Delegation Rule of Thumb?

DO NOT delegate what you can EAT! E - evaluate A - assess T - teach eleVate Veins; dAngle Arteries for better perfusion A= appearance (color all pink, pink and blue, blue [pale]) P= pulse (>100, < 100, absent) G= grimace (cough, grimace, no response) A= activity (flexed, flaccid, limp) R= respirations (strong cry, weak cry, absent) My - Measles Chicken - Chicken Pox/Varicella Hez - Herpez Zoster/Shingles TB Private Room - negative pressure with 6-12 air exchanges/hr Mask, N95 for TB DROPLET think of SPIDERMAN! S - sepsis S - scarlet fever S - streptococcal pharyngitis P - parvovirus B19 P - pneumonia P - pertussis I - influenza D - diptheria (pharyngeal) E - epiglottitis R - rubella M - mumps M - meningitis M - mycoplasma or meningeal pneumonia An - Adenovirus

Venous VV and Arterial AA? Apgar Scoring?

Airborne Transmitted diseases acronym?

Protocol for Airborne Transmission?

Droplet transmitted diseases acronym?

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Protocol for Droplet Precautions? Contact transmitted diseases acronym?

Private Room or cohort mask CONTACT PRECAUTION MRS.WEE M - multidrug resistant organism R - respiratory infection S - skin infections * W - wound infxn E - enteric infxn - clostridium difficile E - eye infxn - conjunctivitis turn pt to left side and lower the head of the bed. (late decels, decreased variability, fetal bradycardia, etc) --> turn on left side (and give O2, stop Pitocin, increase IV fluids) position pt on right side (promotes emptying of the stomach) with the HOB elevated (to prevent aspiration) Side lying e (and also oil-based Myelogram)--> pt lies in flat supine (to prevent headache and leaking of CSF) Lie flat with legs elevated catheter is taped to thigh so leg should be kept straight. No other positioning restrictions. Position on the side of the AFFECTED EAR after surgery to allow drainage of secretions pt will sleep on unaffected side with a night shield for 1-4 weeks.
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What to do in the case of an Air/Pulmonary Embolism? What to do in the case of- A woman in labor with Un-Reassuring FHR?

What to do in the case of tube feeding with decreased LOC? Position during epidural puncture? After lumbar puncture?

How to position heat stroke patient? During CBI (continuous bladder irrigation) After Myringotomy?

After Cataract surgery?

After Thyroidectomy? Infant with Spina Bifida?

low or semi-Fowler's, support head, neck and shoulders. position prone (on abdomen) so that sac does not rupture (skin traction) --> elevate foot of bed for countertraction don't sleep on operated side, don't flex hip more than 4560 degrees, don't elevate HOB more than 45 degrees. Maintain hip abduction by separating thighs with pillows. knee-chest position or Trendelenburg position on back or in infant seat to prevent trauma to suture line. While feeding, hold in upright position. (post-operative ulcer/stomach surgeries) --> eat in reclining position, lie down after meals for 20-30 minutes (also restrict fluids during meals, low CHO and fiber diet, small frequent meals) elevate for first 24 hours on pillow, position prone daily to provide for hip extension. foot of bed elevated for first 24 hours, position prone daily to provide for hip extension. area of detachment should be in the dependent position-- dependent meaning supported by something position pt in left side-lying (Sim's) with knee
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Buck's Traction?

After Total Hip Replacement?

Pt position for Prolapsed Cord? Infant with Cleft lip?

To prevent dumping syndrome?

Above the knee amputation?

Below the knee amputation?

Detached Retina?

Enema positioning?

flexed After Supratentorial Surgery? After Infratentorial Surgery? (incision behind hairline) --> elevate HOB 30-45 degrees (incision at nape of neck)--> position pt flat and lateral on either side. on bedrest while implant in place (S&S: pounding headache, profuse sweating, nasal congestion, goose flesh, bradycardia, hypertension) --> place client in sitting position (elevate HOB) first before any other implementation. bedrest with extremities elevated 20 degrees, knees straight, head slightly elevated (modified Trendelenburg) elevate HOB 30 degrees to decrease intracranial pressure turn pt from side to side BEFORE checking for kinks in tubing (according to Kaplan) AFTER the procedure, the client should be placed in the supine position for 4 to 12 hrs as prescribed. (Saunders 3rd ed p. 229) Myasthenia Gravis: worsens with exercise and improves with rest. Myasthenia Crisis: a positive reaction to Tensilon-will improve symptoms Cholinergic Crisis: caused by excessive medicationstop med-giving Tensilon will make it worse Its important to be aware of the lab result for
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During internal radiation? Autonomic Dysreflexia/ Hyperreflexia?

Shock?

Head Injury?

Peritoneal Dialysis when outflow is inadequate? Lumbar Puncture?

The difference between Myasthenia Gravis, Myastenia Crisis, and Cholinergic Crisis?

Prior to liver biopsy?

urine specific gravity <1. muscle weakness. n/v/a. decreased deep tendon reflexes. stridor (decreased calcium). hypotension. weakness. dyspnea.010. HTN. administer Pitressin (increased ADH): change in LOC. rares/crackles. Semi-Fowler's (decreased ADH): excessive urine output and thirst.convulsions. low Ca. increase respiration. spasms. urine specific gravity >1. trach at bedside CATS . SOB. low phosphorus diet fatigue. sensitivity to heat. fine/soft hair increased temp. high Ca. arrhythmias. tetany. anxiety. pulse and HTN semi-Fowler's. high phosphorus diet incrased temp. prevent ncek flexion/hyperextension. dehydration. tachycardia. peripheral edema. dry skin and hair accelerated physical and mental function.030 bounding pulse. sensitivity to cold. back and joint pain (increased calcium). renal calculi.prothrombin time From the ass? From the Mouth? Metobolic Myxedema/ hypothroidism? From the a** (diarrhea)= metabolic acidosis From the mouth (vomitus)=metabolic alkalosis slowed physical and mental function. 5 Graves disease/ Hyperthyroidism? Thyroid storm? Post Thyroidectomy? Hypo-parathyroid? Hyperparathyroid? Hypovolemia? Hypervolemia? Diabetes Insipidus? SIADH? . rapid/weak pulse.

muscle cramps. weakness.convulsions. oranges. GI distress hyperNa. muscle wasting.HA. diuretics HypoKalemia? muscle ewakness. respiratory depression. decreased cardiac contractility. muscular twitching. absent tendon reflexes. fluids increased temp. hirsutism. decreased resistance to stress. urine (oliguria/anuria). celery) MURDER . shallow respirations. beans. hypotension. bananas. sedative effect on CNS tremors. hyperglycemia. prone to infection. carrots. tetany. weakness. increased ICP. alopecia. confusion. apricots. fractures. administer Declomycin. tetany. potatoes.muscle weakness. abdominal pain. hypoglycemia. tachycardia. dyrshythmias. osmotic diuretics. arrhythmias. HTN. edema. dark pigmentation. convulsion. facial flushing. moonface/buffalo hump 6 HyperKalemia? Hyponatremia? Hypernatremia? Hypocalemia? Hypercalemia? HypoMg? HyperMg? Addisons? Cushings? . seizures. reflexes nausea. dig toxicity depresses the CNS. depression. dysphagia. lack of coordination. increase K (raisins. ECG changes. hypotension. dysrhythmias. spasms and stridor muscle weakness. disorientation/delusions. emergency hypoNa. hypotonic solution CATS . muscle ewakness. weight loss. hypoK. confusion. absent deep tendon reflexes. hyperK.

