B. Increase the infant’s intake per feeding by 1 to 2 ounces per week.- child is always fatigue, need to increase to 30 oz a day
D. Allow the infant to rest and re-feed on demand or every 2 hours.- child is always fatigue, this will ensure adequate feeding.
E. Use a softer nipple or increase the size of the nipple opening.- this will save energy
-CA channel blocker
-always assess physiological needs
1. Aplastic anemia- anemia d/t drugs
2. Hyperhemolytic anemia- anemia d/t the breakdown of RBC
3.Vaso-occlusive anemia- sickle cells are clogging up small capillaries- and pain but not enlarged spleen and liver
nurse should explain- they did not cause the illness, procedure is not punishment, restoring body image with a band-aid.
assess: respiratory, cardiac, and neuro
Erikson: industry vs inferiority
achieve independence and productivity
-temper tantrums are normal, just ignore the behavior.
– always follow a consistent home schedule
Frequent stimulation of the cremasteric reflex~ causes the testes to ascend, not descend.
*hyperthrydoism will have exopthalamus, not double vision
avoid: oats, wheat, rye and barley; intolerance to protein gluten
-faces pain scale
minimm of age 3 years old
vital signs of pain
pain rating scale (PRS)
when to use cries
when to use verbal report
when to use numeric pain scale
-difficulty in sleeping or feeding
-decreased 0xygen saturation levels
14-36 months of age
3 year old can point out location and degree of pain
minimum of 9 years old
-always keep a consistent schedule, if possible try to copy home schedule. This will help to decrease separation anxiety
-pepto bismol: contains aspirin, aspirin + any viral, flu or infection = reyes syndrome
–>reyes syndrome (encephalophy + hepatic dysfunction)
adding potassium = need adequate renal function + urine output
-tachycardia not bradycardia
hypothyrodism–>d/t metabolism–> decrease metabolism–> cessation of the growth
growth hormone causes increase in blood sugar
*monitor for diabetes
fluid retention + DILUTED s/s hyponatremia
-Children aged 3 to 6 are in Erickson’s “Initiative vs. Guilt” stage, which is characterized by vigorous, intrusive behavior, enterprise, and strong imagination. At this age, children develop a conscience and must learn to retain a sense of initiative without impinging on the rights of others
teenage growth hormones causes increase in sebaceous glands and increased glandular secretions which predispose the teenager to acne.
JRA= EYE EXAM
by 18 months is capable of making a three word sentence.
3-5 years old is able to name four colors & count five blocks
causes destruction of enamel and tooth discoloration
able to give: aminoglycodides, penicillins, Quinolones.
also avoid taking with milk because it interferes with absoprtion
second dose: 4- 6 years old
*prevents rupture of the encapsulated tumor and spreading to other organs
Hirschsprung’s is a mechanical obstruction in part of the intestines resulting in inadequate motility.
Bile-colored and watery = gastroenteritis
Foul-smelling and fatty = cystic fibrosis
Semi-solid and yellow= normal in breast fed neonates
elbow restraints prevent arm flexion and scratching of involved areas, but do not inhibit use of the hands for play activities
hypothalamus and eardrum are perfused by the same circulation & causes the same core temp by ear and oral
normal HR 80-150bpm
9 year old = can self administer the medication with proper demonstration
adult= chest + arms
theophylline: 10-20 mcg/dl (normal range)
a patent airway is highest priority and humidification will liquefy the nasal secretions
by 20 months, the fontanels are suppose to be closed already.
10.9 divide by 2.2 = 5kg x 108 kg/cal/day = x 5 = 540. since there is a 10% increase, 54 +540= 594, 600 calories per day.
*needs to have movement and passive ROM exercises.
*need to maintain the skin integrity
adolescent: body image and peer acceptance are the main concerns; email communication will still allow peer communication and acceptance while preserving his body image
-he just came from football practice, which increases his muscle activity. 100.4 is a regular temp.
-hydrogen peroxide +povidone-iodine = will irritate the wound.
clean the wound first to prevent infection then put ice
Detanus is part of DTAP vaccine.
-first dose: 6 months
-booster shoot: adolescent or adults
-booster shot: traumatic injury–>contaminated with by dirt, feces, soil or saliva
puncture or crushing injuries, avulsions, wounds from missiles, burns, or frostbite
-adjust IV fluids
-TPN- cannot d/c or increase fluids–> hypoglycemia
-blood transfusion–> can d/c it –>anaphylic reaction
-skin traction: force is applied to the skin
-skeletal traction: pin or wire applies pull directly to the distal bone fragment
-room air is 21%, since the oxygen hood is at 35% the baby needs the oxygen hood. offer an alternative like stroke the infant and offer reassurance
aerosl therapy loosens up the secretions, then posutral drainage moves it up
ototoxicity can cause tinnitus and vertigo in children if the mother uses aspirin during pregnancy; aspirin side effect of tinnitus only occurs during utero.
-NO RISK FOR BLEEDING FOR THE INFANT, ONLY THE MOTHER
*incorporate a home environment, prevent separation anxiety (toddler or pre schooler’s greatest threat/fear) and allow sibling visitors to decrease stress and anxiety
-since babies are egocentric, they do things on their own and draw. this will allow the nurse to assess the picture
C. body surface area of the child
F. nomogram determined mathematical consent
during procedure–use mummy restraint
consistent parenting will prevent misbehavior of children; consistent parents will prevent misinterpretation of rules.
iron causes staining of the teeth
infants have a thin skin called the stratum corneum, this will aid increased topical absorption
hydration #1 priority to prevent viscosity of blood; since the sickle cell can impact the spleen, liver, kidney, bones and CNS this can increase the risk for infection w/ decreased or no function of the spleen a routine immunization schedule is needed
high neutrophil count= an infection and body is fighting it off