NURS 629 EXAM 3
Risk factors related to elevated cholesterol?
· Obesity
· Diabetes
· Hypertension · Family history: o
Coronary heart disease prior to age 55 o
Hyperlipidemia o Diabetes
Most common cyanotic cardiac lesion (disorder)
· Tetralogy of Fallout
What is Tetralogy of Fallout?
· A congenital heart condition involving four abnormalities occurring together:
1) Pulmonary valve stenosis
2) RT vent hypertrophy
3) Vent septum Defect
4) Aorta overrides Vent Septum
What would be seen on X-ray with TOF?
· Boot shaped heart and Rat vent hypertrophy
What are the common s/s of tetralogy of Fallout?
· *Cyanosis (hypoxia)
*SOB w/exercise
*clubbing fingers and toes
*delayed growth
*systolic and holosystolic murmurs
What criteria would you have to consider inpatient admission in a patient with pneumonia?
· Comorbidities: lung ds, congenital Heart ds, DM, grunting child, O2 <92%
What to expect of a 2-mo old visual acuity?
· *Vision of 20/400
*Can fix and follow objects
S/S of viral conjunctivitis
· *Starts bilaterally
*usually occurs with upper rasp tract infection (adenovirus)
*serous (watery) drainage
*injected conjunctiva
*Enlarged or tender preauricular nodes
Clinical findings of of viral conjunctivitis
· *Normal visual acuity
*injected conjunctiva
*Preauricular lymphadenopathy
,
Treatment of viral conjunctivitis
Symptomatic only
* Warm or Cool compresses
* Strict eye/hand hygiene
* avoid contacts for a while
What do you do for a patient with an elevated B/P on initial visit?
· *Repeat in 1-2 weeks and average over 3 visits
*Pt. to keep log for review
*Encourage healthy lifestyle choices
Asthma is disruptive several times during the night/interrupting sleep at least 3 times a week,
what's the next step?
· Moderate persistent; prescribe inhaled steroid (fluent)
Causative organism of bronchiolitis
· (RSV) Respiratory syncytial virus most likely cause
What type of murmur is caused by normal blood flow thru normal cardiac structures in up to
80% children; Midsystolic; can come and go; Gets louder with fever, exercise, and anxiety ·
Functional or innocent murmur When do innocent murmurs develop?
· (Book p 763) age 3-4; (module 10 left) age 2-6
Type of murmur caused by turbulent blood flow caused by a defect or abnormal cardiac
structures; Dystonic; Grade ≥ IV; increases with sitting or standing
· Pathological murmur
Symptoms of croup
· Barking cough
· Fever
· URI symptoms
S/s of bronchiolitis
· Inspiratory and expiratory wheezing accompanied by: *fever
*URI symptoms including profuse clear nasal discharge
When to use inhaler to treat exercise induced asthma
· Use rescue inhaler 15-30 minute prior to activity
Condition caused by a defect or hole in the atrial septum
· Atrial Septum Defect (ASD)
When should children be screened for hyperlipidemia?
· Between 9-11 years then 17-21 years
Idiopathic multisystem disease characterized by vacuities of small and medium blood vessels
including coronary arteries
· Kawasaki
· What can develop in 15% - 25% of untreated children with Kawasaki disease?
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