Education for SIDS
● No pillow in the cribs
● Lay baby flat on their backs
● Pacifier at night
● Encourage vaccinations
● No
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Lumbar Puncture Position
● (Lateral) Side lying with knees to their chest
Leukemia
● Place in private room to decrease risk of infections
Wilms Tumor
● Do not palpate the abdomen
○ Palpation will lead to the release of cancer to other organs
Diabetes Care when Sick
● Still give insulin regularly
● Carbohydrates every 1-2 hour
● Check urine for ketones (in hospital setting)
● Glucose every 3 hours if they are vomiting & severely sick
Clinical Manifestations of DI
● A disorder of salt and water metabolism marked by intense thirst and
heavy urination.
● Insufficient ADH release from posterior pituitary gland
● Kidneys unable to concentrate urine (dilute)
● Signs & Symptoms
○ Polydipsia, hypotension, anorexia, s/s of dehydration
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● Labs:
○ Urine: Decreased specific gravity , Decreased Osmolality,
Decreased Sodium
■ <1.005 : Dilute Urine
○ Blood: increased osmolality & increased sodium
■ >275
● Dx: Water deprivation test
○ involves not drinking any liquid for several hours to see how your body
responds
○ Fluid restrictions
● Tx: Vasopressin or Desmopressin
○ Decreases urine output and increases urine osmolality
● Nursing
○ Monitor I/O
○ Monitor urine gravity
○ Daily weight
Diabetes
●
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Hyperaldosteronism → aldosterone is essential for sodium conservation
● High potassium // Low Calcium Diet
● Signs and Symptoms
○ Hypernatremia, water retention, hypertension, potassium loss,
excessive thirst, unexplained weakness, severe bed wetting
throughout the day and night
● Tx
○ Potassium & Spironolactone
Antithyroid Medications
● Carbimazole
○ Suppresses TH
● Propylthiouracil (PTU)
○ Prevents Thyroid from being up too high
○ Indications
■ Graves Disease and in preparation for thyroidectomy
○ Side Effects
■ Agranulocytosis, GI upset, rash, hepatotoxicity
■ Hypothyroidism (lethargy, weight gain, cold intolerance,
bradycardia, depression)
○ Nursing
■ Monitor CBC levels and liver function
● Agranulocytosis
○ Low WBC count primarily neutrophils
■ Less than 4500
● AST & ALT
● Strong Iodine Solution (Lugol's Solution)
○ Indications
■ Hyperthyroidism [Show Less]