What affects medication absorption in infants and children? - ANS growth and organ
system maturity
med route preferred for children? - ANS oral
what do you not want to do when you have oral medications and infants? - ANS DO
NOT MIX WITH FORMULA
position for infant when taking oral meds - ANS semi reclining position
position for child when taking oral meds - ANS sitting up
where is oral medication inserted in children? - ANS side of the mouth
how to administer oral meds to infants? - ANS insert in side of mouth
hold cheeks together
stroke underside of chin to promote swallowing
where are optic meds placed? - ANS lower eyelid sac, conguctival sac
what to do is the child is squeezing there eyes closed for optic meds? - ANS place drop
in nasal corner so when they open there eyes the medication will enter
where to apply pressure when giving optic meds and for how long - ANS light pressure
on lacrimal sac for 1 minute
administration of otic meds to a child less than 3 - ANS down and straight back
administration of otic meds to child older than 3 - ANS up and back
preferred route for IM injections in children is? - ANS vastus lateralis
alternative sites for IM injections in kids? - ANS ventogluteal
deltoid
gauge and needle size for IM injections in children - ANS 22-25 with 1-1.5 inch needle
,sub-Q gauge size for children - ANS 26-30
inserted at what angle for sub-q - ANS 90 degrees
what is important to do for the nurse when giving a child an IV - ANS take the child
AWAY from bed and bring them to a procedure room
recommend for numbing a site prior to injection or IV - ANS EMLA cream
comfort technique for infants getting IV - ANS swaddle the infant
age for FLACC scale - ANS 2 months-7 yo
age for numeric scale - ANS 5 yo and older
age for FACES scale - ANS 3 yo and older
age for oucher scale - ANS 3 yo to 13 years old
nursing care that is important for administering any drug or preforming and procedure -
ANS USE PLAY THERAPY
how should pain meds be administered - ANS routinely rather than PRN
how do we want to administer pain meds for the greatest effects with the least amount
of side effects - ANS combination therapy with an opioid and a non-opoid
when should ELMA be applied for superficial puncture - ANS 60 minutes prior to
procedure
when should ELMA be applied for deep puncture - ANS 2.5 hours prior to procedure
what do you do after placing ELMA down - ANS place an occlusive dressing over the
site
stranger anxiety is what age range - ANS 6-8 months
what is common to experience when a toddler is hospitalized - ANS behavior regresses
,what age does magical thinking happen? - ANS PRESCHOOLER
key concern with adolescents and hospitalization - ANS body image and isolation from
peers
what age gets factual info in hospital - ANS school age and adolescents
what kind of play do toddlers usually do? - ANS parallel play
parallel play - ANS activity in which children play side by side without interacting
associate play - ANS children engage in separate activities but exchange toys and
comment on one another's behavior
what kind of play do you see with preschoolers? - ANS associate play
what kind of play do you see with school age children? - ANS cooperative play
cooperative play - ANS activity in which children actually play with one another
anticipatory grief - ANS grief experienced prior to a loss
complicated grief - ANS Extends for more than 1 year following the loss
parental grief - ANS Intense long-lasting and complex
Differences in maternal and paternal
sibling grief - ANS Differs from adult/parental grief
Reactions depend on age and developmental stage
Toddler's View of Death - ANS no concept of death
may regress
may mimic parents emotions
preschoolers view of death - ANS temporary and magical
death is punishment for bad behavior
school-age view of death - ANS uncooperative behavior
adult view of death
, Adolescence view of death - ANS adult concept of death
rely on peers rather than parents
body image
signs of death in children - ANS heat when body is cold
loss of senses
decreased LOC
bradycardia
hypotension
Cheyenne-strokes respirations
swallowing difficulties
after death nursing care - ANS allow family to be with body as long as wants
remove tubes and equipment
allow family to help get the body ready
allow family to rock the infant or toddler
acute neurological disorders - ANS meningitis and reyes syndrome
meningitis - ANS inflammation of the meninges of the CSF and meninges
Reye's syndrome - ANS life threatening
acute encephalopathy and fatty changes of the liver
viral meningitis is....? - ANS aseptic
what type of care is needed for viral meningitis - ANS supportive care
bacterial meningitis is...? - ANS septic, contagious
what does prognosis of bacterial meningitis depend on? - ANS how quickly care is
initiated
expected findings of meningitis - ANS photophobia
nausea
irritability
headache
Brudzinski's sign - ANS Severe neck stiffness causes a patient's hips and knees to flex
when the neck is flexed.
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