For a child with Cystic Fibrosis, what time should CPT (chest physical therapy) begin each day?
30 min before breakfast
What are some symptoms of Cystic Fibrosis (CF)?
- dyspnea, wheezing
- salty tears, saliva, sweat
- distended abdomen
- barrel chest
- clubbing of fingers and toes
- large foul-smelling stool
Expected nursing assessments of a newborn with suspected cystic fibrosis would include:
Observe frequency and nature of stools
meconium ileus - abnormally thick meconium caused by an absence of pancreatic enzymes that normally digest proteins make stool putty-like
An abnormal opening between the right and left atria? Blood that already contains O2 is forced from the left atrium back to the right atrium
Atrial septal defect
The most common heart anomaly. An opening between the right and left ventricles of the heart.
Ventricular septal defect
Blood passing from the aorta (high pressure) into the pulmonary artery - causing oxygenated blood to recycle through the lungs, overburdening the pulmonary circulation making the heart pump harder.
Patent ductus arteriosus
A tightening or narrowing of the aortic arch of the descending aorta. difference in B/P and pulses of upper and lower extremities - may develop later in childhood
Coarctation of aorta
Four defects in one: Stenosis or narrowing of pulmonary artery, hypertrophy of the right ventricle, aorta displacement (dextroposition), ventricular septal defect
Tetralogy of Fallot
the tricuspid heart valve is missing or abnormally developed. The defect blocks blood flow from the right atrium to the right ventricle.
This results from a pituitary hypofunction that results in a decreased secretion of ADH
Diabetes Insipidus (DI)
What are the S/S of diabetes insipidus?
- insatiable thirst
- infants relieved with water not milk
What is the treatment for diabetes insipidus
Daily hormone replacement of vasopressin
What are the nursing interventions for diabetes insipidus?
- accurate I&O
- monitor for fluid overload
- seizure precautions
- administer ADH-antagonizing meds
This disease results when glucose is unable to enter the cell and remains in the blood, causing hyperglycemia
Diabetes Mellitus I
What is the treatment for Diabetes mellitus I?
What is the goal range of glucose for DMI?
What are the causes of diabetic ketoacidosis (DKA)?
- electolyte imbalance
- May lead to coma or death
What are some signs of Developmental dysplasia of the hip (DDH)?
- affected leg shorter than other leg
- telescoping or piston mobility of joint
- trendelenburg sign
- greater trochanter is prominent and above line of iliac spine
- waddling gait
This disease is a result of avascular necrosis of the femoral head
What are S/S of Legg-Calve-Perthes disease?
- soreness or stiffness
- limited ROM
- vague history of trauma
This is a congenital neural tube defect characterized by malformation of the spinal cord
This type of spina bifida in which the opening is small and there is no associated protrusion of structures
spina bifida occulta
This type of spina bifida consists of the development of a cystic mass in the midline of the opening of the spine
spina bifida cystica meningocele
no neurologic deficits
This type of spina bifida is more serious and a protrusion of the membranes and spinal cord
varying and serious degrees of neurologic deficit
Why should honey corn syrup be avoided in infants?