NR602 Final Study Guide 143 correct approved solutions.
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Course
Primary Care !
Institution
Primary Care !
NR602 Final Study Guide 143 correct approved solutions.
NR602 Final Study Guide 143 correct approved solutions.
NR602 Final Study Guide 143 correct approved solutions.
NR602 Final Study Guide 143 correct approved solutions.
NR602 Final Study Guide 143 correct approved solutions.
NR602 Final St...
NR602 Final Study Guide 143 correct
approved solutions.
NR602 Final Study Guide 143 correct
approved solutions.
Treatment of mild of moderate dehydration - ANSWER-- oral hydration solutions
- continue breastfeeding with ORS supplement
- offer young child 20mL/kg per hour
- offer older child er 100mL of ORS every 5 mins
- combine with IV therapy as needed
- avoid juice, soft drinks, and sport drinks
Treatment of severe dehydration - ANSWER-- IV therapy of LR or NS
- under 1 = 30mL/kg over first hour, then 70mL/hr for following 6 hours, and 100mL/kg
from 6 to 24 hours
- over 1 = 30mL/kg over first 30 minutes and 70mL/kg for the following 3 hours.
Reassess every 15 to 30 minutes
Mild dehydration - ANSWER-3-5% decrease in weight
Moderate dehydration - ANSWER-6-10% decrease in weight
Severe Dehydration - ANSWER-11-15% decrease in weight
Colic - ANSWER-Crying for no apparent reason that lasts for 3 hours or more per day
and occurs 3 days or more per week in an otherwise healthy infant younger than 3
months of age.
Appendicitis - ANSWER-Inflammation of the appendix that leads to distention and
ischemia that can result in necrosis, perforation, and peritonitis, or abscess formation.
Signs and symptoms of appendicitis - ANSWER-pain, nausea and vomiting, anorexia,
fever
Result findings of appendicitis - ANSWER-- CBC may show increased WBC with an
increased neutrophil
- UA can show small numbers of WBC (<20) and RBC (<20)
An increased risk when having diarrhea is - ANSWER-dehydration
Acute diarrhea is typically caused by - ANSWER-Viruses like rotavirus, bacteria, and
parasites
Rotovirus is common in children age - ANSWER-3 to 15 months
, NR602 Final Study Guide 143 correct
approved solutions.
Chronic diarrhea can be caused by - ANSWER-Antibiotic treatment of another
condition, poor absorption of starches and sugars, food allergies, laxative abuse in
eating disorders, hyperthyroidism, or IBS
Acute cases of diarrhea treatment includes - ANSWER-Supportive care such as fluid
and electrolyte replacement and/or anti diarrheal based on age
Chronic cases of diarrhea treatment includes - ANSWER-Treating underlying cause
Appendicitis fever - ANSWER-Neither sensitive nor specific; many children are a febrile
or low grade fever.
High fever in appendicitis - ANSWER-Consider perforation
Rovsing's sign or rebound tenderness - ANSWER-Pressure deep in LLQ with sudden
release elections RLQ pain; strong suggest peritoneal irritation
Esophageal FB lodge at three spots most commonly - ANSWER-- Thoracic inlet where
skeletal muscle changes to smooth muscle
- mid-esophagus where the aortic arch and carina overlap the esophagus
- lower esophageal sphincter (LES).
Symptoms of Esophageal FB - ANSWER-Choking, gagging, and coughing. Excessive
salivation, dysphagia, food refusal, emesis/hematemesis, or pain in the neck, throat, or
eternal notch
PE findings of esophageal FB - ANSWER-Respiratory symptoms such as steroid,
wheezing, cyanosis, or dyspnea. Cervical swelling, erythema, or subcutaneous
crepitation may indicate perforation. Drooling or pooling of secreations
Swallowing lithium batteries greater than or equal to 20mm - ANSWER-Emergency
endoscopy for removal due to erosion or ulceration within 2 hours of ingestion
Abdomen FB - ANSWER-Then to pass through the remainder for the GI tract without
difficulty unless greater than 5cm in diameter or 2cm in thickness
Abdomen FB symptoms - ANSWER-Abdomen distention or pain, vomiting,
hematochexia, and unexplained fever
Rectal FB - ANSWER-Small blunt objects will pass on own but large or sharp object
should be retrieved after sedation to relax sphincter
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