pulse. extreme weakness. decreased BP hypersecretion of epi/norepi. diaphoresis. MI. confusion. or German measles (rubella). abdominal pain. seisure ) Pheochromocytoma? NMS? Dangerous thing to get during pregnancy? Tetraology of Fallot? Autonomic Dysreflexia? 7 .loosen constrictive clothing . avoid cold and stimulating foods.elevate head of bed to 90 degree . regular measles (rubeola). septal Right Ventricular hypertrophy Overriding aorts Pulmonary stenosis Autonomic dysreflexia: potentially life threatening emergency . avoid stress.assess for bladder distention and bowel impaction (triger) .Addisonian Crisis? n/v. -you get hot (hyperpyrexia) -stiff (increased muscle tone) -sweaty (diaphoresis) -BP. hypoglycemia. hyperglycemia. increased HR.Administer antihypertensive meds (may cause stroke. and respirations go up & -you start to drool I kept forgetting which was dangerous when you're pregnant. tremor. so remember: -never get pregnant with a German (rubella) Think DROP(child drops to floor or squats) or POSH Defect. persistent HTN. surgery to remove tumor -NMS is like S&M. pounding HA. dehydration. frequent bating and rest breaks.

H = head compression caused A = accels. If you're not sure who to check first. O = okay. between teh umbilicus and where you would listen to a posterior presentation. turn the mother to her left side. Sometimes it's hard to tell who to check on first. for exmaple listen to the fetal heart tones with a stethoscope in NCLEX land.FHR patterns in ob? Think VEAL CHOP VC EH AO LP V = variable decels. For late decels. that's the wrong answer. not a problem! L = late decels = placental insufficiency. Hydration is a big priority! Hypotension and bradypnea / bradycardia are major risks and emergencies. to allow more blood flow to the placenta. it's usually easy to tell the right answer if the mother or baby involves a machine. If the baby is anterior. C = cord compression caused E = early decels. the sounds are heard at the sides. the mother or the baby. place the mother in the TRENDELENBERG position because this removes pressure of the presenting part off the cord. and one of the choices involves the machine. the sounds are heard closer to midline. Always assess the patient first. For cord compression in OB? Late Decels? Before Epidural? Major risks of epidural? OB secret? Hearing the baby in OB? 8 . If the baby is a posterior presentation. cover it with sterile saline gauze to prevent drying of the cord and to minimize infection. can't fill For cord compression. the baby is no longer being pulled out of hte body by gravity) If the cord is prolapsed. (If her head is down. NEVER check the monitor or a machine as a first action.

they are a little bit above the symphysis pubis. Ventilator Alarms? HOLD High alarm. Irritable. shock. right sided heart failure caused by left ventricular failure (so pick edema. kink. jvd. increased resp. potatoes. pt. If the baby is vertex. pt.decreased BP.Obstruction due to incr. gag or bites Low press alarm. citrus fruits Cultures To remember blood sugar? ICP and Shock have? Cor Pulmonae? Heroin withdrawl in a neonate? Jews? Brachial Pulse? What to check children for at age 12 months? Sources of potassium? What is obtained before starting any iv antibiotic? Why would a pt with leukemia have epistaxis? b/c of low platelets 9 . and poor sucking No meat and milk together Pulse area cpr on infant always check lead posioning levels Bananas. stops spontaneous breathing hot and dry-sugar high (hyperglycemia) cold and clammy-need some candy (hypoglycemia) ICP AND SHOCK HAVE OPPOSITE V/S ICP-increased BP.If the baby is breech. airway cuff. decreased pulse. the sounds are high up in the fundus near the umbilicus. increased pulse. coughs. secretions.Disconnection or leak in ventilatior or in pt. if it is a choice. decreased resp.

allow to die with dignity. chemo.Best way to warm a newborn? When a pt comes in and she is in active labor? How to treat phobic disorders? Best way to tube feed or feed kids? With lower amputations? LVN/LPN cant? Cardinal signs of ARDS? Best indicator of dehydration? Besides sodium. pneumonia is acute. For the elderly confusion is often present. Therefore. radiation. Guided imagery is great for? When patient is in distress? Pneumonia? COPD and Pneumonia? 4 options for cancer? 10 . water also follows? Use of cold and hot? skin to skin contact on mom with a blanket nurses FIRST action is to listen to fetal rate/tone systematic desensitization small frequent is better than large place in prone position Handle any blood hypoxemia (low oxygen level in tissues). in COPD patients the baroreceptors that detect the CO2 level are destroyed. COPD is chronic. Emphysema and bronchitis are both COPD. O2 level must be low because high O2 concentration blows the patient's stimulus for breathing. weight Glucose Use cold for acute pain (sprained ankle) and heat for chronic pain (arthritis) CHRONIC pain Med administration is rarely a good choice fever and chills are usually present. surgery.

Preload affects amount of blood that goes to the R ventricle. F= C+40. multiply 5/9 and substract 40.. angina (low oxygen to heart tissues) = no dead heart tissues. after endoscopy check gag reflex.Nuetropenic patients? no live vaccines. portal hypotension + albuminemia beta cells of pancreas produce insulin Normal in CHF from the squishin'. NOT normal in an MI patient Trousseau and Tchovoski signs observed in 11 Where are chest tubes placed? Diff between angina and MI? Preload and Afterload? CABG? Temp conversion? After Endoscopy? Low Residue diet? Diverticulitis? Appendicitis Cause of Ascites? Who produces insulin? s3 heart sound is normal? not? Signs observed in hypocalemia? . MI= dead heart tissue present. chest tubes are placed in the pleural space. no fresh fruits. low residue diet means low fiber inflammation of the diverticulum in the colon pain is around LL quadrant. multiply 9/5 and substract 40 * To convert Fahrenheit to C. no flowers should be used for neutropenic patients. * To convert Centigrade to F. the great saphenous vein is taken it is turned inside out due to the valves that are inside. Afterload is the resistance the blood has to overcome when leaving the heart. pain is in RL quadrant with rebound tenderness. C= F+40.

Since smallest concentration of ACTH receptors are in cranial nerves. 71. peripheral vision. petechiae. Keep eye on respiratory system. DKA is rare in diabetes mellitus type II because there is enough insulin to prevent breakdown of fats. akinesia (loss of muscle mvt). expect fatigue and weakness in eye. pharyngeal muscles. ascending paralysis.hypocalcemia DKA? when body is breaking down fat instead of sugar for energy. cervical or lumbar regions life threatening inhibited sympathetic response of nervous system to a noxious stimulus. mastication. Treated with meds vasoconstriction. Fats leave ketones (acids) that cause pH to decrease. Treat with levodopa. tremors. use continuous passive motion machine. decrease in receptor sites for acetylcholine. TIA (transient ischemic attack) mini stroke with no dead brain tissue CVA (cerebrovascular accident) is with dead brain 12 s/s of a fat embolism? Knee replacement? Glaucoma patients loose c02 builds up and causes? Where are most spinal cord injuries? autonomic dysreflexia Myasthenia gravis? Guillian Barre? Parkisons? TIA? CVA? . RAT: rigidity.patients with spinal cord injuries at T-7 or above is usually caused by a full bladder. Treated with heparin.

do not eat.tissue. CHF will occur following by death. meconium ileus at birth. Prevent blood from going to heart. If problem does not fix or cannot be corrected surgically. if HR is <100 do not give dig to children. Truncys arteriosus. Baby is inconsolable. not passing meconium. Hodgkins disease? Rule of nines? Hodgkin's disease= cancer of lymph is very curable in early stage. with R side cardiac cath=look for valve problems with L side in adults look for coronary complications Rhematic fever Peds weight ? Dig rule for kids? First sign of cystic fibrosis? Heart Defects? Heart problems? What disease leads to cardiac valve malfunctions? Cerebral palsy? poor muscle control due to birth injuries and/or decrease oxygen to brain tissues should be <2. check for Kernig's/ Brudzinski's signs. 13 ICP? Signs to look for in meningitis? . Transposition of the great vessels). Remember for cyanotic -3T's( Tof. measure head circonference. Head and Neck= 9% Each upper ext= 9% Each lower ext= 18% Front trunk= 18% Back trunk= 18% Genitalia= 1% Birth weight doubles by 6 month and triple by 1 year of age.

