PEDS- nursing
What criteria do you need to diagnose Kawasaki Disease? - ANSWERFever for more than 5 days with the
following:
- changed color of extremities
- eye infection/ red eyes
- changed oral mucosa (strawberry tongue)
- polymorphism rash
- swelling of lymph nodes ***
What are the types of shock? What are the stages of shock? - ANSWERTYPES STAGES
Hypovolemic Compensated
Distributive Decompensated
Cardiogenic Irreversible shock
What are the most common tests performed for cardiac heart disease? - ANSWERElectrocardiogram,
echocardiography, and cardiac catheterization
What is cerebral palsy? - ANSWERGroup of permanent disorders that involve decreased movement and
posture
What characterizes cerebral palsy? - ANSWERAbnormal muscle tone:
Poor head control @ 3 months
Clenched fists after 3 months
No smiling @ 3 months
Unable to sit w/o support @ 8 months
Arching back/pushing away, stiff/rigid limbs
Is there a relationship between cerebral palsy and epilepsy? - ANSWERYes, 15-60% of CP patients have
epilepsy
, What can cause cerebral palsy? - ANSWER80% are UNKNOWN causes
12% are premature infants
other: preventricular leukemia, chorio, result of shaken baby syndrome
What are the types of cerebral palsy? - ANSWERSpastic, Dyskinetic, Ataxic, other
How is cerebral palsy diagnosed? - ANSWERNeurological exam and history
Neuroimaging
Metabolic and genetic testing
Are cerebral palsy patients cognitively impaired? - ANSWER30-50% of CP patients are cognitively impaired
Rigid, atonic, and quadraparetic CP are most commonly related to cognitive impairment
What therapeutic interventions can be done for patients with cerebral palsy? - ANSWERThey can wear
ankle.foot braces
Orthopedic surgery
Meds for pain and spastic movement
Botox
physical/occupational therapy
What are the 2 types of spina bifida? - ANSWEROcculta (not-visible) and Cystica (visible)
Generally, what is the cause of spinal cord injuries? - ANSWERIndirect trauma (i.e. MVA's, vertebral
compression from blows to head or butt)
Can also be caused by traciton force on spinal cord during breech delivery
What nerve does a high cervical cord injury affect? - ANSWERPhrenic nerve --> paralyzes diaphragm, thus pt
requires ventilation
What criteria do you need to diagnose Kawasaki Disease? - ANSWERFever for more than 5 days with the
following:
- changed color of extremities
- eye infection/ red eyes
- changed oral mucosa (strawberry tongue)
- polymorphism rash
- swelling of lymph nodes ***
What are the types of shock? What are the stages of shock? - ANSWERTYPES STAGES
Hypovolemic Compensated
Distributive Decompensated
Cardiogenic Irreversible shock
What are the most common tests performed for cardiac heart disease? - ANSWERElectrocardiogram,
echocardiography, and cardiac catheterization
What is cerebral palsy? - ANSWERGroup of permanent disorders that involve decreased movement and
posture
What characterizes cerebral palsy? - ANSWERAbnormal muscle tone:
Poor head control @ 3 months
Clenched fists after 3 months
No smiling @ 3 months
Unable to sit w/o support @ 8 months
Arching back/pushing away, stiff/rigid limbs
Is there a relationship between cerebral palsy and epilepsy? - ANSWERYes, 15-60% of CP patients have
epilepsy
, What can cause cerebral palsy? - ANSWER80% are UNKNOWN causes
12% are premature infants
other: preventricular leukemia, chorio, result of shaken baby syndrome
What are the types of cerebral palsy? - ANSWERSpastic, Dyskinetic, Ataxic, other
How is cerebral palsy diagnosed? - ANSWERNeurological exam and history
Neuroimaging
Metabolic and genetic testing
Are cerebral palsy patients cognitively impaired? - ANSWER30-50% of CP patients are cognitively impaired
Rigid, atonic, and quadraparetic CP are most commonly related to cognitive impairment
What therapeutic interventions can be done for patients with cerebral palsy? - ANSWERThey can wear
ankle.foot braces
Orthopedic surgery
Meds for pain and spastic movement
Botox
physical/occupational therapy
What are the 2 types of spina bifida? - ANSWEROcculta (not-visible) and Cystica (visible)
Generally, what is the cause of spinal cord injuries? - ANSWERIndirect trauma (i.e. MVA's, vertebral
compression from blows to head or butt)
Can also be caused by traciton force on spinal cord during breech delivery
What nerve does a high cervical cord injury affect? - ANSWERPhrenic nerve --> paralyzes diaphragm, thus pt
requires ventilation
