final study guide peds

FINALY STUDY GUIDE
PED’S
Ped’s
CV- cardiac defects cyanotic =hypoxemia & acyanotic= not as severe hypoxemia as cyanotic pale TOFVSD, OA, PS, RUA ASD atrium VSD ventricle COAstress aorta PDA closure DA HF for all of this know top 3 NDX, maslows, ABC, nursing interventions with the rationale such as the following. O2 (oxygen(A), ventilation(B) and perfusion(C)) positioning semi or high fowlers, decrease HOB if in shock or if decrease BP to get blood back to the heart. Monitor I & O’s for balance, Daily weights most important. Nutrition fluids/diet/enteral (gut) feedings/TPN. Medications admin protocol, path, meds digoxin +ino -chromo, toxicity =n/v, halo, labs 0.5-2ng, apical HR, watch K+ levels(3.5-5.5) don’t give if hypo because ? . Diuretics, morphine protocals for giving meds to children know weight, give parents s/s side effects, don’t regive meds if child thru it up because you don’t know how much they got, parents need to know the dos/don’t of medications. Don’t tell them its candy.
Always start off with your first action being nursing. Example position before O2.
Respiratiory-remember everything is smaller
Nose breathers till 6 weeks(?) NSG assessment , nose flaring, grunting, nasal flaring, anxiety (restlessness fidgety or listlessness), tachypnea, sweating, ABG, O2 sats.. interventions position increase head of bed, suction, O2, medication,  do in that order. Care of tracheotomy. Know NC, blow by, mask, tent, et as far as O2 methods. `
 Nursing care management
 Pre-op
 Postoperative Care
 Positioning –prone with head turned to the side
 Careful suctioning, only if necessary
 NO coughing, clearing throat, blowing nose
 Inspect all vomitus for s/s fresh bleeding
 Pain management
 Antiemetic as needed
 Cool water, ice pops --- no red or brown colored liquids
 No milk or ice cream
GI
Neuro
Always a change in LOC is right unless it’s already in the question. especially with ICP. Know