STUDY HALL, PLD FORUMS
1. Babies of Moms with different dx conditions
Diabetic mom - hyperinsulinism/hypoglycemia (tremors, respiratory distress), large, increased birth weight
Narcotic mom - increased reflex irritability, restlessness, tremors, high pitch cry, poor feeding
Alcoholic mom - small head & body
Smoker mom - low birth weight
Barbiturate addict mom - pinpoint pupils
hyperthyroid mom - hyperthyroid baby
hyperthyroid mom on meds (eg. PTU) - hypothyroid baby
cocaine (withdrawal signs in baby): irritability, high-pitch cry (& others like narcotics)
alcohol (withdrawal signs in baby fetal alcohol syndrome): tremors, seizures, irritability, abdominal distention
: later: mental retardation, speech problems, hyperirritability
2. Which of the ff drinks should be avoided to prevent cardiac dysrhythmia is a cardiac patient?
a. hot tea
Ans: hot tea (caffeinated). Sanda is decaf!
3. moon face - a sign of kwashiorkor (decreased osmotic pressure) , not marasmus
4. to know if fetus is in cephalic or breech presentation - maneuver #1 in leopold's
maneuver #1 - allows you to feel the fundus. If you feel something hard, round and slightly movable, that's the head. If softer, larger and seems to move with the trunk, that's the buttocks.
maneuver #2 - feeling the left and right sides, comparing the back and the limbs.
maneuver #3 - checking engagement
maneuver #4 - furthur assessment of fetal head and position to confirm findings in past steps.
5. Child with URTI -
give Procaine Penicillin 300,000 'U'
6. Which cranial nerve is involved in speech problems?
Ans. hypoglossal. Responsible for movement of tongue/articulation of letters D,L,N,T (consonants of DiLaNTiN)
7. ESSENTIAL AMINO ACIDS
Essential amino acids are not synthesized by our body, so intake from food is vital. There are 8 for adults and 9 (some say 10) for infants. Just a quick code to help you remember.
Pray Very Hard TILL Makapasar Tanan
H-istidine (in children)
Some books say children also need Taurine.
8. IRON - best taken with meals
Absorption is decreased by 40-50% when taken with meals, but iron causes GI distress, so it's still best to take it with a full stomach.
9. HYPOTHALAMUS - satiety center
ventromedial hypothalamus - satiety center
lateral hypothalamus - hunger center
posterior hypothalamus - heat production/conservation
anterior hypothalamus - heat loss
10. RADIATION THERAPY (Time, Distance, Sheilding)
Time- 10min (ave.); depends on the type of Radiation Therapy
Shielding- lead apron, lead-impregnated gloves, pick-up forceps for penetrating radiation like x-ray or gamma rays, wear film badges in front
Distance- do not remain within 1 meter(3 ft.)
Use the Inverse Square Law: Doubling the distance from a radiation source cuts the intensity received to 1/4
* During the period of radioactivity (24-72H), limit the amount of time spent with the client
11. LIST OF INHERITED DISORDERS
- most inborn errors of metabolism
- both parents should carry the recessive trait for the child to manifest the disease
1. cystic fibrosis
3. sickle cell disease
4. tay sach's disease
1. MODY (Maturity-onset diabetes of youth)
- girls are carriers, boys are affected
duchenne musculary dystrophy - most common
12. The 5-Bs in Beta Blockers (side effects)
Beta blocker blues (depression)
13. The 6-S of Addison's Disease (a decrease in one or more of these)
* Sugar (glucose)
* Shock (hypovolemia)
* Steroids production
* Sensorium (mental function)
* Stress (low resistance)
14. QUESTION: Which of the following is not seen in rheumatic fever?
B. subcutaneous nodules
C. abdominal pain
Ans: headache. Abdominal pain is frequently caused by liver engorgement
15. QUESTION: What is the common side effect of vagotomy?
A. orthostatic hypotension
D. abdominal distention
16. QUESTION: What is the route of transmission of HTLV?
Ans: sexual contact
17. QUESTION: What is the most common cause of acute pancreatitis?
18. QUESTION: A child with rheumatic fever takes antibiotics for a span of how many days?
Ans: 10 days
19. PKU TEST:
Formula Fed Infants: test is taken as early as 3 days old
Breast Fed Infants: test taken at age 1 week
** Formula/Cow's milk is high in phenylalanine
** Test is repeated 7-14 days after to ensure accuracy
20. CONCEPTS OF DEVELOPMENT (PIAGET's
INVARIANTS (developmental characteristics that are always present):
PAIN during 1ST STAGE OF LABOR is due to DILATION OF THE CERVIX , hypoxia of uterine muscle cells during contraction, stretching of lower uterine segment, pressure on adjacent structures.
PAIN during 2ND STAGE OF LABOR is due to DISTENTION OF PERINEUM & VAGINA, hypoxia of uterine muscle cells, pressure on adjacent structures.
TREATMENT FOR BURNS:
>> assess ABC's (airway, breathing, circulation)
>> check inhalation burns (singed nasal hair, respiratory distress)
>> transport victim to hospital
24. OPEN HEART SURGERY FACTS:
>> uses heart-lung
machine (pump-oxygenator or cardiopulmonary bypass)
>> sternotomy - surgical division of the breastbone (sternum), performed to allow access to the heart and its major vessels
>> heart feels ischemia in 10 seconds without blood supply
>> necrosis starts after 20 minutes
>> What happens during the surgery...
An 11- to 12-inch incision is made in the chest and the breastbone is split in two (full median sternotomy). A retractor is then used to pull back the breastbone and attached ribs in order to open up the chest. The functions of the heart, including blood flow and oxygenation, are rerouted through a heart-lung machine, so that the heart can be safely stopped during the procedure by the injection of a cooled cardioplegia solution (ice-cold liquid solution).
HELP YOURSELF! PRINT THIS PAGE!