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Ellen Fitzpatrick nrsg 257 Englisch 57 Karten

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  1. 1CompartmentsAnatomical groups of muscles, nerves and blood vessels confined to within inelastic boundaries such as muscles, skin, bone and fascia. It attaches, stabilises and seperates muscles or other internal organs
  2. 2Compartment syndromePressure can increase in compartment content usually caused by bleeding or swelling
    Decrease in pressure caused by bleeding or pressure from another area into the compartment, caused by plaster or bandage pressure. Obstruct venous return from compartment
  3. 3Signs and symptoms of chlamydia- Unusual vaginal bleeding after intercourse
    - Pain during intercourse
    - Offensive vaginal discharge
    - Flu like symptoms
    - Genital sores, rash or unusual limbs and growth
  4. 4Antenatal care- Infomation about nutrition
    - Lifestyle factors
    - Screening tests
    - Breastfeeding classes
    - Ultrasound
    - Check ups of kidney health, blood group and iron
  5. 5Greenstick fractureBends and cracks
  6. 6SpiralRotating fracture - often in spinal cord
  7. 7Comminuted fractureBone shatters in three or more pieces
  8. 8TransverseHorizontal fracture line
  9. 9CompoundSkin may be pierced by bone
  10. 10Indications of abuse on x ray- Fractures at various stages of healing
    - Periosteal bleeding in long bones
    - When callous has formed/ healing occurred
  11. 11Post operative care in a child's injury- Vital signs
    - airway assessement
    - Neurovascular observation/plaster care
    - Pain assessment
  12. 12Determining whether a child's bruising is normal or not- Normal bruising is on skins, elbows, forehead.
    - Bruises around torso, buttocks, especially with abnormal pattern should be investigated
  13. 135p's of compartment syndrome- Pain
    - Pain on passive motion
    - Paralysis - lack of ability to flex or extend toes or fingers
    - Parathesia - Numbness or tingling
    - Pallor - lack of colour indicating coldness
  14. 14Human chorionic gonadatrophin hormone (HCG)- Prevents miscarriage, and to regulate pregnancy hormones.
    - Secreted at a high level for the first trimester and secretion levels decline after two months
  15. 15Human placental lactogen (HPL)- Breaks down fats from the mother to provide fuel for the baby.
    - Can cause insulin resistance and carbohydrate intolerance in the mother
  16. 16factors contributing to post natal depression- Low self-esteem
    - Low social support
    - Major life events
    - Low income
    - History of abuse
  17. 17BronchiPassages that filter air to and from the lungs
  18. 18BronchiolesAir passage to and from the lungs
  19. 19Respiratory acidosisBuild up of carbon dioxide
  20. 20Respiratory alkalosis- Excessive breathing causing decreased levels of co2 in blood
    - Caused by anxiety, fear, hyperventilation
  21. 21Emergency resus of asthmaSevere exacerbation of asthma. Symptoms:
    - confusion
    - exhaustion
    - Inability to speak
    - Spo2 below 90%
    - Marked accessory muscle use and tachycardia
  22. 22Stages of separation anxiety- Protest, despair, detachment
  23. 23Impact/effect of hospitalisation on a child- Withdrawal
    - loss of appetite
    - poor sleeping
    - Heightened fear and anxiety due to
    - Separation from family
    - Unfamiliar environment
    - Anticipation of painful procedures
    - Surrounded by strangers
  24. 24Effects of hospitalisation on the family- Disruption to family routine
    - Siblings issues with attention and jealousy
    - Family dysfunction
    - Relationship issues
    - Financial
    - Grief ]
  25. 25sensorimotor stagebirth-2 years
    - primary circular reaction - repeating actions because they find them pleasurable
    - secondary circular reaction
    - use of reflexes
    - no understanding of the world other then their point of view
  26. 26preoperational development2-4 years
    - egocentrism - only thinking from their point of view
    - magical thinking
    - animism - animals and plants have life
    - centration - focusing on one aspect of something and ignoring others
  27. 27cognitive operational7-11 years
    - conservation - amount of water not changing when poured into another glass
