Modules: 7, 8, 9 & 10
Dosage calc – 3 problems
What are techniques for administration of ear drops (less than 2 versus older than 2)
What are
... [Show More] tips for helping a child take oral medication?
Hold infant in semi-reclining position.
Stroke infant under chin while holding cheeks together to promote swallowing.
Hold small child upright to prevent aspiration
Administer medication in small amts on side of cheek to allow and promote swallowing
Mix med in small amount of sweet non-essential food (i.e. apple sauce).
Add flavoring if able
Reward small child with prize
What are teaching tips for use of a metered-dose inhaler? SATA
What’s important to know about the newborn/infant nose and breathing? What assessments are important? p. 932
- Newborns / infants are OBLIGATORY nose breathers
- DO NOT do anything to occlude the nares.
What are post-tonsillectomy nursing cares?
Positioning: Facilitate drainage. Elevate HOB when awake.
S/sx of bleeding: Frequent swallowing, clearing throat, bright red emesis, tachycardia, pallor.
Liquid analgesics (on a reg schedule)
Teracaine pops as prescribed
Ice collar
Ice chips, small sips water, initiate clear liquid diet as tolerated.
Discourage dairy products, red colored products, and citrus products.
Discourage coughing, throat clearing, and nose blowing. AVOID STRAWS.
What are therapeutic interventions to manage croup (bronchiolitis)?
- Supplemental O2 to keep O2 sat ≥ 90%
- Encourage fluid intake if able to tolerate PO intake
- Maintain airway
- Meds: DO NOT GIVE BRONCHODILATORS. CORTICOSTEROIDS controversial. ATBX if infxn present.
- DO NOT perform CPT
- Suction PRN
- Encourage breastfeeding
What are symptoms of streptococcal pharyngitis and complications/risks?
- S/sx:
Pharyngitis
H/A
Fever
ABD Pain
Inflammation of pharynx, covered with exudate (be 2nd day of illness).
- Complications / Risks:
Rheumatic fever
What are head injury assessments?
LOC
Minor injury
- Loss of LOC / drowsiness
- Period of confusion
- Vomiting
- Pallor
- Irritability
- Lethargy
Progression of injury:
- Changes in VS
- AMS
- Focal neurologic deficits
- Increased agitation
Severe Injury:
- Increased intracranial pressure in INFANTS
* Bulging fontanel, distended scalp veins
* Separation of cranial sutures
* Irritability
* Restlessness
* Increased sleeping
* High pitched cry
* Poor feeding
* Sun-setting sign
- Increased intracranial pressure in CHILDREN
* Nausea
* Forceful vomiting [Show Less]