<35 lbs with femur fx Place the apparatus first then place the weight (der) Upper part of the uterus seizure another c section with any more kids before 20 weeks gestation to check for cardiac and pulmonary abnormalities. Posterior 6 to 8 weeks. It is X-linked.section will likely have? Amniocentesis is performed? and why? Rh? Fontanelles? caput succedaneum= Pathological jaundice? . anterior closes by 18 months. mothers receive rhogam to protect next baby. 14 Where should placenta be? Eclampsia is a ? A patient with vertical c.Wilms tumor? Facts about hemophilia? What happens when phenylalanine increases? Bucks traction = Russel Traction = Dunlap traction= Bryant's traction= How to put on traction? encapsulated above the kidneys causing flank pain. pathological occurs before 24hrs and last7 days. Swelling reabsorbs within 1 to 3 days. Mother passes the disease to her son brain problems occur knee immobility femur or lower leg instability Skeletal or skin Children <3yoa. diffuse edema of the fetal scalp that crosses the suture lines. Physiological occurs after 24 hours.

degenerative cognitive disorder that accounts for more than 60% of all dementias think of MICHAEL JACKSON in THRILLER! SKINNY. chronic. (celestone)=surfactant. Rule of thumb for obsessions/distractions? Rule of thumb for assisting pysch patients? Alzheimers? if patients have hallucinations redirect them. Up all night. In delusions distract them. BULDGING EYES. Obsession is to thought.Diff between placenta previa and placenta abrupto? Bethamethasone? Dystocia? Therapies? placenta previa = there is no pain. but no bleeding. progressive. NERVOUS. Med for lung expansion. there is bleeding. heart beating fast Sensory=S Motor=M Both=B Oh (Olfactory I) Some Oh (Optic II) Say Oh (Oculomotor III) Marry To (Trochlear IV) Money Touch (Trigeminal V) But And (Abducens VI) My Feel (Facial VII) Brother A (Auditory VIII) Says Girls (Glossopharyngeal IX) Big Vagina (Vagus X) Bras And (Accessory XI) Matter Hymen (Hypoglassal XII) More Hyperthyroidism? Awesome remembering for cranial nerves? 15 . baby cannot make it down to canal milieu therapy= taking care of patient/environment cognitive therapy= counseling crisis intervention=short term. Compulsion is to action. Placenta abruption = pain.

MOTOR! It is similar to measuring dating skills. comes from the BOWEL (Hep A) Hepatitis B=Blood and Bodily fluids Hepatitis C is just like B Apgar measures HR. EYES. drink from a cup ends in a VOWEL. if you get good EYE contact (4 points) then move to VERBAL.. So. GLASGOW COMA SCALE.max 15 points -one can do it if below 8 you are in Coma. and of cause do not use Developmental milestones? Hepatitis? Apgar scores/scoring? Cute way to remember glascow coma? 16 .. 8-10 OK.Hypernatremia? SALT? SALT! Skin flushed Agitation Low grade fever Thirst Developmental 2-3 months: turns head side to side 4-5 months: grasps. 0-3 RESUSCITATE. VERBAL. if you albe to do that spontaneously and use them correctly to SEE whom you dating you earn 4. talk to her/ him! if you can do that You are really ORIENTED in situation she/he uncontiously gives you 4 points! if you like her try not to be CONFUSED (3)...Skin color each 0-2 point.and 1 you dont care to open even if she tries to hurt you. to start dating you gotta open your EYES first. But if she has to scream on you to make you open them it is only 3.RR. switch & roll 6-7 months: sit at 6 and waves bye-bye 8-9 months: stands straight at eight 10-11 months: belly to butt (phrase has 10 letters) 12-13 months: twelve and up.Muscle tone. Reflexes..

lie down after meal to decrease peristalsis. For blood types: "O" is the universal donor (remember "o" in donor) "AB" is the universal receipient Disseminated Herpes Zoster is AIRBORNE PRECAUTIONS. COLLARD GREENS Dumping syndrome? Blood typing? Gross things to remember about nurses with herpes!!!! Birth control. as to Localized Herpes Zoster is CONTACT PRECAUTIONS. They are also fitted so must be refitted if you lose or gain a significant amount of weight. she will not like it)). wait 1 hr after meals to drink. irr. try not to RESPOND WITH INCOMPREHENSIBLE SOUNDS (2).INAPPROPRIATE WORDS (3). small frequent meals. bradycard. SARDINES. A nurse with a localized herpes zoster CAN care for patients as long as the patients are NOT immunosuppressed and the lesions must be covered! must stay in place 6 hours after intercourse. resp) Thyroid storm is HOT (hyperthermia) *Myxedema coma is COLD (hypothermia) RUBARB. THis is VERY important since Good moves give you 6! What to do for addisons/cushings? Addison's disease (need to "add" hormone) Cushing's syndrome (have extra "cushion" of hormones) Dumping syndrome: increase fat and protein.Diaphram? Cushing ulcers and cushings triad? Thyroid storm and myxedema? Nondairy sources of calcium? 17 . Cushings ulcers r/t BRAIN injury *Cushings triad r/t ICP in BRAIN (htn. if you do not like herjust show no VERBAL RESPONSE(1) Since you've got EYE and VERBAL contact you can MOVE now using your Motor Response Points.

peas Tests for PKU. bend knees to relieve William's position red spots with blue center characteristic of PRODROMALstage of Measles. prepare antecubital site for PICC cuz they'll probably be getting TPN/Lipids for varicose veins. watch for peritonitis diverticulitis . nuts. NEVER use qtip or anything to scratch area pain with palpation of gall bladder area seen with cholecystitis ecchymosis in umbilical area.15 minutes. seen with pancreatitis flank grayish blue (turn around to see your flanks) pancreatitis pain in RLQ indicative of appendicitis--RLQ appendicitis.Whats petaling? How do you teach someone to reduce back aches? Koplick's spots? You can petal the rough edges of a plaster cast with tape to avoid skin irritation. baby should have eaten source of protein first 18 Pancreatitis pts? Trendelenberg's test? What can't you give to immunosupressed pts? How to itch under a cast? Murphy's sign? Cullens sign? Turner's sign? Mcburney's point? Pain in the LLQ indicative of? Guthrie test? . low residue. NPO. fetal position. With low back aches. ice pack for 10. Yogurt .it has live cultures cool air via blow dryer. gut rest.Usually in mouth. If they fill proximally = varicosity. no seeds.

