-
most health problems in infants are caused by?
respiratory, GI infections, and congenital anomolies
-
a normal infants respiratory characteristics
quiet and shallow with variations in RR
primarily abdominal movement
-
count infant resp for?
rate for infant resp?
1 full minute
30-50 breaths per min
-
amount of infant resps that indicate resp distress
60 and greater
-
inflammation of the middle ear that can occur unilaterally or bilaterally
otitis media
-
part of the ear that allows for drainage in the middle ear to the nasopharynx
eustachian tubes
-
an ______ often percedes the development of otitis media in infants
upper resp tract infection
-
s/s of otitis media
infants pulling at infected ear
vomiting
diarrhea
fever
hearing loss
-
characterisitics of otitis media
eardrum will be red bulging and nonmobile
-
prolonged ear infection can result in
sensorineural and/or conductive hearing loss
-
medical treatment for otiitis media
eleminate infection and f/u with extent of hearing loss
-
myringotomy
surgical incision of the eardrum
-
pharmacological treatment of otitis media
antibiotics (amoxicillan, ceclor, suprax)
antipyretics
analgesics
-
primary nursing concerns for otitis media
relieve fever with tylenol
pain with heat or ice compress
lay on infected side to drain
provide liquids and soft food
-
prevention of otitis media
ensure proper feeding position
immunize breastfed infants w/ immunoglobulin A
provide smoke free environment
-
most common type of croup, a viral illness that causes swelling of the upper airway
laryngotracheobronchitis (LTB)
-
initial symptoms of LTB
stridor (high pitched harsh sound)
persistant low grade fever
nasal drainage w/ increas resp. effort for several days
-
med-surg managment of LTB
maintain patent airway with humid coolmist environ
hydrate with nonacidic non corbonated bevs
-
pharm management of LTB
bronchodilators
corticosteroids
sedatives
-
inflammation of the bronchioles and alveolar spaces of the lungs
pneumonia
-
pneumonia is primarily caused by
RSV (resp syncytial virus)
-
pneumonia is often preceded by an _________ resp. tract infection
upper
-
most common form of bacterial pneumonia in infants
pneumococcal pneumonia
-
s/s of pneumonia
abrupt onset of:
rapid increasing fever
flaring nostrils
circumoral cyanosis
chest retractions
pulse rate 140-180
resp rate 60 - 80
nonproductive cough
-
how is pneumonia Dx confirmed
chest xray and secretion cultures
-
med treatment of pneumonia
oxygen
coolmist
chest physiotherapy
postural drainage
hydration
antipyretics
antibiotics (erythro, azithro, clarithro)
-
nursing management of pneumonia
assess lungs
manage resp status
monitor I & O
skin turgor and anterior fontanel
suction drainage
change position frequently
-
preterm infants usually have _____ because their lings are deficient in surfactant
respiratory distress syndrome (RDS)
-
substance that reduces surface tension inside the air sacs
surfactant
-
infants born at ______ weeks or less are at risk for RDS. the first ____ hours are critical for infant recovery from RDS
28 weeks
96 hours
-
complications of RDS
intraventricular hemorrhage
bronchopulmonary dysplasia
necrotizing enterocolitis
complications of oxygen therapy
-
med-surg management of RDS
administer surfactant through endotracheal tube soon after birth
continuous positive airway pressure (CPAP) helps keep lunga paritally expanded for 5 days when infants produce surfactant
-
health promo of RDS
administer surfactant for at risk infants
measure lecithin for expected preterm babies
prevent occurance of RDS
give glucocortecosteroid (betamethasone) if lecithin is not present
-
nursing managemnt of RDS
monitor resp
elimnate unnecessary physical stimulants
establish positive relationship
place infant in warmer with oxygen hood or vent
-
major dysfunction of all exocrine glands that affects lungs, pancreas, liver and reproductive organs
cystic fibrosis
-
characteristics of CF
increase mucous secretions
elevated sweat electrolytes
increased saliva
abnormal ANS function
-
when do most children show signs of CF
by 1 year
-
what is the earliest manifesation of CF
meconium ileus (impacted feces in newborn causing bowel obstruction)
-
intussusception (telescoping of bowel) and rectal prolapse (passing sticky, thick , fatty stools) may be another sign of?