    - seriation - sorting into categories
    - understands concepts and subconcepts
  28. 28formal operational11 years plus
    - Abstract thoughts
    - Thought processes
    - Hypothetical problems
    - Past, present, future
  29. 29psychosocial stage for newbornsTrust vs mistrust
  30. 30Erikson psychosocial for toddlersautonomy vs shame
  31. 31Erikson psychosocial for primary school aged childrenIndustry vs inferiority
  32. 32Erikson psychosocial for adolescentsidentity vs role
  33. 33Reasons that adolescents do not access prenatal care- unaware of pregnancy
    - denial
    - lack of education about what it is
  34. 34Tocophobiafear of pregnancy or childbirth
  35. 35antidepressants safe to use in lactationsertraline, paroxetine
  36. 36antidepressants not safe to use in lactationcitalopram, fluxotine
  37. 37how to improve breast feeding safety- Encourage taking the drug after breast feeding
    - Give lowest effective dose
  38. 38Effects of maternal depression on infants- Passivity
    - Anger
    - Low weight gain
    - Attention and arousal problems
    - Insecure attachment
  39. 39Effects of maternal depression on Toddlers- Passive compliance
    - Less independence
    - Lower performance
    - Less creative play
  40. 40Mental health disorders in infancy- Feeding and eating disorders
    - Attachment disorders
    - Anxiety disorders
    - Separation anxiety
    - Motor skills disorder
  41. 41Effects of maternal depression on school aged children- Impaired adaptive functioning
    - Depressive disorders
    - Anxiety disorders
    - Low IQ
  42. 42Effects of maternal depression on adolescents- Depressive disorders
    - Anxiety disorders
    - Substance abuse
    - Attention disorders
  43. 43What is the importance of pap tests- Detect for precancerous cells in the endocervical canal
  44. 44Alignment of bone- Distance of fracture from the end of the bone
    - The amount of angulation
    - The younger the child and the closer to the epiphyseal plate, the greater the chance of deformity
  45. 45Who is at risk of compartment syndrome- Children who have had open fractures
    - Crush injuries
    - Burns
    - Vascular problems
  46. 46Signs and symptoms of compartment syndrome- Agitation, anxiety, increasing analgesia
    - Child with deep, throbbing, unrelenting pain
    - They look anxious
  47. 47The importance of play for a hospitalised 4 years old child- Assists in development assessment through play activities
    - Can act as a distraction to negative hospital procedures
    - Respite for parents and also therapeutic involvement for parents
  48. 48Respiratory assessmentObserve first for
    - Activity level/interaction
    - Position
    - Colour
    - Use of accessory muscles
    - Respiratory rate
    Touch second:
    - Ausculation
    - Percussion
    - Oxygen saturation
  49. 49Fine motor skills for a new born- Flexible grasp
    - brief hold of a toy
  50. 50Gross motor skills for a newborn- Fetal posture
    - Chin up 1 month
    - Chest up 2 months
  51. 51Speech in a newbornCoos, different cries
  52. 52Fine motor skills for a toddler- block towers
    - spoon and fork
    - pencil between fingers
  53. 53Gross motor skills in a toddler- kick balls
    - two feet per step
  54. 54Speech in a toddler- 50 words, 2 word sentence
  55. 55Differences in a child's respiratory system compared to an adults that can compromise their respiratory system- flexible cartilage in the trachea that can be compromised by head positioning
    - smaller airways making it a great risk for airway obstruction
    - Children have a larger tongue then adults making it easier to obstruct the airway
  56. 56Considerations in pharmacology in children- Drugs are excreted slower due to immature renal system, increasing the risk of toxicity
    - Blood brain barrier is more permeable causing faster uptake into the CNS
    - Reduced plasma protein binding affecting distribution of drugs
  57. 57Hyperemesis gravidarumType of nausea during pregnancy

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nrsg 257 Karteikarten am Ohne Titel, erstellt von Ellen Fitzpatrick am 09/06/2017.
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Ellen Fitzpatrick
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