Flashcards
Pediatrics Unit 2 Part 3
Cards in this deck (67)
- 1Green stick and Spiral
- 2oblique, transverse, comminuted
- 3Epiphyseal Type 1 and 2
- 4Epiphyseal 4 5
- 5Fractures Diagnosticsx-rays with follow-up
- 6Fractures Medical ManagementImmobilization
Splints
Casts
Traction - 7Fractures ComplicationsInfection
Delayed union
Vascular injuries
Nerve injuries
Joint injuries
Compartment syndrome
Fat embolism
Osteoarthritis - 8Fractures Nursing DiagnosesPain
Altered tissue perfusion
Impaired skin integrity
Ineffective coping
Self-care deficit
Risk for infection
Risk for peripheral neurovascular dysfunction
Knowledge deficit - 9Fractures Nursing InterventionsSkin care
Cast care
Administer pain medication as needed
Teach parents care
Provide appropriate play activities - 10Fractures Nursing Evaluationno complications
pain relief
parents understand care
maintenance of appropriate growth and development - 11Osteomyelitis Pathophysiology & EtiologyBone infection
mostly staph
secondary to an injury - 12Osteomyelitis Clinical Manifestationspain
fever
swelling
irritability - 13Osteomyelitis DiagnosticsX-ray
- 14Osteomyelitis Medical Managementculture and treat infection
- 15Osteomyelitis ComplicationsPathologic fracture
Joint destruction
Skeletal deformities
Abcess formation
Systemic infection - 16Osteomyelitis Nursing Assessmentpain
fever
swelling
irritability - 17Osteomyelitis Nursing DiagnosesPain
Hyperthermia
Impaired physical mobility
Knowledge deficit - 18Osteomyelitis Nursing Interventionsculture and treat infection
wound care
immobilize
pain control
nutrition
teach - 19Osteomyelitis Nursing Evaluationno complications
pain relief
parents understand care
maintenance of appropriate growth and development - 20Developmental Hip Dysplasia Pathophysiology & Etiologygirls>boys
cause unknown
intrauterine positioning - 21Developmental Hip Dysplasia Clinical Manifestationsshortening of the limb on the affected side
limitation of abduction on the affected side
additional fat folds on the affected side - 22Developmental Hip DysplasiaManeuvers used during the physical examination to assess the hips for dysplasia. (R) Ortolani (L) Barlow maneuvers
- 23Developmental Hip Dysplasia Diagnosticsx-ray
sonography - 24Developmental Hip Dysplasia Medical Management: 0-6 monthstriple diapers, Pavlik harness
- 25Developmental Hip Dysplasia Medical Management: 6-18 monthsTraction
cast
surgery - 26Developmental Hip Dysplasia ComplicationsAvascular necrosis
Redislocation
Loss of range of motion
Leg length discrepancy
Nerve damage - 27Developmental Hip Dysplasia Nursing Assessmentmusculoskeletal assessment for signs
- 28Developmental Hip Dysplasia Nursing DiagnosesRisk for altered parenting
Risk for impaired skin integrity
Impaired physical mobility
Knowledge deficit - 29Developmental Hip Dysplasia Nursing Interventions: no injuryteach family how to handle corrective devices
assist to modify infant equipment - 30Developmental Hip Dysplasia Nursing Interventions:family is knowledgeableteach family about care
Pavlik harness continuous except for bathing for 3-5 months
traction and cast care
signs and symptoms of pressure area development and interventions to prevent
discuss alternative means of mobility for the child
refer to home care and PT - 31Developmental Hip Dysplasia Nursing EvaluationParent knowledgeable and compliant
Caring for child appropriately
No skin breakdown
Normal growth and development - 32Legg-Calves Perthes Disease Pathophysiology & EtiologyAvascular necrosis of the head of the femur
Males > females
4-8 year olds - 33Legg-Calves Perthes Disease Clinical Manifestationslimp
pain
decreased ROM - 34Legg-Calves Perthes Disease DiagnosticsX-ray, MRI
- 35Legg-Calves Perthes Disease Medical ManagementNo weight bearing
