Flashcards in Selected Childhood Illnesses - Unit 4 Deck (49)
What is failure to thrive?
Inadequate growth (weight that falls below 5th percentile), need family therapy, increased calories, etc.
The rate of SIDS has increased or decreased since the 1990's?
DECREASED - due to sleeping habits, better education, we know that there are other things causing it, etc.
what is SIDS?
Sudden unexplained death of an infant younger than one year.
Is there a cause for SIDS?
possible brainstem abnormality regulating cardiorespiratory status.
what's the trip risk hypothesis for SIDS?
underlying infant vulnerability.
critical incident during infant development.
Environment factor (heat?)
what are some risk factors for SIDS?
males, african americans/native americans, preemies/low birth weight, multiples, age 2-3 months, season (more prevalent in winter), smoke exposure, unsafe sleeping, over heating, young maternal age.
how do we prevent SIDS?
breastfeeding, pacifier use, supine position for sleep (back sleeping!!!), up to date immunizations
infants who are placed to sleep on their backs without having the position of their heads alternated are at risk for what condition?
Plagiocephaly - head is flat on their back of skull - maybe also bald.
suicide is the __ leading cause of death for adolescents.
every year, there are approximately __ suicides per 100,000 youth.
What percentage of high school students report suicide ideation?
What are some risk factors for suicide?
Romanticizing death, substance abuse, domestic conflict, prior attempt, family history, antisocial/aggressive behavior, prior attempt, etc.
What is the single most important factor associated with increased suicide risk?
An existing active psychiatric disorder - depression, depression, substance abuse, etc.
What is the most commonly used instrument for completed suicides?
Firearms - boys.
Drugs (tylenol, etc.) for attempted (girls)
what are some screening questions for suicide?
do you consider yourself a more happy person, unhappy, etc.?
have you ever felt like hurting yourself? etc.
how is varicella spread?
resp secretions & lesions.
Is the varicella rash itchy?
YES. VERY ITCHY.
Macule, papule, and vesicle - - - all occuring at once during outbreak of varicella. T/F?
varicella - contagious __ day before eruption of lesions.
what are some complications of varicella?
Bacterial infections, encephalitis, varicella pneumonia, thrombocytopenia, encephalitis.
Varicella - starts in face + works way down. T/F?
Give aspirin to varicella kids - T/F?
What can be administered to high risk children who have been in contact with varicella?
Acyclovir, varicella zoster immune globulin.
What other treatment options can we give to someone with varicella?
calamine lotion, benadryl, oatmeal, put mittens on the hands to not itch, etc.
What is diptheria?
serious infection of the nose and throat. Spread by direct contact with discharge from nasopharynx - STANDARD and DROPLET precautions.
How do we manage diptheria?
equine antitoxin (make sure they don't have a horse allergy!), antibiotics.
What are some complications of diptheria?
myocarditis, airway obstruction, septic shock.
what is erythema infectiosum (fifth disease) - Human papovirus
rash on face - looks like the kid was slapped. Transmitted by respiratory secretions and blood. Contagious before onset of symptoms. Followed by maculopapular red spots on face.
What are complications of fifth disease?
arthritis and arthralgia.....but keep pregnant people away!
mumps - transmitted how? most contagious when? symptoms?
transmitted through saliva.
Most contagious immediately before and after swelling.
Symptoms = earache!