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- Georgia
- Georgia State University
- Graduate Nursing
- Graduate Nursing 7342
- Browning
- asthma/neuro/fever midterm
asthma/neuro/fever midterm
Graduate Nursing 7342 with Browning at Georgia State University
About this deck
By: kelly scoggins
Created: 2011-06-13
Size: 38 flashcards
Views: 5
Created: 2011-06-13
Size: 38 flashcards
Views: 5
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intermittent asthma
sx<2x/wk; hs sx<2xmo; no act interference
fev1>80%; fevq/fvc>85%
mild persist asthma
sx>2xwk
hs sx3-4x/mo
min act interf
fev1 and fev1/fvc>80%
mod persist asthma
sx dly
hs sx>1x wk
some limitation of activity
fev=60-80%
fev1/fvc=75-80%
sev persist asthma
sx dly
hs sx dly
interferes w act
fev1<60%; fev1/fvc<75%
step 1 asthma
saba prn
step 2 asthma
low dose ics
step 3 asthma
low dose ics + laba or med dose ics
step 4 asthma
med dose ics + laba
patho of asthma
immunohistopathological responses produce shedding of the airway epithel, edema, mast cell activation, inflammation infiltration
bronchconstriction, airway edema, mucus plug formation
persist inflam>>irreversible changes; often is rever.
hyper resp
epilepsy
recurrent seizures from a brain abn
symptomatic epilepsy
results from an identifiable cerebral disorder
idiopathic epilepsy
no known cause but nml intelligence and nml findings on neuro exam
cryptogenic epilepsy
no known cause but w neurogenic or cognitive impairment
status epilepticus
continuous>30min
any type may develop into SE
most useful tool to dx seizures
EEG--does not r/o seizure because only 1 hour duration
impo predictor of recurrence--those with abn eeg have higher risk of recurrence than those w nml eeg
safety precautions w seizure
cushion head
turn to side
nothing in mouth
do not hold down
reassurance as seizure ends
which cranial suture most commonly affected w congenital synostosis?
sagittal suture
PE findings with cp
xs lethargy or irritability
poor head control
hand pref before 12 mo
Inc refl
abn hc; abn muscle tone or posture
FWF-fever without focus
an acute illness in which the etiology of the fever is not apparent after a careful hx
no serious underlying condition
management of fever 0-4 wk
go to er
mgt of fever 1-3 mo
+findings>er eval
-findings>rocephin, dc, fu 24 h
mgt fever 3-6 mo
temp>100.4 and <102.2; give rocephin, dc home, f/u in 24 h
mgt fever 3-36mo
temp>102.2 give rocephin, dc home, fu in 24 h
1st drug of choice for fever reduction
acetaminophen
who should ibu not be given to
babies<6mo
FUO-fever of unknown origin
prolonged fever for at least 3 wks or more with no etiology or after 1 wk of hosp with full evaluation
why should fuo and fws be differentiated?
1. diff dx and most freq causes are distince
2. FWS kids req immed testing and eval
3. fuo does not typically require ab
fuo causes
salmonella, tb, lyme dz, rheumatic fever, kawasaki dz, cmv, heaptitis
neoplasms, drug fever, connective tissue disorder (JRA and SLE)
most common form of seizures in childhood
febrile seizures
age febrile seizures occur
6mo-5 yr
most common the 2nd year of life
predispositon to having a febrile seizure
genetics
low ferritins
mmr after 8-14 days
dtp--same day
is prophylaxis trt needed for febrile seizures
no
2 types of febrile seizures
simple--<15 min and generalized
complex->15 min and multiple in 24 hours
when is lp done following a seizure
all infants<12mo
consider it for <18 mo--d/t s&s of meningitis may be sublte
pt on ab prior to seizure--ab may mask s&s of meningitis
is an eeg/ct/labs done for febrile seizure
not routinely
tailored to sx (pt vomiting, then check electrolytes and glucose)
when should a pt be hosp instead of sent home following a febrile seizure
clinically unstable
suspect meningitis
unreliable parents
other dx to consider w febrile seizures
meningitis
encephalitis
gastroenteritis
meds
tosins
hypoglycemia
epilepsy
shaken baby
head trauma
electrolyte imbalance
meds a/w drug fever
amphetamines
antidepressants
atropine
phenothiazines
About this deck
By: kelly scoggins
Created: 2011-06-13
Size: 38 flashcards
Views: 5
Created: 2011-06-13
Size: 38 flashcards
Views: 5
About StudyBlue
STUDYBLUE makes things that make you better at school.
Things like online flashcards with photos and audio.
Things like personalized quizzes and friendly reminders about when (and what) to study next.
Think of it as a digital backpack™: access to all of your study materials online and on your phone.
STUDYBLUE exists to make studying efficient and effective for every student, for free. Join us.
“I have been getting MUCH better grades on all my tests for school. Flash cards, notes, and quizzes are great on here. Thanks!”
Kathy
Kathy