- 36Legg-Calves Perthes Disease ComplicationsDamage to head of the femur
- 37Legg-Calves Perthes Disease Nursing Assessmentlimp
pain
decreased ROM - 38Legg-Calves Perthes Disease Nursing DiagnosesPain
Risk for injury
Knowledge deficit - 39Legg-Calves Perthes Disease Nursing InterventionsRest
Prevent Injury
Teach - 40Legg-Calves Perthes Disease Nursing EvaluationPain controlled
No damage
Parents are knowledgeable and compliant - 41Scoliosis Pathophysiology & Etiologylateral curvature of the spine
girls>boys during growth spurt - 42Scoliosis Clinical Manifestations
- 43Scoliosis Diagnosticsmusculoskeletal exam
x-rays - 44Scoliosis Medical Managementexercises, bracing, tens unit, surgery
- 45Scoliosis ComplicationsRespiratory compromise
- 46Scoliosis Nursing Assessmentuneven scapula
uneven hips
bend forward
curvature of the spine noted - 47Scoliosis Nursing DiagnosesRisk for injury
Risk for impaired skin integrity
Body image disturbance
Knowledge deficit - 48Scoliosis Nursing Interventions: No skin irritation/breakdownassess daily around brace
cotton t-shirt under brace
dry after shower/bath before applying brace - 49Scoliosis Nursing Interventions: No injuryuse hand rails, etc..
teach how to sit and stand with brace
refer to physical therapy - 50Scoliosis Nursing Interventions: compliancediscuss feelings of wearing
discuss alternative recreational activities
discuss pain medication therapy NSAIDS
discuss use of disguising clothes
encourage socialization - 51Scoliosis Nursing Interventions: child and family are knowledgeablediscuss cause and treatment
encourage compliance of use of brace for 16 hours a day for 6ms.-2 years
prepare for surgery if needed - 52Scoliosis Nursing Evaluationskin intact
no injuries
compliance
knowledgeable
no post operative complications - 53Slipped Capital Femoral Epiphysis Pathophysiology & EtiologySpontaneous displacement of the proximal femoral epiphysis in a posterior and inferior position
growth spurt
16-40% bilateral involvement - 54Slipped Capital Femoral Epiphysis Clinical ManifestationsHx: obese, tall & lanky
limp on affected side
pain in hip
decreased ROM - 55Diagnosed through?x ray
- 56Slipped Capital Femoral Epiphysis Medical Managementtraction
surgery
hip spica cast - 57Slipped Capital Femoral Epiphysis ComplicationsPermanent damage and loss of range of motion
- 58Slipped Capital Femoral Epiphysis Nursing AssessmentHx: obese, tall & lanky
limp on affected side
pain in hip
decreased ROM - 59Slipped Capital Femoral Epiphysis Nursing DiagnosesPain
Impaired physical mobility
Knowledge deficit - 60Slipped Capital Femoral Epiphysis Nursing Interventionstraction
pre-op
post-op
hip spica cast - 61Slipped Capital Femoral Epiphysis Nursing EvaluationPain controlled
Child following activity restrictions
Parents knowledgeable and compliant - 62Musculoskeletal Problems - OsteosarcomaEtiology and Incidence
bone cancer (distal femur)
adolescent - 63Musculoskeletal Problems - OsteosarcomaClinical Manifestations
pain, palpable mass, limping,
limited ROM,
pathologic fractures
symptoms of metastasis - 64Musculoskeletal Problems - OsteosarcomaDiagnostic Evaluation
x-ray, CT scan, MRI, chemistry (ALP) - 65Musculoskeletal Problems - OsteosarcomaMedical Management
surgery, radiation, chemotherapy - 66Nursing Care for Osteosarcoma: AssessmentHistory of signs and symptoms
Neuromuscular assessment - 67Nursing Care for OsteosarcomaPreoperative care
Postoperative care
Preparation for radiation and/or chemotherapy
Referrals: PT, orthotics, home care, support group
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- Flashcards on Pediatrics Unit 2 Part 3, created by Heather Wagar on 16/09/2013.
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- Heather Wagar
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