EXCEPT with abdomen cuz you don't wanna mess with the bowels and their sounds so you Inspect. IM. blood tinged outflow and leaking around site if the Peritoneal Dialysis cath was placed in the last 1-2 wks. cherries. I suppose since you wanna go from least invasive to most invasive sine they will cry BLOOD MURDER ! Gotta love them kids !) Assess for allergies to bananas. If the hand pinks up. It's ok to have abdominal craps. Percuss then Palpate (same with kids.avocados. passion fruit. grapes. Percussion and Ausculation. 72 hours post partum. chestnuts. don't need to give Rhogam cuz she has antibody only give if negative coombs Inspection.Shilling test? Allen's test? test for pernicious anemia/ how well one absorbs Vit b12 occlude both ulnar and radial artery until hand blanches then release ulnar. kiwis. Only given to Rh NEGATIVE mother. apricots. Amniotic fluid yellow with particles = meconium stained` Hyper reflexes (upper motor neuron issue "your reflexes are over the top") Absent reflexes (lower motor neuron issue) at 28 weeks. ABGS must be put on ice and whisked to the lab. Tenkhoff cath? Meconium stained protocol? Hyper reflexive? Absent reflexsive? When is Rhogam given and how? Coomb's test? Order of assessment? Latex allergies? 19 . Palpation. Cloudy outflow NEVER NORMAL. ulnar artery is good and you can carry on with ABG/radial stick as planned. Auscultate.

Need to explain time in relationship to a known COMMON EVENT (eg: "Mom will be back after supper"). Red--unstable. can wait even longer to be seen. can wait up to an hour for treatment. actively bleeding. peaches ALS? Amyotrophic lateral sclerosis a condition in which there is a degeneration of motor neurons in both the upper & lower motor neuron systems.tomatoes. ) ! ** Ask for anaphylactic rxn to eggs or neomycin before TEF? MMR SHot? Color codes? Greeks? 4 year olds? Hep B vaccine always ask? Flu shot always ask? Before giving MMR>? 20 . Transesophageal Fistula. need comfort measures DOA---dead on arrival they put an amulet or any other use of protective charms around their baby's neck to avoid "evil eye" or envy of others can not interpret TIME. "walking wounded" Black--unstable clients that will probably not make it. ie. see second Green---stable.esophagus doesn't fully develop (this is a surgical emergency) The 3 C's of TEF in the newborn: 1) Choking 2) Coughing 3) Cyanosis given SQ not IM. Anaphylactic reaction to baker's yeast is contraindication for Hep B vaccine. see first Yellow---stable. allergic to eggs??? (Tristan D. occluded airway. ie burns.

veggies. your body is "too busy to sleep" as opposed to the folks with 21 Willam's position? Signs of a hip fracture? S/S of a fat embolism? Complications of mechanical ventilation? Paget's disease? IVP requires? ACID ash diet? Alkaline Ash diet? Orange tag in pysch Greenstick fracture? Side effects of thyroid hormones? . Pneumothorax. rhubarb. inc ESR. hypocalcemia. Saunders confirms it. pastry. thick bones. bone pain. HIV are STANDARD precautions Semi Fowlers with knees flexed (inc. bowel prep so they can visualize the bladder better cheese. EXTERNAL ROTATION. corn.airborne + contact (just like varicella) ** Hepatitis A is contact precautions ** Tetanus. Ulcers tinnitus. cranberries. Makes sense though!Increased met.If kid has a cold? SARS precautions? Disease precautions? can still give immunizations severe acute resp syndrome . respiratory alkalosis (not acidosis r/t tachypnea). knee gatch) to relieve lower back pain. enlargement of bone. bread milk. SHORTENING. rate. "snow storm" effect on CXR.increased serum lipids. meat. prunes. poultry. plums. salmon non emergent Psych usually seen in kids bone breaks on one side and bends on the other Insomnia. ADDUCTION Blood tinged sputum (r/t inflammation). Hepatitis B.

. Found a cool link about its use in peds pt with strabismus. have pt hold breath in midexpiration. chest 22 Tidal volume? COPD patients? Stranger Danger>?!? Lymes mostly found in Asthma and arthritis best excercise? What is a bad sign in asthma? ABG drawin? Before a pft? For a lung biopsy? . Patch the GOOD eye so that the weaker eye can get stronger.hypothyroidism who may report somnolence (dec. met rate. Pa02 of 60ish and Sa02 90% is normal for them b/c they are chronic CO2 retainers. Remember to preform the Allen's Test prior to doing an ABG to check for sufficient blood flow a pt's bronchodilators will be with-held and they are not allowed to smoke for 4 hrs prior position pt lying on side of bed or with arms raised up on pillows over bedside table. I had to look it up cuz I heard it was important ah hem ah hem 7 . make sure there are nobubbles. body is slow and sleepy). put on ice immediately after drawing. Separation anxiety peaks in toddlerhood mostly in Conneticuts swimming intercostal retractions you need to put the blood in a heparinized tube. with a lable indicating if the pt was on room air or how many liters of O2.10ml / kg REMEMBER: 2LNC or less (hypoxic NOT hypercapnic drive). . anxiety is greatest 7 .9 months.. Botox? for strabismus.

limbs and body -gait deteriorates to no ambulation -no cure. movements of face. pt must stay awake night before exam. slow speech Sensory S/S: numbness. pt may be asked to hyperventilate and watch a bright flashing light. dysphagia. sterile dressing. typically a mother. intentionally causes or fabricates illness in a child or other person under her care. paralysis. sterile dressing applied For a lumbar puncture? pt is positioned in lateral recumbent fetal position. pt can eat. progressive disease with demyelinating lesions in the CNS which affect the white matter of the brain and spinal cord. in order to receive medical care or hospitalization. just palliative care For an EEG test? Munchhausen Syndrome? MS? Huntington's Chorea? 23 . assess pt for seizures. dysarthria 50% genetic.x-ray done immediately afterwards to check for complication of pneumothorax. twisting. keep pt flat for 2-3 hrs afterwards. Motor S/S: limb weakness. after EEG. no caffine or cigarettes for 24 hrs prior. tingling. Munchausen by proxy (MSBP). ataxia. tinnitus Cerebral S/S: nystagmus. frequent neuro assessments hold meds for 24-48 hrs prior. pt's will be at increased risk is a psychiatric disorder that causes an individual to self-inflict injury or illness or to fabricate symptoms of physical or mental illness. an individual. autosomal dominant disorder S/S: chorea --> writhing. In a variation of the disorder. a chronic.

Thank you. I finally realize why a person shouldn't have cantaloupe before a occult stool test. because cantaloupe is high in vit c and vit c causes a false + for occult blood. low (for lower side or under side) Epispadias: opening of the urethra on the dorsal (front) surface of the penis Priapism: painful erection lasting longer than 6 hrs. ribbon like stools.Shift to the left means? WBC shift to the left in a patient with pyelonephritis (neutrophils kick in to fight infection) Definitive diagnosis for abd. Traction rule? Halo? 24 . Peptic ulcer How to Dx a AAA? Uremic Fetor? Hirschsprungs? No Cantalope? Penis Problems? When you see coffee brown emesis think?> For PVD remember? remember DAVE (Legs are Dependent forArterial & for Venous Elevated) Never release traction unless you have an order from an MD to do so Remember safety first. aortic aneurysm (AAA) --> CT scan smell urine on the breath bile is lower obstruction. Now I just need to figure out why they can't have fish. no bile is upper obstruction. Hypospadias: abnormality in which urethral meatus is located on the ventral (back) surface of the penis anywhere from the corona to the perineum (remember hypo. have a screwdriver nearby.

