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test 4
pedi CC
36
Nursing
Undergraduate 4
12/04/2011

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Term
clinical manifestations of moderate dehydration
Definition
slightly lower bp with postural hypotension, irritable, rapid pulse, little bit dry mucous membrane, a little less output, sunken fontanels, long cap refill
Term
clinical manifestations of severe dehydration
Definition
low pulse, poor skin turgur, no urinary output
Term
concentrated body fluids,Thirsty confused lethargy
Definition
hypernatremia
Term
too dilute body fluids, caused by water intoxication or too dilute formula
Definition
hyponatremia
Term
muscle dysfunction, intestinal cramping diarrhea, muscle weakness, tachy, prolonged qrs complex.
Definition
hyperkalemia
Term
treatment of hyperkalemia
Definition
Treat underlying cause, administer kayexalate, maybe dialysis if have renal failure. Stop fluids that have K+ in them, monitor cardio pulmonary status.
Term
Muscle dysfunction (slowed), constipation, skeletal muscle weakness, cardiac arrhythmias
Definition
hypokalemia
Term
treatment of hypokalemia
Definition
Replace K+ iv or oral and alleviate underlying cause, cardiac monitoring.
Term
treatment of hypercalcemia
Definition
Give lasix, glucocorticoids (decrease absorption), phosphate (binds to be excreated), dialysis. Avoid calcium rich foods and supplements, teaching
Term
Increased muscle excitability, twitching, cardiac arrhythmias, positive chovsteck and trousseaus
Definition
hypocalcemia
Term
treatment of hypocalcemia
Definition
calcium, vit.D, and teaching
Term
decreased muscle irritability, hypotension, bradycardia. Diuresis
Definition
hypermagnesemia
Term
causes of hypermagnesemia
Definition
renal failure, eclampsia in mom before birth
Term
what type of acid base imbalance could be seen with DKA
Definition
metabolic acidosis
Term
hyperventilation causes what kind of acid base imbalance
Definition
respiratory alkalosis
Term
abnormal distribution of blood volume
Definition
distributive shock
Term
anaphylaxis, sepsis, and spinal cord injury can cause what kind of shock
Definition
distributive shock
Term
Pe, tension pneumothorax, tumor, percardial tamponade can cause what kind of shock
Definition
obstructive shock
Term
Heart is not pumping enough blood to adequately perfuse tissue
Chf, surgery, cardiomyopathy, arrhythmias cause what kind of shock
Definition
cardiogenic shock
Term
you'll see blistering with which stage of burn
Definition
partial thickness
Term
nerve damage occurs with which stage of burn
Definition
full thickness burn
Term
the childs hand without the finger and thumb is what percent of the BSA
Definition
1%
Term
early signs of increased intracranial pressure
Definition
HA, visual disturbance, nausea, dizziness, slight vs change, seizures, slight change in LOC
Term
late signs of increased intracranial pressure
Definition
significant decrease in LOC, fixed dilated pupils, cushing triad: bradycardia, increased systolic bp, widening pulse pressure, irreg resp.
In infants: irritability, buldging fontanel, wide sutures, dilated scalp veins, high pitched cry
Term
direct blow, shearing of nerve fibers, altered mental status, not always loss of consciousness
Definition
concussion
Term
brain bruise
Definition
contusion
Term
kids less than 3 years old. May appear stunned at initial injury then later pale, clamy, lethargic, vomiting
Definition
pediatric concussive syndrome
Term
what is important to ask the parents of a child with encephalitis
Definition
any recent bug bites or travel
Term
can encephalitis cause permanent psychological signs
Definition
yes
Term
Cerebral edema, enlarged fatty liver, mental status change, seizures, 5 stages that goes to coma and resp failure
Definition
reyes syndrome
Term
a link between aspirin and viral infections like the flu have been shown to cause
Definition
reyes syndrome
Term
Encephalocele
Definition
protrusion of meningeal tissue through a defect in skull
Term
Spina bifida occulta
Definition
: may not see on outside, may be tuft of hair, or may feel like a cyst
Term
: protruded through bony spine, not external
Definition
Spina bifida cystica
Term
spinal fluid filled sack, protrudes through skin. Spinal cord and root are still normal
Definition
Meningocele
Term
Meningomyelocele
Definition
spinal cord or nerve root in the sack
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