singulair-
class?
tx?
side effects?
education?
Give this one a try later!
class- leukotrine receptor antagonist (ORAL)
tx- reduces inflammation cascade responsible for airway inflammation;
improves lung function and diminishes symptoms and need for quick relief
meds
side effects- headache, fever, gi upset, cough, OTITIS MEDIA, pharyngitis
respiratory differences between children and adults?
how long does the airway continue to grow and change?
how wide is an infants airway?
,Give this one a try later!
kids airway is shorter and narrower, angle of R bronchus at bifurcation is
more acute, cartilage that supports trachea is more flexible, greater airway
resistance and risk for obstruction due to the smaller airway, distance bw
structures is shorter allowing organisms to rapidly move down, infants nose
breathers til 6 mos of age
continues to grow and change until 12 yrs; infants little finger is how wide
their airway is (2 mm thick, 4 mm wide- adults is 10 mm wide) edema dec
airway 2 mm when present)
describe some common concerns related to nutrition for INFANTS
education for parent?
Give this one a try later!
allergies, choking, honey, nuts, cows milk, etc, before 1 yr, avoid salt, sugar,
spices, nitrites
education: 8-9 mos- introduce cup
maternal diet doesnt effect micronutrients and BM
>12 mos- introduce cows milk
rice/single grain- 6 mos
veggies 1st then fruits 6-8 mos
meats- 8-10 mos
wait 3-4 days between foods to look for allergies
what age do kids have maternal antibodies?
what age does infection rate inc.?
which age has higher rate of viral infections?
T/F immunity inc. with age; BF babies better immunity
,Give this one a try later!
<3 mos.- maternal antibodies
3-6 mos infection rate inc.
higher rate of viral infections- toddler, preschool (dirty hands, things in
mouth, daycare)
TRUE- yes BF babies better immunity
nutritional needs of PRESCHOOLER?
common concerns?
education for parent?
Give this one a try later!
if child refuses meal/snack- dont give foods in between- they need to get
accustomed to eating when food is provided. periods of food jags (eating
only a few foods for several days or weeks), assess intake for 1-2 weeks to
see total intake. 3 meals, 2-3 snacks per day
common concerns: intake of food and nutrients similar to toddler. fruit juice
(8-12 oz/day), 5 servings of fruits and veg per day
education- mealtime is more social event, involve food prep tasks and
teach about nutrients, limit fast food, dental visits regularly, brush own
teeth, flouride, supplements
s/s of...
partial seizure?
febrile seizure?
3 phases of generalized seizures?
Give this one a try later!
, partial: abrupt change in behavior, may have aura
febrile: tonic-clonic movements, eye rolling, postictal period
generalized 3 phases:
tonic phase- unconsciousness, muscular contraction, stiffness
clonic phase- alternating muscular contractions, and relaxation or rhythmic
jerking
postictal phase- dec LOC- typically FOLLOWS seizure
asthma action plan-
what is the green zone?
yellow zone?
red zone?
Give this one a try later!
green- PEFR reading between 80-100% of childs personal best; no
modification of plan needed
yellow- PEFR reading between 50-80% of childs personal best. breathing
prob indicated- follow asthma action plan- quick relief meds may be used
red- PEFR is less than 50% of childs personal best- child has severe asthma
episode and needs urgent tx with quick relief meds
post-op care of VP shunt?
what can child never do with a shunt?
Give this one a try later!
prone to vomiting (pre and post op)
FLAT position on UNOPERATED side (to prevent CSF from draining too
quickly)
measure head circumference every shift
monitor for s/s of inc. ICP
restrict fluids first 24 hours (due to inc. ICP risk)
class?
tx?
side effects?
education?
Give this one a try later!
class- leukotrine receptor antagonist (ORAL)
tx- reduces inflammation cascade responsible for airway inflammation;
improves lung function and diminishes symptoms and need for quick relief
meds
side effects- headache, fever, gi upset, cough, OTITIS MEDIA, pharyngitis
respiratory differences between children and adults?
how long does the airway continue to grow and change?
how wide is an infants airway?
,Give this one a try later!
kids airway is shorter and narrower, angle of R bronchus at bifurcation is
more acute, cartilage that supports trachea is more flexible, greater airway
resistance and risk for obstruction due to the smaller airway, distance bw
structures is shorter allowing organisms to rapidly move down, infants nose
breathers til 6 mos of age
continues to grow and change until 12 yrs; infants little finger is how wide
their airway is (2 mm thick, 4 mm wide- adults is 10 mm wide) edema dec
airway 2 mm when present)
describe some common concerns related to nutrition for INFANTS
education for parent?
Give this one a try later!
allergies, choking, honey, nuts, cows milk, etc, before 1 yr, avoid salt, sugar,
spices, nitrites
education: 8-9 mos- introduce cup
maternal diet doesnt effect micronutrients and BM
>12 mos- introduce cows milk
rice/single grain- 6 mos
veggies 1st then fruits 6-8 mos
meats- 8-10 mos
wait 3-4 days between foods to look for allergies
what age do kids have maternal antibodies?
what age does infection rate inc.?
which age has higher rate of viral infections?
T/F immunity inc. with age; BF babies better immunity
,Give this one a try later!
<3 mos.- maternal antibodies
3-6 mos infection rate inc.
higher rate of viral infections- toddler, preschool (dirty hands, things in
mouth, daycare)
TRUE- yes BF babies better immunity
nutritional needs of PRESCHOOLER?
common concerns?
education for parent?
Give this one a try later!
if child refuses meal/snack- dont give foods in between- they need to get
accustomed to eating when food is provided. periods of food jags (eating
only a few foods for several days or weeks), assess intake for 1-2 weeks to
see total intake. 3 meals, 2-3 snacks per day
common concerns: intake of food and nutrients similar to toddler. fruit juice
(8-12 oz/day), 5 servings of fruits and veg per day
education- mealtime is more social event, involve food prep tasks and
teach about nutrients, limit fast food, dental visits regularly, brush own
teeth, flouride, supplements
s/s of...
partial seizure?
febrile seizure?
3 phases of generalized seizures?
Give this one a try later!
, partial: abrupt change in behavior, may have aura
febrile: tonic-clonic movements, eye rolling, postictal period
generalized 3 phases:
tonic phase- unconsciousness, muscular contraction, stiffness
clonic phase- alternating muscular contractions, and relaxation or rhythmic
jerking
postictal phase- dec LOC- typically FOLLOWS seizure
asthma action plan-
what is the green zone?
yellow zone?
red zone?
Give this one a try later!
green- PEFR reading between 80-100% of childs personal best; no
modification of plan needed
yellow- PEFR reading between 50-80% of childs personal best. breathing
prob indicated- follow asthma action plan- quick relief meds may be used
red- PEFR is less than 50% of childs personal best- child has severe asthma
episode and needs urgent tx with quick relief meds
post-op care of VP shunt?
what can child never do with a shunt?
Give this one a try later!
prone to vomiting (pre and post op)
FLAT position on UNOPERATED side (to prevent CSF from draining too
quickly)
measure head circumference every shift
monitor for s/s of inc. ICP
restrict fluids first 24 hours (due to inc. ICP risk)
