ENJOY! Summer

@

PEAK!!!

RATIONALE

BY: RANDEL

DALAUTA,RN

Intrauterine Growth Retardation

Intervention: Treatment of Asphyxia Measure weight, head circumference & length to

categorize type. Careful physical examination for anomalies & dimorphic

features features. Blood glucose & hematocrit Serum Calcium and WBC count and platelet count If due to placental factor, provide;

- Increase O2- Increase fluid intake- Increase nutritional intake

CONGESTIVE HEART FAILURE

Tonsilitis Tonsillectomy

Throat Soreness & Pain

Obstruction on Swallowing & Breath

Nfxn Antibiotics & Analgesics

Soft Liquid Diet

Ice collar & edema

Lozanges & warm gargles

Side turning & School restriction (10-14 days)

Pre-op: coughing exercise Occur 5-6 times /yrPost-op: Bleeding – black stool - frequent swallowing Positioning: prone, head to

side, awake:semi-fowlers Diet:Bland, ice cold Avoid: clear of throat,

sneezing,blowing of nose, coughing

Pyloric Stenosis

Its is a birth defect

Projectile vomiting

1-2 cm Olive Shaped Mass

- visible peristalsis,like rolling balls

Post-op:-left side lying position-small frequent feeding, in semi-upright (40-60mims), position slightly to the right, slowly burp

Pyloric Stenosis

Congenital Hip Subluxation

Hydrocephalus-Increase head circumference( >15 ins)-Bulging fontanels-Dilating scalp vein-Sunset eyes-Late: shrill/high pitch cry & seizures - Doc: mannitol & Decadro-Avoid: upright position-WOF: constant sleeping

Crutch field Tong

W Fetal CirculationE

W Foramen Ovale E

W Ductus ArteriosusE

First Aid for Dog Bites

– The wound should be wiped clean of any saliva if the dog is suspected to be rabid (infected by rabies). The wound should be washed well with soap and running water.

– After drying, the wound should not be closed if it is a puncture wound, may be covered with a dry dressing if there is a cut or laceration.

– The person should be taken to the doctor immediately. – Since there is a chance of being infected with tetanus, the doctor will

administer an injection containing tetanus vaccine. – The owner of the dog should be informed and the dog taken to a

Veterinarian immediately, to check for symptoms of rabies. – The dog should not be killed, but should be kept under observation

for 10-15 days to see whether it develops symptoms of rabies. If it does not develop symptoms within 10 days, then chances are that it is not infected by rabies. treatment to provide immunity against the disease.

First Aid for Epistaxis

Do not tilt headSit up right Lean forward (breath on mouth)

Spit out any bloodGently squeeze fleshy portionPut little wad of cotton inside victims lip against the gumWait 5 minutes before re-checking

if not yet stop gently blow nose to evacuate

clotsIf slowed pack nose

with a tissueCoat tip of tissue with

petroleum jellyIf totally stopped avoid

blowing of nose, bending, lifting, &

coughing

Normal Course in Immunization

APGAR Scoring

- Hospitalization : keep up with school work

Hospitalization : allow to wear preferred cloths; let friends visit, or call

Congenital Hypothyroidi

sms/sx:-Jaundice-Constipation-Lethargy-feeding problems-large tongue-puffy face- distended abdomen

Intervention:-thyroid hormone (synthroid, levothroid)- monitor T4 & TSH level

Down Syndrome

Cleft Lip Cleft Palate

Lalaki PemalecheiLoplasty Palatoplasty

Liedown sideLyingUnaffected side

Prone position

Little utensils – straw - asepto syringe

Pala (big utensils)

Post-op priority: prevent trauma to suture line Logan’s Bar – to avoid trauma Elbow restraints

Umbilical Hernia

 Comparisson!

GABHS Inflammation of kidney Periorbital Puffy eyes Hematuria(tea

colored) Classic sign: Hypertension Plasmapheresis Diuretics Steroids

Autoimmune Increase glomerolar

permeability Hallmark sings: - Protienuria –classics sign - Edema - Hypercholeteremia Plasma Expanders Diuretics Streroids

Glomerulo-

nephritis

Nephrotic

Sydrome

Reye’s Syndrome

-aspirin overdose-unable to convert urea to ammonia for excretion-seizures-AVOID GIVING ASPIRIN TO BELOW 10 y.o. CHILDREN

Battle sign, Raccoon Eyes & Periorbital Edema

Juvenile Rheumatoid Arthritis

Stiffness – morning & after activity 

Swelling Limited ROM Painful tender joints DoC: - ASA - NSAIDS - Corticosteroids

Bilateral Club Feet

InAdEquateINVERSION

ADDUCTIONEQUINUS

• without mental retardation• Impaired movement & posture• Persistence of primitive infantile reflexes • Not evident until child attempts to walk• Criteria:

a. Hyperextensionb. Scissors gaitc. Hearing impairedd. Athetosis- poor balancee. Ataxia

Cerebral Palsy

 Spina Bifida

 Dubowitz-Ballard

Scale

ANY QUESTIONS????????????????????

THE END