NURS 307 FINAL EXAM REVIEW

FINAL REVIEW (40:39 on BB Collab) 1. Treatment for Pulmonary Atresia • Prostagladin E to keep PDA • Treat symptoms of CHF • Surgery 2. Where to give intramuscular injection Infants = vastus lateralis Peds = deltoid 3. Anatomy and physiology of infant’s heart 4. Childhood patent ductus arteriosus... What to find on assessment? • dyspnea , tachycardia • Full, bounding pulses • Hypotension • “Machine” murmur 5. Know what pertussis (Whooping Cough) is Patho: • Pertussis is primarily a toxin-mediated disease. The bacteria attach to the cilia of the respiratory epithelial cells, produce toxins that paralyze the cilia, and cause inflammation of the respiratory tract, which interferes with the clearing of pulmonary secretions. s/s: • Runny nose • Low-grade fever (generally minimal throughout the course of the disease) • Mild, occasional cough • Apnea – a pause in breathing (in babies) Vaccine for it is → DTap 6. Kawasaki disease.... Know what they are likely to develop While the majority of heart disease in children is congenital (present at birth), it is possible for kids to develop heart disease later in childhood. Kawasaki disease is the leading cause of acquired heart disease in kids. Acute: • Irritability • high fever lasting 5 or more days • red throat Subacute: • afebrile, • cracking lips and fissures, • desquamation of skin on tips of toes and fingers, 7. Know how to treat Rheumatic fever • Antibiotics • Aspirin • Prophylactic antibiotics for invasive procedure and dental work 8. Know what successive vaccinations are releasing antibody antigen response ??