Primary dietary prescription for calcium
nephrolithiasis (kidney stones) ? PG. 85 Low calcium diet
For client with nephrolithiasis the diet
should be
... [Show More] ___ ash Acid
If kidney stone is calcium phosphate the
diet must be low in ___ too Phosphorus
Primary diet tx for uric acid nephrolithiasis
is __ ____ Low purine
Client with uric acid nephrolithiasis should
have a diet low in ____ Methionine
What is methionine? Precursor of the amino acid cystine
2 foods high in methionine? Eggs, milk
Clients with cystine nephrolithiasis should
have an ____ ash diet Alkaline
Inc. fluids over 3000 cc /day is more
effective in treating renal calculi than ANY
dietary modification, T/F?
True. Want to flush tract than worry about
diet
What is the common name for
Laryngotracheobronchitis - LTB CroupWhat is the typical temp elevation in
croup?
Low grade, usually below 102, but can go
up to 104.
Are ATBs helpful for croup? For epiglottits? For croup, no. Epiglottitis, yes
Is croup viral or bacterial? Viral
With which condition is croup most often
confused? Epiglottitis
Can croup be managed at home? Can
epiglottitis be managed at home? Yes. No, epiglottitis is a 911 emergency
Are sedatives used for kids with croup? No, bc this would mask the signs of
respiratory distress
What causes epiglottitis? A virus or
bacteria? H. influenza BACTERIA
What is the best tx for croup? Cool moist air
What should never be done to a child with
epiglottitis?
Never put anything in the child's mouth, ie,
a tongue blade can lead to obstruction
What are the typical signs and symptoms
of croup?
Barking cough, inspiratory stridor, labored
resp. patternWhat 3 signs tell you that the child has
epiglottitis instead of croup? Muffled voice, drooling, increased fever
When is croup bad enough to be evaluated
by a doc?
When retractions, and high pitched stridor
are present
What lead level needs intervention? 50-60 micrograms/ dl
With which class of drugs will a child with
lead poisoning be treated? Chelating agents
What do chelating drugs do? They increase the excretion of heavy
metals
The most freq. cause of lead poisoning is... Ingestion of lead-based paint chips
Name 3 common chelating agents for lead
poisoning EDTA, desferal, BAL in oil
S&S of lead poisoning Drowsiness, clumsiness, ataxia, seizures,
coma, resp. arrest
Sx of lead poisoning show up in the ____
system Neuro
Leukemia is cancer of the ___ forming
tissues BloodThe type of cell that is most common and
problematic in leukemia is ____ Immature WBC
In leukemia the RBC count is ...
Low, bc the bone marrow is going "wild"
producing all those immature WBC - no
energy or nutrients to make platelets
In leukemia, the platelet count is ...
Low, bc the bone marrow is going "wild"
producing all those immature WBC - no
energy or nutrients to make platelets
Bc the RBCs are low, the pt will exhibit ___
and ___ Pallor and fatigue
Bc of the immature WBCs, the pt is at risk
for ___ Infection
Bc of low platelets, the pt is at risk for ___,
___, and ___ Bruising, ecchymosis, bleeding, petechiae
What causes lymph gland enlargement in
leukemia?
All those small immature WBC clog the
lymph system
Should you take a rectal temp on a child
with leukemia? No
Should you take an oral temp on a child
with leukemia?
Yes, as long as they are over 4 years old,
in remission, and have no sores in their
mouth
Should the child with active leukemia use
straws, forks, cups? NO straws, NO forks, YES cupsRN's priority in tx a child with newly
diagnosed leukemia is... Dec. risk of infection
When the leukemia child's platelets and
WBC's are low, his activities should be ... Limited
When the platelet and WBCs are low the
nurse should not insert a.. Suppository
Are IM injections and IV sticks permitted on
a child with leukemia?
When labs are low IMs avoided and IVs
limited; only done when absolutely necessary
(to give chemo or measure blood counts)
Why are kids on chemo also on allopurinol
To prevent uric acid kidney stones (remember
when chemo kills cancer cells, purines and uric
acid build up and could cause kidney stones
Why do some kids with leukemia have joint
pain?
The immature WBCs infiltrate the joint and
cause inflammation
Why is a child with leukemia at risk for
neuro sx due to ICP
The immature WBCs infiltrate the brain and
cause inflammation
What is alopecia? Hair loss
If the platelet count is low what drug should
the child not take? Aspirin
Is the alopecia from chemo permanent?
No. It will grow back. (Alopecia of radiation
therapy is permanent bc the follicle is
destroyed)What does ANC mean? Absolute Neutrophil Count
What is the ANC used for in leukemia? If ANC <500, then pt will be on protective
isolation
Which is used more commonly to decide if
the pt should be on isolation: WBC or ANC ANC is more reliable and valid
By the end of the 1st 6 months of life an
infants birthweight should ____ Double
By the end of the first year of life an infants
birthweight should ___ Triple
Ideal food for infants is ___ Breast milk [Show Less]