyloromyotomy (surgery)

  • Intussusception: Telescoping of the intestine, abd pain, currant jelly stools, sausage-shaped mass, IV fluids, barium enema

  • Hirschsprung's Disease: Absence of ganglion cells, no meconium, distended abdomen, ribbon-like stools, bowel cleansing, surgery

  • Kawasaki Disease: Systemic vasculitis, strawberry tongue, rash, high fever, IVIG and aspirin

  • Reye Syndrome: Encephalopathy and hepatic dysfunction; caused by viral infection (flu or chickenpox) and aspirin use.

  • HIV: Children born from infected mothers should receive anti-retroviral treatment.

  • Sickle Cell Anemia: Main interventions include fluids and pain relief.

  • Leukemia: Cancer of blood/bone marrow, may cause epistaxis (bleeding from nose), gums overgrowth, increased WBCs, weakness

  • Hemophilia: X-linked recessive genetic bleeding disorder.

  • Von Willebrand Disease: Genetic bleeding disorder, low levels of von Willebrand factor.

  • Epiglottitis: Medical emergency, airway obstruction, do NOT examine throat, tripod position, airway maintenance, abx

  • Bronchiolitis: Respiratory virus, characterized by thick secretions, cough, rhinorrhea, congestion, tachypnea, wheezing, nasal suctioning

  • Cystic Fibrosis: Autosomal recessive disorder, thick secretions obstruct lungs, digestive system, recurrent respiratory infections, pancreatic enzymes

  • Congestive Heart Failure (CHF): Inability to meet body's needs for blood flow, daily weights and observing for symptoms (SOB, tachypnea, cyanosis, weight gain, edema).

  • Cyanotic Heart Disease: Decreased blood flow to the body, resulting in bluish discoloration; mixed blood pumped into systemic circulation.

  • Acyanotic Heart Disease: Increased pulmonary blood flow/blockage of blood vessels, no cyanosis

Increased ICP vs. Shock

  • Increased ICP: Increased blood pressure, decreased heart rate, enlarged head circumference.

  • Shock: Increased heart rate, decreased blood pressure.

Spina Bifida

  • Neural tube defect, prevention: folic acid, symptoms range from dimple to sac on lumbar

Infant Feeding Regimen

  • Breastfeeding is recommended for the first 6 months
  • Introduce solid foods at 4-6 months
  • Wait 5-7 days to assess for allergies after introducing new foods
  • Cows milk is ok from 1 year

Nutrition Notes

  • Do not give honey to infants under 1
  • Watch for too much milk (reduces iron)
  • Individuals with PKU: Avoid high protein food

Other Important Points

  • Normal urine output for infants and children: 1-2 mL/kg/hr

  • Do NOT use tongue blade during seizures

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Pediatric Healthcare Notes PDF

Description

Test your knowledge on crucial concepts in pediatrics, including the key symptoms and precautions associated with various pediatric conditions. This quiz covers topics like hypoxia, immunizations, and infectious diseases. Perfect for preparing for exams or enhancing your understanding of pediatric care.

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