CF
-
-
caregivers often report what about their infants, which is often a result of increased sweat electrolytes
they taste like salt
-
how to diagnose CF
sweat chloride test with greater than 60 meq
-
med surg management of CF
treat pulmonary complications
ensure adequete nutrition
CPT 1-3 times a day ( chest physiotherapy postural drainage)
-
nursing Dx for CF
ineffective airway clearance
-
commonly called crib death. is the sudden unexpected death of an apparently healthy infant whom the postmortem faisl to reveal an adequete cause
SIDS
-
the leading cause of death in infants older than 1 month of age, peaking between 2 and 30 months of age
SIDS
-
what does the american academy of pediatrics recommend for infant sleep
that they lay on their backs
-
these are typical characteristics of ________
- frothy blood tinged sputum in the nose or mouth
- full wet diaper
- clenched hands
- huddled in a corner, with blankets on the head
SIDS
-
nursing management for SIDS
reasure family that SIDS death is not predictable or completely preventable
provide support
ask factual questions without suggesting responsibility
-
_______ are best categorized according to blood flow patterns:
- increased pulmonary blood flow patterns
- decreased pulmonary blood flow
-obstructed blood flow out of heart
- mixed blood flow
congenital cardiovascular defect
-
4 most common cardiovascular defects in infants
ventricular septal defect
atrial septal defect
patent ductus arteriosus
tetralogy of fallot
-
a combination of genetic and environmental defects
multifactorial inheritance
-
_____ in the mother during 1st trimester is a common cause of heart defects in infants
rubella
-
drugs used for children with cardiovascular defects
digoxin and lasix
oxygen therapy and fluid management
-
often referred to as jaundice and is a common occuance in neonates
hyperbilirubinemia
-
yellow discoloration of the skin, sclera, mucous membranes, and body luids resulting from excess bilirubin and deposition of bile pigments
jaundice
-
a high level of bilirubon can penetrate and brain cells causing ______
severe neural symptoms (kernicterus)
-
main objective of jaundice treatment
reduce amount of unconjugated bilirubin to a form that can be excreted from the body
-
what can full term infants with jaundice benefit from
breastfeeding every 2 hours
-
how to treat jaundice
bililight
fiber optic blanket
phototherapy light
-
nursing management of jaundice
encourage frequent feedings
maintain phototherapy
-
_____ is a rsult of infants comsuming large amounts of milk and foods that do not contain iron
iron deficiency anemia
-
how long do full term infants store iron from fetal circulation
5-6 months
-
when does iron defiecinecy usually surface
9 and 24 months of age
-
clinical manifestations of iron deficiency anemia
extreme pallor
tachycardia
lethargy
irritability
low hemoglobon, hematocrit and iron levels
-
genetic disorder characterized by the production of abnormal hemoglobin and resulting in RBC's taking a sickle shape
sickle cell anemia
-
what can episodes of sickling be triggered by
- infection
- dehydration
- hypoxia
- trauma
- stress
-
most common symptom of sickle cell anemia is
abdominal pain bc of enlargment of spleen
-
oral fungal infection that is transmitted from the vaginal canal of an infected mother to the newborn
thrush
-
treatment for thrush
nystatin
-
inflammation of the stomach and intestines that may be accompanied by diarrhea and vomiting caused by malnutrition, infection, and lactose intolerance
acute gastroenteritis
-
paramount med surg management of acute gastroenteritis
ragain and maintain fluid balance
-
sudden periodic attack of abdominal pain and cramping defined as crying for more than 3 hours per day, more than 3 days per week , and for longer than 3 weeks in an infant who is well fed and healthy
colic
-
speculation cause of colic
overfeeding
rapid feeding
improper burping
swallowing air
emotional stress
-
label applied to infants who fail to gain weight and who show signs of delayed development
failure to thrive
-
medsurg managemnt for FTT
provide adequte nutrition
promote gorwth and development
nurture infant
-
most common facial malformation
cleft lip and cleft palate
-
common disorder that occurs when the circular muscle surrounding the pylorus hypertrophies and blocks gastric emptying
pyloric stenosis
-
congenital anomoly manifested as a partial or complete mechanical obstruction resulting from inadequete motility of part of the colon
hirshprungs disease/megacolon
-
disorder characterized by the telescoping of one pprtion of the bowel intal the diatal portion
intussusception
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