Shared Flashcard Set

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COMPS peds
peds
19
Nursing
Graduate
05/02/2015

Additional Nursing Flashcards

 


 

Cards

Term
PDA
Definition
*acyanotic
* channel joins left pulmonary artery to aorta
- thrill palpable at left upper sternal border
- continuous MACHINERY MURMUR
- LVH
** indomethacin to close
Term
ASD
Definition
**acyanotic
*left to right shunt
- sternal lift
- systolic, ejection, medium pitch, best heard at base in 2nd left interspace
- murmur caused by increased blood flow through pulmonic valve
- right ventricular hypertrophy
Term
VSD
Definition
**acyanotic
- loud, harsh, holosystolic murmur, best heard at L lower sternal border, maybe with THRILL
- LVH
Term
Tetralogy of Fallot
Definition
**Cyanotic
large VSD, pulmonary valve stenosis, right ventricular hypertrophy, overriding aorta
- systolic murmur heard best at middle and upper L sternal border
Term
Coarctation of the aorta
Definition
- different blood pressures above and below
- systolic murmur is heard best at left sternal border, radiating to the back/left scapular area
- click
Term
Girls tanner staging
Definition
1. preadolescent breasts
2. breast buds w/ areolar enlargement
3. breast enlargement w/o separate nipple contour
4. areola and NIPPLE PROJECT as secondary mound
5. adult breast: areola recedes, nipple retracts
Term
Boys tanner staging
Definition
1. Preadolescent testes, scrotum, and penis
2. Enlargement of scrotum and testes; scrotum roughens and reddens
3. Penis elongates
4. Penis enlarges in breadth and development of glans; rugae appear
5. adult shape and appearance
Term
Transposition of Great Arteries
Definition
**cyanotic
- murmur is same as VSD
- RVH
- give prostaglandin
Term
fever definition
Definition
rectal temp of 100.4 or higher
Term
3-36 months of age - over 102.2
Definition
further eval
Term
Fever: high risk
Definition
Febrile infant less than 1 month – (higher than 100.4) none of us are good enough to decipher OM etc.
Any toxic appearing (lethargy, irritability, sick appearing, non-responsive) child of any age
Infant under 3 months with AOM – HAVE TO BE VERY CAREFUL
1-3 months Fever =>102.2
1-3 months Chronic illness – kid w/ congenital heart disease
Term
less than 1 month old w/ fever over 100.4
Definition
SEND TO ER & do workup
Term
when to send to hospital
Definition
fever <30 days
toxic appearing at any age
Term
ADHD
Definition
- sx present before 7
- have to have it for more than 6 months
- have to have it in at least 2 settings
Term
aortic stenosis
Definition
- associated with click
- right sternal border
Term
pulmonic stenosis
Definition
- associated with click
- left sternal border
Term
Epiglottitis
Definition
- sever onset of fever
- drooling
- hyperextension of neck
- SEND TO ER
- iv third generation ceph.
- thumb sign
Term
Croup
Definition
- parainfluenza virus
- bark-like cough
- stridor
- younger,
- viral
- steeple sign
Term
Back pain red flags
Definition
Infectious, Neoplastic, Rheumatologic
Acute trauma
Night pain
Worsening pain
Systemic symptoms
Neuro symptoms
Hx CA/TB exposure
Severe disability
Young age (<4 y/o)
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