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Children with myelodysplasia & hydrocephalus
CSM Pediatric Children with myelodysplasia & hydrocephalus
17
Nursing
Undergraduate 3
03/12/2016

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Cards

Term
What are the types of Spina bifida?
Definition
[image]
Term
What are indications of spina bifida occulta?
Definition
Hair tuft, dimples
Term
What should you during preop care for a myelodysplasia patient?
Definition
1. Cover the sac with a sterile dressing
2. Monitor fo CSF leakage
3. Place an infant in the prone position with knees slightly flexed
4. Assess for bowel & bladder function
5. Monitor for signs of infection
6. Feed with head turned to one side
7. Avoid latex products
Term
What should you during postop care for a myelodysplasia patient?
Definition
1. Monitor wound healing
2. Monitor for signs of infection
3. Monitor for signs of hydrocephalus (ICP)
4. Place in prone or side lying position
5. Measure head circumference daily
6. Ass I/O
7. Avoid Latex
Term
What are the causes & typesof hydrocephalus?
Definition
Communicating
1. Too much CSF
2. CSF not reabsorbed
Non communicating
3. Obstruction to the flow of CSF
Term
How is hydrocephalus diagnosed?
Definition
1. Ultra sound if under 18 mos
2. Measure head circumference
3. Bulging fontanels
4. Sunset sign
5. ICP signs
6. Widening sutures
Term
What should you include in caring for a hydrocephalus patient?
Definition
1. Measure the head circumference daily
2. Observe for signs & symptoms of increased ICP
3. Neuro assessments
4. Monitor for signs of shunt malfunction such as vomiting & seizures
5. Position child in supine- gradually raise the head of the bed
Term
What is the treatment for hydrocephalus?
Definition
VP Shunt
Term
What are long term complications from hydrocephalus?
Definition
Joint contractures, dislocations of joints, scoliosis, fractures, decubiti, renal problems, stool leakage, will not have normal brain function
Term
How can you tell the difference between regular CSF & Mucous?
Definition
CSF has glucose
Term
How do you assess bowel and bladder movement in infants?
Definition
Dribbling and leakage
Term
What are signs of increasing ICP in infants?
Definition
Fussy, febrile (however they may go low in temperature)
Term
Why can parent prevent UTIs for patients with neurogenic bladders?
Definition
Straight catheter every 4 hours
Term
What is a chari malformation?
Definition
The brain tries to push its way thru the foramen magnum.
Term
What is a tethered cord?
Definition
The Spinal cord is stuck as the child grows that causes spasms
Term
What should be taught to parents of a hydrocephalus patient?
Definition
Teaching about the medications
Signs & symptoms of shunt malformation
Basic Neuro signs
Term
What percentile should be the normal head circumference of a child?
Definition
The same percentile as the height and weight
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