NR 602 Week 8 Final Study Guide

  • NR 602 Week 8 Final Study Guide
  • $25.00


Institution Chamberlain
Contributor Christie

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Week 5 Concepts

  • Gastrointestinal
    • Dehydration
    • Colic (Signs and Symptoms, Treatment, Ect.)
    • Appendicitis
    • Foreign Bodies (Objects Swallowed by a Toddler/Child)
    • Intussusception
  • Genitourinary
    • Urinary Tract Infections (Assessments, Labs/Diagnostics, Treatment, Ect.)
    • Enuresis
  • Endocrine
    • Diabetes and Obesity (Assessment including Growth Charts, Labs/Diagnostics, Treatment)
    • Congenital Hypothyroidism
  •  

  • Summary and Key Points

Gastrointestinal and genitourinary complaints are common in children. Symptoms may be associated with a benign concern or may relate to a more serious disease process. Determine the root cause of symptoms through a careful history and physical exam to determine appropriate diagnostic tests, diagnosis, and treatment. The prevalence of diabetes mellitus type 2 (DMII) in children continues to increase with the obesity epidemic. Lifestyle modifications are the mainstay of obesity prevention and individualized treatment regimens are required to prevent the long- term sequelae of diabetes.

 

  • Dehydration may be caused by decreased fluid intake, diarrhea, or vomiting. Infants and young children are at the highest risk for dehydration.
  • Intravenous (IV) therapy is indicated for evidence of compromised perfusion and severe dehydration.
  • Vomiting has many possible causes.
  • Intussusception requires emergency treatment.
  • High levels of bilirubin, or neonatal hyperbilirubinemia, develop in many newborns.
  • Severe hyperbilirubinemia places the child at risk for lifelong bilirubin-induced neurologic dysfunction (kernicterus).
  • Pinworms are highly contagious. The child, caretakers, and all household members should be treated.

 

  • Constipation is rarely a serious condition, but it can be a symptom of other diseases.
  • Encopresis is repeated, voluntary or involuntary, defecation in inappropriate places.
  • Enuresis can be monosymptomatic or non-monosymptomatic.
  • Uncomplicated urinary tract infections (UTIs) and bacterial cystitis can be treated with amoxicillin, trimethoprim-sulfamethoxazole, or a first- generation cephalosporin.
  • Sexual abuse in young children often leaves no physical evidence.
  • Diabetes mellitus type 1 (DMI) is typically diagnosed in childhood. The incidence of DMII in children and adolescents has increased dramatically with the obesity epidemic.
  • Growth and development must be considered in developing a diabetic treatment plan.
  • Diabetic ketoacidosis requires immediate hospitalization for IV insulin and fluid replacement to prevent cerebral edema.
  • Childhood obesity increases the individual's risk for acute and chronic physical and psychological health concerns.
  • Body mass index (BMI) provides an approximate figure from which obesity can be estimated; BMI is calculated in children based on age and gender.
  • Healthy nutrition and activity should be encouraged at the family level……….. Continue

 

 

Instituition / Term
Term Spring Session
Institution Chamberlain
Contributor Christie
 

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