cane O . Infancy 0-18 months others will satisy needs 2. Neuromuscular damage is irreversible 4-6 hours after onset. COAL C .Compartment syndrome? Behavior/Developmental-Peds an emergency situation.left eye OD.Color codes?? 25 .. Behavior motivated by need to avoid anxiety and satisfy needs 1.leg Red. juvenile 6-9 years learn to relate to peers 4.just a tip to remember) 1... early adolescence12-14yrs:learn independence and how to relate to opposite sex 6. preadolescence 9-12 yrs learns to relate to friends of of opposite sex 5.Immediate: Injuries are life threatening but survivable with minimal intervention. -upturned nose -flat nasal bridge -thin upper lip -SGA vastus lateralis is IM administration site for 6month infants For toddlers above 18 months ventrogluteal sites for children Fetal alcohol sydrome? Immunizations rules? Eyes? OU.affected L .both eyes OS. late adolecence 14-21yrs: develop intimate relationship with person of opposite sex is this not about communication?.right eye ( dominent Right eye. Paresthesias and increased pain are classic symptoms. childhood >6yrs learn to delay need gratification 3. Ex: Cane walking? In depth.opposite A .

shave area around needle insertion. etc. seizures. Ex: upper extremity fx. woulds with anatomical organs. pupils fixed or dilated. b. pulses. profound shock with multipe injuries. Ex: Unresponsive. claustrophobia. but can wait hrs without threat to life or limb.Vital signs keep leg straight bedrest 6-8hr. lacerations. no more than 1000cc at a one time. empty bladder.p. minor burns.. Post.Delayed: Injuries are significant and require medical care.Minimal: Injuries are minor and tx can be delayed to hrs or days . npo 8-12hr. external fixation. debridement. comfort measures if possible.s.Expectant: Injuries are extensive and chances of survival are unlikely. tension pneumothorax. and 2nd/3rd degree burn with 15%-40% of total body surface. tell pt may feel heat palpitations or desire to cough with dye injection. sprains. OPEN fx's of long bones. etc. most eye and CNS injuries. unstable chest and abdominal wounds. sterile dressing.hemothrax. Individuals in this group should be moved away from the main triage area. behavior disorders. Ex: Stable abd wounds without evidence of hemorrhage. Post. fx requiring open reduction. Black.. Thoracentesis? Take v. Green. 2nd/3rd degree burn with 60% of body surface area .s. spinal cord injuries. no pulse. check leakage. sm. no metal.listen for bilateral breath sounds. position patient with arms on pillow on over bed table or lying on side. Seperate but dont abandoned. INCOMPLETE amputations. v. assess pacemaker Cath lab? MRI? 26 . Yellow.

inspect site. post.neuro q2-4. Adm vit k . CO2 used to enhances visual.keep flat 12-14hr.walk patient to decrease CO2 build up used for procedure. phenothiazines. oral anlgesics for headache. no heavy lifting 1wk. Post.s. no stimulants for 24hr before. semi fowlers or upright on edge of bed. fetal postion. foley. Npo 4-6hr. encourage po fluids.force fluids. supine postion. cns depressants. meals not withheld. table will be moved to various postions during test. encourage fluids. water soluble HOB up. keep scissors at More info on lumbar puncture? More info on EEG? Myelogram? Liver biopsy? Paracentesis? Laparoscopy? Sengstaken blakemore tube ? 27 . flat2-3hr.postion on right side. used for tx of esophageal varices. report elevated temp. Post. and stimulants withheld 48hr prior.nuero assess q15-30 until stable. general anesthesia. allergy hx. observe dressing no sleep the night before.. Post. assess for distended bladder. oral analgesics for h/a. give sedative.v. tranquilizer/stimulant meds held 24-48hr before.Cerebral angio prep? well hydrated. sire shaved. may be asked to hyperventilate 3-4min and watch a bright flashing light. report severe ab pain stat. check site.s. lateral with upper arms elevated. Teach pt that he will be asked to hold breath for 5-10sec. observe for signs of hypovolemia. pulses. oil soluble HOB down. pulses marked post. frequent v. lie flat. empty bladder. npo morning of exam 6hr.. Post.

Hemovac? used after mastectomy. remove plug. compress evacuator completely to remove air. esophagus or the skin! They are just spider/varicose veins! Ithcy on the skin Lioning face 28 Common S/S of PTB? Common S/S of pneumonia? Common S/S of asthma Common S/S of emphysema? Common S/S of Kawasaki syndrome? Common S/S of pernicious anemia Common S/S of down syndrome Common S/S of Cholera? Common S/S of Malaria? Common S/S of Thypohiod Common S/S of Diptheria? Common S/S of measles? Common S/S of SLE? Common S/S of Liver cirrhoisis? Common S/S of leprosy? . empty when full or q8hr. check system for operation. empty contents. release plug.Varices can be in stomach. place on flat surface. low-grade afternoon fever. Rusty sputum Wheezing on EXPIRATION Barrel chest Strawberry tongue red beefy tongue protruding tongue Rice watery stool Stepladder like fever with chills Rose spots on abdomen Psuedo membrane formation Kopliks spots Butterfly rashes Spider like varices. cleanse opening and plug with alcohol sponge.bedside.

Common S/S of Bulimia? Common S/S of appendicitis Common S/S of Dengue Common S/S of Meningitis? chipmunk face rebound tenderness petechiae or + Herman's sign Kernigs Sign (leg flex then leg pain on extension) Brudinzski sign (neck flex= lower leg flex) Risus Sardonicus Cullens sign ( ecchymosis of umbilicus) (+) Grey Turner spots olive like mass Machine like murmur bronze like skin pigmentation Moon face appearance and buffalo hump Sausage shaped mass . Choking.. Cyanosis and continuous droolings Common S/S of Tetany? Common S/S of pancreatitis? Common S/S of pyloric stenosis? Common s/s of PDA Common S/S of addisions? Common S/S of Cushings syndrome? Common S/S of Intusseption? Common S/S of MS>? Common S/S of MG? Common S/S of guillian Barre Syndrome Common S/S of chicken pox? Common S/S of LTB? Common S/S of TEF? 29 . Dance sign (empty portion of RLQ) Charcot's Triad (IAN) Descending muscle weakness Ascending muscle paralysis. LTB = croup!!!! 4 C'S.Coughing. dont confuse with MG Vesicular rash (central to distal) dew drop on rose petal inspiratory stridor..

tunnel/gun barrel/ halo vision (peripheral vision loss) PainLESS vision loss. curtain vision Painful vision loss. Dysphonia. flashes of light. fever Pilling rolling tremors Expiratory grunt-.. Dysphagia Painless. blurring of the vision Cat's eye reflex (grayish discoloration of the pupil) Coarse facial features Gower's sign (use of the hands to push ones self from the floor_) Looks EXACTLY like the Pilates Downward dog!!!!!!! Common S/S of cystic fibrosis? Common S/S of DKA Common S/S of Bladder Cancer? Common S/S of BPH? Common S/S of Pemphigus Vulgaris? Common S/S of retinal detachment? Common S/S of glaucoma? Common S/S of Cataract? Common S.. reduced size and force of urine Nilosky's sign (seperation of epidermis caused by rubbibng of the skin) Visual floaters. and Reedstenberg cells! Hallmark= Sore throat.S of Retino Blastoma? Common S/S Acromegaly? Common S/S Duchennes Muscular Dystrophy? 30 . opacity of lens.Common S/S of epiglottitis? Common S/S of Hodgkins Disease/Lymphoma? Common S/S of Infectious Mononucleosis? Common S/S of parkinsons? Cmmon S/S Fibrin Hyalin? 3 D'S --Drooling.Causes Infant respiratory distress! Salty skin Kussmauls breathing (deep rapid RR) painless hematuria. progressive englargement of spleen and lymph tissues. cervical lymph adenopathy.

