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Nclex Review

Nclex Review

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Published by: anon-429813 on Oct 14, 2008
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02/24/2014

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NCLEX REVIEW
PEDIATRICS - Physiological Integrity
Congenital Heart Defects
Cyanotic-right to left shuntAcyanotic-left to right shunt
Ventricular Septal Defects-
heart failure & murmurSs: scalp sweating & sudden weight gainSurgical Repair: purse-string approach orpatch sewn over the openingVSD – closes before 1 year of age
Coarctation of the Aorta
- Narrowing of the aortaSs: bounding pulses
Atrial Septal Defect-
an opening bet the right & left atriaLeft atrium over powers the right atriumSs: fatigue & dyspnea upon exertion-surgery before age 5
 
Patent Ductus Arteriosus-
like a traffic jam of bloodSs: heart failure, machinery like murmurAsymptomatic
Pulmonic and Aortic Stenosis
Pulmonic - pulmonic valve located inthe right ventricle-asymptomatic,heart failure-murmur & enlarge heartAortic- decrease CO2,murmur & heart failure-opening in the left ventricle
 
 Transposition of Great Vessels
-
pulmonary artery leaves the left ventricle& the aorta exits from the right ventricle. 
 Tetralogy of Fallot
-four defects that constitutepulmonary stenosis,overriding aortaright ventricular hypertrophy, vsdPORVSs: skin bluish in color, heart murmur
Rheumatic Fever
-
cause by beta hemolytic strep infectionss: tachycardia,rash,fever,chest painmigratory large joint pain,chorea &skin nodules.*administer penicillin until age 21
Kawasaki Disease
-
vasculitis infection of the small vesselsss: dry red cracked lips,rashes arms & legsconjunctivitis,strawberry tongue,peeling skin on the palms & soles of feethigh fever, unresponsive to antibiotic,impaired swallowing,coronaryaneurysmGamma Globulin IV 400mg/kg/day x weight in kgLive attenuated vaccine must delayed-polio,MMR
Asthma
Ss: chest tightness & dyspnea
,
distant
 
breath
 
sounds,wheezing episodes,fatigue & wetlungs *theophyllinetoxicitydiarrhea,vomiting,headache
 
Cystic Fibrosis-
is hereditary disorder, lung congestion &
 
InfectionSs: positive sweat test, bulky greasy stools,meconium ileus,early chronic dry coughdeficient in vits. A,D &K fat soluble vits.
Down Syndrome
Ss: almond shape eyes,short broad neckprotruding tongue,low set ears,broad handsw/ simian crease
GERD
Ss: frequent or persistent cough,heart burnabdominal pain,recurrent aspiration,anemiaMain concern: airway obstruction,fluid andElectrolyte imbalance & apnea
Pyloric Stenosis
Ss: mild vomiting turned into
 
vomiting that
 
shot across the room,palpable mass RUQ,hungry,crying
Hirschprung’s Disease
-
part of bowel there is no nerve cells,no peristalsis in the section of the bowelss: constipation,foul smelling ribbon like stoolabdominal distention-diagnosis established until infant is 6-12months old- 10x more common in girls than boys
Epilepsy
-
chronic seizure disorder asso. w/recurrent unprovoked seizures.

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