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23 Cards in this Set
- Front
- Back
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Inherited autosomal recessive trait that can pass to children; genetic counseling is recommended
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Phynelketonuria
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Normal at birth; vomiting, failure to thrive; moderate to serious developmental delays; musty odor in urine; seborrheic skin lesions; behavior problems
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Phenylketonuria
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Medical management of PKU
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Dietary control, phenyl-free or phenyl-reduced diet; need essential amino acids; Lofenalac
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Medical management of hypothyroidism
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Oral replacement therapy (Sodium levothyroxine) Synthroid
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Serum levels of T3 and T4 are borderline or low
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hypothyroidism
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prolonged physiological jaundice; feeding difficulties; pallor (anemia); constipation; excessive sleeping, placid, good-natured baby; slow reflexes
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hypothyroidism
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One of the most prominent symptoms of PKU
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musty odor in urine
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Nursing management for hypothyroidism
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teach parents levels of T3 and T4 must be increased as child grows up. Medication must be taken for life. Observe for overdose
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Nursing management of PKU
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Teach diet. Close nutritional supervision. Provide info about resources. Woman with PKU can pass it on to infant.
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What to teach PKU + woman before she gets pregnant
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Woman with PKU can pass it on to infant. Go on low phenyl diet 3 months before pregnancy.
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Controversial topic about PKU diet
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Should it be for life or only until after they pass 5 Years of age?
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Phenyl level for dietary management
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<9 mg/dl
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Foods to avoid/eat with PKU
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Avoid meats, milk, eggs, diet colas; eat OJ, bananas, potatoes, lettuce, spinach, peas
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possible causes of hypothyroidism in children
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congenital (absent or nonfunctioning thyroid), iodine deficiency, autosomal recessive gene
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Name of test for hypothyroidism and PKU
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Guthrie test
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Causes of hyperthyroidism in children
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autoimmune response
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Signs and symptoms of hyperthyroidism in children
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restlessness, tremors, poor school performance, behavior problems
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Medication for hyperthyroidism in children
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antithyroid drugs - PTU
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Hypothyroidism in pregnancy
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Difficulty in conceiving, spontaneous abortion, hyperemisis gravidarum
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management of hypothyroidism in pregnancy
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synthroid replacement may need to be increased during pregnancy and tapered down after delivery
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hyperthyroidism in pregnancy
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Do not diagnose with RAI
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Potential complications of hyperthyroid meds during pregnancy
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may cross placenta and cause goiters or hypothyroidism in fetus; infant may have airway obstruction at birth; drugs are excreted in breast milk
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Meds management during pregnancy for hyperthyroidism
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doses of grugs need to be adjustes during pregnancy to the lowest possible dose
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