Tinnitus Burning on urination Chvostek and Trosseaus sign! Also hypomag! Recurrent bloody diarrhea Bull's eye rash Ottorhea Battles Sign and Racoon's eyes an infectious bone dz.Common S/S of GERD? Barrets Esophagus (erosion of the lower portion of the esophageal mucosa) Flapping tremors Bossing Sign (prominent forehead) HYPERTENSION.6-16.5 31 Common S/S Hepatic Encephalopathy ? Common S/S of Hydrocephalosis? Common S/S of Increased ICP? Common S/S of Shock? Common S/S Meniere's Disease? Common S/S of Cystitis? Common S/S of hypocalcemia? Common S/S of Ulcerative Colitis? Common S/S of Lyme's disease Common S/S of Basilar Fracture? Common S/S of orbital fracture? Osteomyeltitis? Nephrotic syndrome? Renal impairment labs? Normal Hemoglobin? . s/s edema + hypotension. Turn and reposition (risk for impaired skin integrity) Renal impairment: serum creatinine elevated and urine clearance decreased Neonates 18-27 3 mos 10. BRADYpnea. Give blood cultures and antibiotics.4-15.5 3 yrs 9. then if necessary surgery to drain abscess. BRADYcardia (cushings triad)! HYPERtension TACHYpnea and TACHYcardia Vertigo.

7-15. mycoplasma and adenovirus. mucus in ileal conduit is expected.5 Glomerulonephritis? Age 4=5 year shots? Cystic fibrosis? take vs q 4 hrs + daily weights needs DPT/MMR/OPV give diet low fat. protruding means prolapsed. influenza.6 More info on droplet precautions? Meningeal irriatation>? Babinski sign? GTT for preggos? Cranial nerves for Assessing extraocular eye movements? Stomas? dusky means poor blood supply. mucolytics and pancreatic enzymes. sepsis. 3 ft distance. mumps. sharp pain + rigidity means peritonitis. pnuemonia. parovirus B19. mask S/s nuchal rigidity. Trachea shifts to the opposite side a LATE sign! Always~! 1) Sit upright 2) Exhale 3) Insert mouthpiece 4) Inhale for 3 seconds. positive Brudzinski + Kernig signs and PHOTOPHOBIA too! toes curl= GREAT Toes fan = BAD result of 140 or higher needs further evaluation. fat soluble vitamins ADEK. Door open. rubella. epiglottis. high sodium. private room or cohort. 3. Aerosal bronchodilators. meningitis. and then HOLD for 10 seconds *MRSA .4.Contact precaution ONLY 32 Tension Pneumothorax? Change in color is ? Incentive Spirometry steps? MRSA and VRSA precautions? .10 yrs 10. scarlet fever. pertusis. streptococcal pharyngitis. diptheria.

bleeding precautions 1)Soft bristled toothbrush 2)No insertion of anything! (c/i suppositories. lay on affected ear when in bed.Red and Painful 2nd Degree . Triad: 1)Vertigo 2)Tinnitus 3)N/V occurs 30 minutes to 90 minutes after eating. and potassium. Dietary restrictions you can expect include fluids. restrict Na. door closed. and doesn't go away with food isoproterenol. not at night. protein. result in hypoxia which the body attempts to compensate for (influx of immature rbc's)? Labs supporting this would show increased hematocrit. a beta agonist.No Pain because of blocked and burned nerves Admin diuretics to decrease endolymph in the cochlea. you should consider blood pressure to be your most important assessment parameter. sodium. hemoglobin.Blisters 3rd Degree . Burn Degrees? Menieres's disease? Gastric ulcer pain Med that can't be infused Intra osseously? Sickle cell crisis? Glomerulonephritis considerations two interventions to prioritize: fluids and pain relief. negative pressure) Thrombocyopenia. douche) 1st Degree .*VRSA .Contact AND airborne precaution (Private room. Labs for congenital heart disease? 33 . and rbc count.

the kidneys and ears develop around the same time in utero. and may spit up after feedings. old enough. because to a toddler it is another episode. Later you may be able to palpate a mass. Next time. and highpitched cry in an infant. leave the room and come back in five minutes. but what specifically? Coronary artery aneurysms d/t the inflammation of blood vessels.Kidneys and ears? Did you know there is an association between lowset ears and renal anomalies? Now you know what to look for if down's isn't there to choose. You should also watch for signs of increasing intracranial pressure. they're shaped similarly. mild vomiting that progresses to projectile vomiting. don't ask. if the nurse notices low set or asymmetrical ears. Knowing that the kidneys and ears are similar shapes helped me remember this). bulging fontanels. there is good reason to investigate renal functioning. a heart problem. This is where the shunt is guided into the abdominal cavity. and tunneled under the skin up to the ventricles. will have a small upper-abdominal incision. Hence. You should watch for abdominal distention. since fluid from the ventricles will be redirected to the peritoneum. the baby will seem hungry often. such as irritability. and should have an explanation of what will happen a week before surgery such as tonsillectomy. (just to expand on it a little. In a toddler watch lack of School aged kids and five year olds? What if a toddler says no to medication? First sign of pyloric stenosis in a baby? Kawasaki disease causes? A child with a ventriculoperitoneal shunt 34 . Which is why when doing an assessment of a neonate.

so fluid doesn't reduce too rapidly. It is essential to maintain nasal patency with children < 1 yr. because they are obligatory nasal breathers. The rest is the normal pulleys and ropes you're used to visualizing with balanced suspension. or other conditions that cause inflammation or scarring. Huh? I never heard of it either. If you see s/s of increasing icp. How do children less than one breathe? Milk for kids? Traction in kids? Yeast infection in a babys mouth? 35 . a kid's hinder should clear the bed when in Bryant's traction (also used for femurs and congenial hip for young kids). What traction is used in a school-age kid with a femur or tibial fracture with extensive skin damage? Ninety. Watch out for questions suggesting a child drinks more than 3-4 cups of milk each day. ninety.appetite and headache. The name refers to the angles of the joints. Juice or milk will rott that kids teeth right out of his head. Premature newborns with immature lungs are ventilated and over time it damages the lungs. Mechanical ventilation can cause it. Careful on a bed position question! Bed-position after shunt placement is flat. right?) Too much milk reduces intake of other essential nutrients. its candidiasis. What could cause bronchopulmonary dysplasia? Dysplasia means abnormality or alteration. especially iron. and the lower extremity is in a boot cast. If you can remove the white patches from the mouth of a baby it is just formula. Other causes could be infection. While we're talking about traction. pneumonia. then raise the hob to 15-30 degrees. Watch for anemia with milk-aholics. If you can't. A pin is placed in the distal part of the broken bone. (Milks good. And don't let that mother put anything but water in that kid's bottle during naps/over-night.

lay on the affected side to splint and reduce pain.MMR and Varicella? Cryptoorchidism? Just know the MMR and Varicella immunizations come later (15 months). No nasotracheal suctioning with head injury or skull fracture.A guy loses his house in a fire. and also no nsaids such as ibuprofen. Undescended testis is a known risk factor for testicular cancer later in life. no contact lenses or pregnant nurses in rooms where ribavirin is being administered by hoot. In almost every other case. Priority is using community resources to find shelter. etc.SIDS). Position prone w hob elevated with gerd. though. (Maslow). tent. you better lay that kid on his back (Back To Sleep . and low glucose. before assisting with feelings about the tremendous loss. (Ever had a stuffy nose. and you lay with the stuff side up and it clears?) Maslow for a guy who lost his house in a fire? Kids pain relief in NCLEX land? How will CSF look in meningitis? Suctioning is good--except Peds positioning for GERD? When instilling eardrops? Kids with RSV?> Positioning with pneaumonia? 36 . No aspirin with kids b/c it is associated with Reye's Syndrome. Start teaching boys testicular self exam around 12. because most cases occur during adolescence. will have high protein. when instilling eardrops. But if you are trying to reduce congestion the sick lung goes up. Pull pinna down and back for kids < 3 yrs. . Give Tylenol.

