NURS 307 - FINAL 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 ??
9. Know the evaluation of the infants that are septic
Infants under 2 months → Any fever in an infant under 1-2 months
needs to be evaluated for neonatal sepsis
• At risk for neonatal sepsis
• Workup → LP , Blood & urine cultures, IV antibiotics
ASAP & monitoring
10. Atrial septic defect.. what kind of shunt is
it? LEFT to RIGHT shunting of blood
11. know different disorders that fall under the umbrella of
cyanotic disease
• Pulmonary Atresia
• Tricuspid Atresia
• Tetralogy of Fallot
12. therapeutic regimen for patient with heart failure will be
• Maintain fluid and electrolyte balance
• Decrease workload of the heart
• Provide adequate nutrition
• Increase tissue oxygenation
-- not sure? maybe?
Meds: diuretics, ACE inhibitors
13. client education for sickle cell disease
• Often at an early age this child becomes opioid tolerant
• Seizure precaution
14. parenteral education for patient with hemophilia (Things
they need to avoid)
AVOID BLEEDING EPISODES
15. Foods they need to take for iron deficiency anemia
Foods high in iron such as
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 ??
9. Know the evaluation of the infants that are septic
Infants under 2 months → Any fever in an infant under 1-2 months
needs to be evaluated for neonatal sepsis
• At risk for neonatal sepsis
• Workup → LP , Blood & urine cultures, IV antibiotics
ASAP & monitoring
10. Atrial septic defect.. what kind of shunt is
it? LEFT to RIGHT shunting of blood
11. know different disorders that fall under the umbrella of
cyanotic disease
• Pulmonary Atresia
• Tricuspid Atresia
• Tetralogy of Fallot
12. therapeutic regimen for patient with heart failure will be
• Maintain fluid and electrolyte balance
• Decrease workload of the heart
• Provide adequate nutrition
• Increase tissue oxygenation
-- not sure? maybe?
Meds: diuretics, ACE inhibitors
13. client education for sickle cell disease
• Often at an early age this child becomes opioid tolerant
• Seizure precaution
14. parenteral education for patient with hemophilia (Things
they need to avoid)
AVOID BLEEDING EPISODES
15. Foods they need to take for iron deficiency anemia
Foods high in iron such as
