Summary Peds HESI exit - PEDS HESI EXIT STUDY GUIDE
7 views 0 purchase
Course
PEDS HESI
Institution
PEDS HESI
Vitals
AGE PULSE RR BP systolic
NEWBORN -70
1-11 mo (infant) -100
1-3 yr (toddler) -110
3-6 yr (preschooler) -110
6-12 yr (school age) -120
12-18 yr (adolescent) -120
SKIN Diaper dermatitis
・ Raw, moist, weeping macules and papules of skin in contact w/ diaper
・ Causes: candida (yeast...
SKIN Diaper dermatitis
・ Raw, moist, weeping macules and papules of skin in contact w/ diaper
・ Causes: candida (yeast)
○ Use topical antifungal
○ Watch for white patches in the mouth (thrush)
○ Lay baby on a towel w/o diaper several times a day
Impetigo
・ Bacterial infection around mouth, nose, hands, neck, extremities
○ Rash → red papules w/ honey colored crusting
・ Someone is carrier of bacteria and contagious
○ Both parents will need to have nasal swab sent for culture
Folliculitis
・ Superficial inflammation of hair follicle → pustules and papules at follicular openings
Cradle cap (Seborrheic dermatitis)
・ Recurrent inflammatory condition caused by overgrowth of yeast
・ Yellow greasy scales, slight erythema
・ 1st mo of life, resolves by 6-12 mo
・ Occur in face, trunk, neck, diaper area
・ Apply shampoo w/ selenium sulfide
・ Baby oil or vaseline before washing
・ Wash hair daily
・ Not contagious
Erythema toxicum neonatorum
・ Common, benign rash in NB
・ Scattered yellow-white pustules on face, neck, trunk
・ Not contagious
・ Rash will resolve spontaneously in hours-days
, lOMoARcPSD|46224805
Eczema
・ Lichenification
○ Thickening of the skin d/t excessive scratching
○ Use hand mittens
Malignant ・ Occurs post-op
hyperthermia ○ ↑BP
○ Dark urine (skeletal muscle release of myoglobin)
○ Chest erythema
・
Osteomyelitis Infection of the bone caused by bacteria (enter through wound or bloodstream)
・ Acute more common in peds
○ Bacteremia d/t staphylococcus aureus
・ Tenderness over the bone
・ Sudden increase in pain of limb
・ Erythema (redness)
・ Warmth, swelling, presence of wound
・ Limited movement
・ Fever, irritability, lethargy
Interventions
・ IV abx
○ PICC line will be placed
○ Home infusion therapy
・ NSAIDs (pain, swelling)
Scoliosis ・ Girl 10-13 yo
○ Observe symmetrical shoulder height
・ Mild: 10-20 degrees
○ Exercise to improve posture and muscle tone
・ Moderate scoliosis: 20-40
○ Brace
・ Severe scoliosis: >40 degrees
○ Surgery
Developmental hip ・ Pavlik harness
Downloaded by Blewett Smith (wainainasonpeter@gmail.com)
, lOMoARcPSD|46224805
dysplasia (DDH) ○ Worn 24hr / day to correct hip dysplasia
・ DO NOT remove for cleaning or diaper changes
○ Wear bodysuit under the harness prevent skin breakdown
・ Ortolani test
・ Assessment
○ Asymmetrical gluteal fold
Spina bifida (neural Myelomeningocele
tube defect) ・ Most serious form
・ Sac present → containsSF, meninges, nerves
・ Surgery
○ Maintain occlusive dressing on at all times
○ Change w/ soiled
Muscle dystrophy Duchenne muscular dystrophy
・ Genetic disorder → muscle fiber damage and degeneration
・ Muscle weakness and wasting
・ ↑levels of creatine kinase in blood → inflammation
・ Affects skeletal and cardiac muscle
Assessment
・ Frequent falls
・ Difficulty standing up from lying or sitting
○ Gower’s sign → child's legs are too weak to stand w/o using arms for support
・ Trouble walking, running, jumping
・ Waddling
・ Walking on tiptoes
・ Muscle pain/stiffness
・ Delayed growth
・ Enlarged calves or thighs
・ Learning disabilities
Teaching
・ High-fiber foods to prevent constipation
・ Encourage ambulation as tolerated
・ Annual flu shot (increased risk of respiratory infections)
・ Avoid high-contact sports
Juvenile Rheumatoid ・
arthritis (JRA)
Ewing Sarcoma Cancer in bones of soft tissues surrounding bone → pelvic or long bones
・ Common in teens & young adults
・ Swelling, bone pain
・ Unexplained fatigue
・ Fever of unknown origin
・ Tx
○ Chemotherapy (will require additional tx after chemo)
○ Radiation
○ Surgery
○ Supportive
Downloaded by Blewett Smith (wainainasonpeter@gmail.com)
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Blewett. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $17.99. You're not tied to anything after your purchase.