Speaking of asthma. broncospasm (anaphylaxis) Asthmas and wheezers? What treats tet spells? Group-A strep? Tylenol poisioining ? Radioactive iodine? Main hypersensitivity for antiplatelet drugs? Common sites for metastatsis? Orthostatis is verfied by? Bence Jones protein in urine? How do you treat a small bowel liver. Close observation required during this time-frame. Chorea is part of this sickness (grimacing. bone. Limit contact w/patient to 30 minutes/day. and no kids. A sputum test will confirm active disease.TB test confirmation? A positive ppd confirms infection. and lymph a drop in presssure with increasing heart rate.) and it embarrasses kids. Flush substance out of body w/3-4 liters/day for 2 days. Coughing w/o other s/s is suggestive of asthma. treated with morphine. not just exposure. watch out if your wheezer stops wheezing. and flush the toilet twice after using for 2 days. They have joint pain. The key word here is flush. Watch for elevated antistreptolysin O to be elevated. brain. sudden body movements. No pregnant visitors/nurses. Penicillin! liver failure possible for about 4 days.. etc.. precedes rheumatic fever. lung. It could mean he is worsening. Orthostatis= orthostatic hypotension confirms multiple myeloma Don't fall for 'reestablishing a normal bowel 37 . as well as tx with Mucomyst.

Other than initially to test tolerance. Therefore. Even a bun of 50 doesn't override a potassium of 3. Because the patient can't take in oral fluids 'maintaining fluid balance' comes first. wheels locked. If potassium is there you can bet it is a problem they want you to identify.5-5. lowest position. and if not you will explain it. if he has an advance directive. or neuro check) G tube and J tubes are usually? Side rail rules? Post spleenectomy? Potassium lab importance? Every new admission needs? Potassium and acid base balance? What is bleeding considered in ADPIE? 38 . A little trick regarding potassium: ALKALOSIS: K is LOW Acidosis is just the opposite: K is High The vital sign you should check first with high potassium is pulse (due to dysrhythmias). Pneumovax 23 gets administered post splenectomy to prevent pneumococcal sepsis. if airway and breathing are accounted for. Let's say every answer in front of you is an abnormal value. Normal potassium is 3.0 in a renal patient in priority.obstruction? pattern' as a priority with small bowel obstruction. and he will have the option to sign or not. Even in LTC facility when a client is a fall risk. given as continuous feedings.0. Bleeding is part of the 'circulation' assessment of the ABCD's in an emergent situation. and one side of bed against the wall. keep lower rails down. Four up can be considered a form of restraint. a compound fracture requires assessment before Glasgow coma scale and a neuro check (D=disability. because values outside of normal can be life threatening.

currant jellylike What to do if your patients chest tube accidently getes removed? Labs in DKA>? Decorticate and Decerebrate? Other S/S of MS? After removal of the pituitary gland what should you watch for? After appendectomy? Hirschsprungs is dx how? More info on intussception? 39 . labs. After that get your chest tube tray. which could convert the wound from open pneumo to closed one. brain stem involvement Hyperactive deep tendon reflexes. Cardinal sign in infants is failure to pass meconium. Decorticate positioning in response to pain = Cortex involvement. iv. and later the classic ribbon-like and foul smelling stools. Fluids are the most important intervention. With HHNS there is no ketosis. common in kids with CF. with potassium replacement. fatigue and spasticity hypocortisolism and temporary diabetes insipidus. so get fluids going first. vision changes. so be ready.What to do in a sucking stab wound? dress the wound and tape it on three sides which allows air to escape. Decerebrate in response to pain = Cerebellar. As you treat the acidosis and dehydration expect the potassium to drop rapidly. and a tension pneumothorax is worse situation. Obstruction may cause fecal emesis. position on the RIGHT side with legs flexed diagnosed with rectal biopsy looking for absence of ganglionic cells. Do not use an occlusive dressing. An occulsive dressing is used Serum acetone and serum ketones rise. Potassium is low in HHNS (d/t diuresis). and no acidosis.

Generalized edema common.stools (blood and mucus). Corticosteroids are the mainstay. Omphalocele? herniation of abdominal contents. MMR is avoided only if the kid is severely immunocompromised. provide ice bags and scrotal support. but give Pneumococcal and influenza.dress with loose saline dressing covered with plastic wrap. avoid OPV and Varicella vaccinations (live). and not share eating utensils. A positive Western blot in a child <18 months (presence of HIV antibodies) indicates only that the mother is infected. A barium enema may be used to hydrostatically reduce the telescoping. No phenylalanine with a kid positive for PKU (no meat no dairy no aspartme Second voided urine most accurate characterized by massive proteinuria (looks dark and frothy) caused by glomerular damage. Kid can lose heat quickly. Hypotension and vasoconstricting meds Ambient air contains 21 % O2 Hydrocele? PKU ? When to test urine for ketones and glucose? Nepphrotic syndrome? Western blot test? Kids with HIV? What will alter the accuracy of o2 sats? Room air is? 40 . Resolution is obvious. Two or more positive p24 antigen tests will confirm HIV in kids <18 months. with onset of bowel movements. The p24 can be used at any age. Parents should wear gloves for care. not kiss kids on the mouth. and keep eye on temp.

Causes increased intracranial pressure. and get abg's if possible. In a five-year old breathe once for every 5 compressions doing cpr.The first s/s of ards? increased respirations. air hunger. High potassium is expected (hydrogen floods the cell forcing potassium out). and things go downhill from there all the way to delirium. Later comes dyspnea. and should be taught to family when a client is going home with an NG tube. leads to right sided heart failure. followed by agitation. PCWP First sign of pe? Carbon dioxide narcosis? Pulmonary sarcoidosis? NG tube rules? If your patient starts seeing bugs? Cold stress in a newborn? A preggo in a minus station? CPR in a five year old? 41 . followed by dyspnea and tachypnea. and coma. cyanosis. pulm capillary wedge pressure is 8-13. The biggest concern is respiratory distress. sudden chest pain. If your normally lucid patient starts seeing bugs you better check his respiratory status first. Readings of 18-20 are considered high. hallucinations.. The first sign of hypoxia is restlessness.Sarcidosis is basically scar tissue build up can be irrigated with cola. retractions. If your laboring mom's water breaks and she is any minus station you better know there is a risk of prolapsed cord. So check the o2 stat.

42 More labs suggestive of renal failure? Hightest priority for RA? TB health risk? Highest priortiy in status elipticus? Crackles most likely are? Anorexia sucks because? Low crit/hemoglobin? More IVP info? Pt with edema and walking? High priority in Addisons? . which would manifest itself as mental confusion. such as dark stools. TB is a public health risk. Hep A precautions? acute stage gown and gloves are required. Cephalhematoma (caput succinidanium)? resolves on its own in a few days. then sit with legs elevated to try to mobilize the edema. This is the type of edema that crosses the suture lines. etc. A patient with liver cirrhosis and edema may ambulate. should be evaluated for signs of bleeding. Absence of menstruation leads to osteoporosis in the anorexic. Managing stress in a patient is paramount. Level of consciousness is the most important assessment parameter suggest pneumonia. A laxative is given the night before in order to better visualize the organs. In the convalescent stage it is no longer contagious. Low magnesium and high creatinine signal Pain is usually the highest priority If a TB patient is unable/unwilling to comply with tx they may need supervision (direct observation).After Gtube placement? the stomach contents are drained by gravity for 24 hours before it can be used for feedings. which is likely to be accompanied by hypoxia.

