To protect infant's teeth development, what is included in their vitamins? - ANS Fluoride
What age do we start Flouride if infant doesn't receive tap water? - ANS 6 months
How can we prevent ticks? - ANS bug spray with DEET, light colored clothing, tick checks,
showers and baths when exposed
How do we remove a tick? - ANS pull the entire tick out with tweezers.
What is the first indication of Lyme Disease - ANS Bulls eye rash
How do we treat Lyme disease? - ANS Over 8 years: Doxycyxline PO for 14-21 days
Under 8: Amoxicillin PO for 14-21 days
What are the main 3 medicines used to treat Lyme Disease? - ANS Doxycycline, Amoxycillin,
and Cephuroxine
What are the main S&S of Lyme Disease? - ANS flu like symptoms (aches, swollen lymph
nodes, chills, headache, fever), Bell's palsy, Bull's eye rash, and later on carditis, then cognitive
issues, joint pains, and sleep issues
Where are T3 and L3 located along the spinal cord? - ANS lower in the body
What are the long term issues of T3 and L3 spinal fusion? - ANS elimination issues
What can you do to help elimination issues with T3 and L3? - ANS stool softeners- prevent
constipation
leave Foley in for 3 days
Keep accurate I&O's
What is spinal fusion associated with? - ANS Scoliosis
When do we introduce solid foods? - ANS 4-6 months
What solid foods do we introduce first? - ANS cereal first
vegetables next
Then one at a time every 4-7 days introducing a new food so we can watch for allergies
What are some side effects of iron? - ANS constipation, tarry/green stools, stain the teeth
, How should we give iron? - ANS with fruit on an empty stomach
What do we want to pay most attention to in blood pressures? - ANS Systolics
What are the norms for blood pressure? - ANS babies run high
under 6: 70-100
6-12: 80-120
13-18: 90-130
They should not be lower or higher
How will you double check another reading if the machine is high? - ANS double check
manually (most accurate). If you recheck and it is still high, call the doctor.
How should someone be positioned when getting blood pressure taken? - ANS calm, sitting with
legs uncrossed, arms above heart level, and have the right size cuff
What do we do if a child has a low blood pressure? - ANS stop and do something; kids will
crash! Call the Doctor! Give fluids and assess I&O's
What are the S&S of Kawasaki Dx? - ANS strawberry tongue, flushed skin, damage to blood
vessels, painless peeling of hands and feet, long term arthritis
What is the biggest risk of Kawasaki? - ANS death of coronary aneurysm
What is the treatment for Kawasaki? - ANS IBIG, and Aspirin for clotting (2gm over 8-12 hours).
Aspirin causes bruising
What are some other things to know about Kawasaki? - ANS highly irritable for a long time
call Physician if fever
immunizations are not effective
What do insulin pumps not check? - ANS Accuchecks (Glucose)
Always double check reading on pump
How often should we rotate the site for insulin? - ANS every 2 days put some place else
What are the different options of an insulin pump? - ANS continuous insulin or bolus
What should we do to the line? - ANS make sure it is untwisted
Which type of Diabetes doesn't require insulin pumps? - ANS Type 2
What is the initial indication that someone has hyperglycemia? - ANS DKA
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