NURS 225 Study Guide - Midterm Guide: Hydrocephalus, Femur, Hematuria

60 views9 pages

beigeplatypus969

31 May 2018

School

Department

Course

Professor

For unlimited access to Study Guides, a Grade+ subscription is required.

(7)Musculoskeletal/Ortho:

●Describethenursingassessmentandmanagementforchildrenwithmusculoskeletal

disease.

○ Growthplatefracture:cannotbeseenonXR,needsMRI

●Plannursingcareforchildrenwithstructuraldeformitiesofthefoot,hipandspine.

○ SCFE(SlippedCapitalFemoralEpiphsysis)

■ suddenonset,highBMIrisk,fastgrowthspurt

■ ~1115

■ Nursinginterventions:

● rest,nonweightbearing

● crutches

● nutrition/weightloss

● pain

● postopcare

■ Pinsurgeryaffectsgrowth

● mayhavetodob/l

● controversialinyoungteens

○ LeggCalvePerthes

■ Description

● Avascularnecrosisoffemoralhead

● 410,usuallyboys

■ Nursingassessments

● abruptonset

● painandlimpprimarilyinhip

● stiffnessinAM

● age/gender

● afebrile

■ Interventions:

● pain

● Diagnostic:XR,US,bonescan

● Braceteaching23/24hr/day

○ hardtowalkbutcan

○ goodforhorsebackriding

● Postoposteotomytakeawaynecrosisalongtopofbone,b/lfor

growthreasons

○ HipDysplasiaTreatment

■ Pavlikharness:<6mos,hipflexionandabduction

■ Spicacast:>6months

■ Surgery,casting,bracing:>18mos

●Recognizesignsandsymptomsofinfectiousmusculoskeletaldisordersthatmayrequire

longtermcare.

●Describethenursingcarerequiredofthepediatricpatientwithabonefracture,including

familyteachingforinjuryprevention

Unlock document

This preview shows pages 1-3 of the document.
Unlock all 9 pages and 3 million more documents.

Already have an account? Log in

○ Bucklefracture:givewalkingcast,healsquicklyinaweekortwo

○ Openfracture:

■ Infection

■ Painmeds

■ Cancastneedholetocleananddebride

■ Possibleskingraft

○ Specialconsiderationfractures:

■ Femur>bloodloss

■ Ankle>growthplate

■ Clavicle>vessels

●Describecommonbonetumorsandtheirmanagement

●DescribeComplicationsoffracturesandprolongedbedrest

○ CompartmentSyndrome

■ 5P’s:Painoutofproportion,pallor,pulselessness,paresthesia,paralysis

○ Prolongedbedrestcomplications:

■ Pressureulcers

● 3commonspots:occiput,sacrum,foot

●Describetheathletictriadanditsrelationshiptopatientsandlongtermeffects

○ Anorexia

■ nofat

■ noestrogen

○ Absentmenses

○ Osteoporosis

■ riskofstressfracture



(8)Cardiac:

●Definetheassessmentguidelinesforachildwithacardiaccondition

○ Normalneonatehas:PFO&PDA

●Describethepathophysiologyassociateddefectsthat:

○decreasepulmonarybloodflow

■ Pulmatresia

■ Tricatresia

■ TOF

○obstructsystemicbloodflow

■ CoarcAo

● narrowingofaorta>incbloodflowtohead

● boundingupperpulses,dec.ornonpalpablelowerpulses

● Presentation:

○ Neonates:shockduetoPDAclosure

○ Youngchildren:HA,irritability,edemainperiphery

■ IAA

■ AoStenosis

○increasepulmonaryflow

■ PDA

● O2bloodfromAorta>PAandlungs

Unlock document

This preview shows pages 1-3 of the document.
Unlock all 9 pages and 3 million more documents.

Already have an account? Log in

■ AVcanal

■ VSD(lefttoright)

● mostcommon

● surgicalcorrection

● p/w

○ CHF

○ pulmonaryHTN

○ growthfailure

●Recognizethesignsandsymptomsofcongestiveheartfailureinapediatricpatient.

○ S/S

■ takesbreakswhenfeeding,maygetdiaphoretic/SOBwhenfeeding

●AnticipatethenursingcareneedsofthepatientwithCHD.

○ increasednutrition

●Describeandcontrasttheacquiredheartdiseasesthatpresentinchildhood.

●Describethecharacteristicfeaturesofcardiovasculardistressinapediatricpatient.

●Discussimmediatemultidisciplinarymanagementofthedistressedpediatricpatient.



(9)Heme/Onc:

● Sicklecell

○ RBCslast1monthinsicklecell,last3monthsusually

○ differentcrises,howtheypresent,whatarethetriggers



Crisis

Means

Presentation

Triggers

Treatment

Vasoocclusive

Stuckinvessels

painfrom

ischemia

fever

tissue

engorgement

priapism

abdominalpain

dehydration

tempextremes

infection

physical/

emotionalstress



Splenic

sequestration

Stuckinspleen

hypovolemia

profound

anemia

shock



Splenectomy

(laterimmune

issues)

Hemolytic

RBCslysed

certainfoodsor

drugs

Infections

G6PD



Aplastic

RBCsnotmade



Parvovirus(5th

disease)

Viralinfections

Depletedfolic

acid



Unlock document

This preview shows pages 1-3 of the document.
Unlock all 9 pages and 3 million more documents.

Already have an account? Log in

NURS 225 Study Guide - Midterm Guide: Hydrocephalus, Femur, Hematuria

Get access

Related Documents

Nursing 3920A/B Chapter Notes - Chapter 3: Hair Loss, Tai Chi, Calcinosis

NUR 322 Lecture 7: Chapter 29

NURSE-UN 1255 Study Guide - Final Guide: Slipped Capital Femoral Epiphysis, Trendelenburg Gait, Glasgow Coma Scale