7 is ideal for a diabetic and corresponds to a blood sugar of 130. Hba1c? test to assess how well blood sugars have been controlled over the past 90-120 days. 46 corresponds to a blood sugar of 70-110. such as psychomotor retardation. Respiratory problems! Likely cause of cardiac arrest in child? What can also cause an s3 heart sound? coarctation of the aaorta causes? If you THINK a patient has new HTN? Depression manifests itself? Chief concern in CF More info on TB testing a positive result? PPD is positive if area of induration is: >5 mm in an immunocompromised patient >10 mm in a normal patient >15 mm in a patient who lives in an area where TB is very rare. remember blood pressure is the most important assessment parameter.because if the adrenal glands are stressed further it could result in Addisonian crisis. Fluid volume overload caused by IVC fluids infusing too quickly (or whatever reason) and CHF causes increased blood flow and bounding pulses in the arms should have BP assessed in both arms in somatic ways. and pain. as it causes severe hypotension. cough and deep breathe is important because of fluid pushing up in the diaphragm. While we're on Addison's. Prolonged hypoxemia is a likely cause of cardiac arrest in a child. 43 . Pancreatitis prioritys? After pain relief. gi complaints.

. bringing the glucose down too far and too fast can result in increased intracranial pressure d/t water being pulled into the CSF. (I though it was weight. Polyuria is common with the hypercalcemia caused by hyperparathyroidism. then take it higher. Unusual positional tip . which leads to reduced preload (volume in the left ventricle at the end of diastole). Sepsis and anaphylaxis (along with the obvious hemorrhaging) reduce circulating volume by way of increased capillary permeability. This is a toughie. and turns paper blue. a reportable disease While treating DKA. Limit fluids while eating.Most accurate way to test kids for medication accuracy? Placement of a wheelchair? If you see a nurse make a mistake? Chain of command? Besides meds and congenital problems . not increased 44 Nitrazine paper? STD= gonnorrhea? MORE info on DKA? ugh! Nonfat milk? Gerd again? To prevent dumping syndrome? Emphysema? . what can lead to decreased preload ? BSA is considered the most accurate method for medication dosing with kids. Urine and normal vaginal discharge are acidic. Amniotic fluid is alkaline. If the situation persists.think about it.. and turn it pink. but apparently not) parallel to the bed on the side of weakness speak to her before going to management..Low-fowlers recommended during meals to prevent dumping syndrome. the stimulus to breathe is low PO2. Nonfat milk reduces reflux by increasing lower esophageal sphincter pressure lay on their left side with the HOB elevated 30 degrees.

your body responds Brudzinski's sign? Phenalalanine? Vertical C section? Dystocia? Peritoneal dialysis? Why would somone who is allergic to 45 .. as well. Kernigs sign? One of the physically demonstrable symptoms of meningitis Severe stiffness of the hamstrings causes an inability to straighten the leg when the hip is flexed to 90 degrees. When this happens. so don't slam them with oxygen. This allows the patient's blood to be filtered without pumping it through a dialysis machine. high-fowlers and leaning forward. shoulder dystocia does not require that the patient's blood be pumped outside of his body. less chance of harm for the baby Just means a difficult or abnormal delivery or birth. One of the physically demonstrable symptoms of meningitis. the blood is cleaned while still inside the body. Encourage pursedlip breathing which promotes CO2 elimination. which is a membrane that allows waste products to pass through it... cavity. It is found in food only and is also found in aspartame Used in plus sized women or risky or emergency c sections. Severe neck stiffness causes a patient's hips and knees to flex when the neck is flexed ( The kid knees will fly up and he lift his bum off the table cause it hurts his neck) It is an amino acid that is BAD for people with PKU. Peritoneal dialysis uses a Tenckhoff catheter to run the dialysis fluid. example. encourage up to 3000mL/day fluids.PCO2 like the rest of us. The organs in the abdomen are surrounded by the peritoneum. into the abdominal. a sugar solution with some salts. or peritoneal. Instead. A Tenkhoff catheter is usually used in peritoneal dialysis CROSS REACTION! may be allergic to some foods.

celery.latex be allergic to food too? Acid/ ASH diet? with the same allergic symptoms that you would have if you were exposed to latex. pears.. It is characterized by sore throat. Imbalance will be diet modified Pumonary tuberculosis Diptheria is an upper respiratory tract infection. bananas.. Acid/ ash diet is used to BALANCE the acid/alkaline ash in the body. nectarines. figs. Likewise. Eating foods that create an acid ash may help to balance your system or create a hostile environment to inhibit bacterial growth.. low fever and the psuedomembrane! Which is just a capsule around the tonsils that you can see with your penlight. (Lupus) Hermans sign= flushes and redness of skin with PTB means? Psuedomembrane in DIptheria? SLE? Dengue hemorrhagic fever? 46 . papaya. Ash wiill affect the urinary system and even the nervous system. . plums. melons.. known as ash. peaches. passion fruit. It just looks like a whiteish yellow capsule around the tonisils Systemic Lupus Ethramoutus. which can be acidic or alkaline depending on its effect on the pH of your urine. •carrots.. kiwi. •chestnuts and hazelnuts. it leaves a mineral deposit. a diet intended for health and may be prescribed by your physician to control illness or disease.. grapes. if you are allergic to any of these foods. •wheat and rye. cherries. Once your liver has metabolized the food you ingest. you may also be allergic to latex: •apples.. avocados and tomatoes. pineapple and strawberries. Someone may have a reaction to all the foods noted to cause cross reaction while another may have no reaction at all. Cross reactions differ from one person to another... raw potatoes..

lighter color at the center of the rash. Older children will often squat during a tet spell. triad for multiple sclerosis 1. Scanning or staccato speech MG and Guillian Barre? Chvostek and Trosseaus sign Opposites! Chvostek= Tapping on the face above the cheek bone will cause spams! Trosseaus= using a BP cuff and inflating it.. sustained spasm of the facial muscles that appears to produce grinning--. abnormal.. It is a disease that comes from tropical and subtropical areas that are spread by misquotos Risus Sardonicus? a highly characteristic. which increases systemic vascular resistance and allows for a Grey Turners sign? PDA? Dance Sign? Charcots sign? VRSA? Tet spells? 47 .. and it will cause spasms of the wrist Staph infection that is resistant to Vancomycin treatement! Worse than MRSA results from a transient increase in resistance to blood flow to the lungs with increased preferential flow of desaturated blood to the body. Nystagmus 2. marked increase in cyanosis followed by syncope... Tet spells are characterized by a sudden.From Tetany! Sad and scary looking! Purple bruises around the belly button. Pancreatitis! patent ductuous arteriousus in infants! Valve doesn't close! RUQ mass (intussusception) with RLQ empty space (movement of cecum out of normal position). Intention tremor 3. and may result in hypoxic brain injury and death.

pale/cyanotic. tachycardia. difficulty breathing. · Hyperosmolar hyperglycemic nonketotic syndrome (HHNS) is primarily a disorder of dehydration due to hyperglycemia S/s of Air/Pulmonary Embolism chest pain. HHNS Vs DKA · Diabetic ketoacidosis (DKA) is a condition of DKA=insulin deficiency resulting in acidemia due to altered metabolism.temporary reversal of the shunt. sense of impending doom 48 .

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