Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
59 Cards in this Set
- Front
- Back
Immunizations given at birth |
Hep B |
|
Immunizations given at 2 months |
Hep B DTaP (diphtheria and tetanus toxoids and pertussis RV (rotovirus vaccine) IPV (inactivated poliovirus vaccine) Hib (Haemophilus influenzae type B) PCV (pneumencoccal vaccine) |
|
Immunizations given at 4 months |
DtaP RV IPV Hib PCV |
|
immunizations given at 6 months |
DTaP IPV (6 to 18 months) PCV Hep B (6-12 months) RV Hib |
|
immunizations given at 6 to 12 months |
seasonal flu shot [trivalent inactivated influenza vaccine (TIV)] > available as IM injection |
|
it is recommended to begin giving this within the first few days of life |
Vitamin D |
|
This supplement is recommended for infants being exclusively breast fed after the age of 4 months |
Iron |
|
Immunizations recommended for 12 - 15months |
IPV (3rd dose;between 6 - 18 mo) Hib PCV MMR (measles mumps rubella Varicella vaccine |
|
Recommended to be given 2 times at least 6 mo apart between 12 and 23 months |
Hep A |
|
Immunization recommended for 15 - 18 mo |
DTaP |
|
Live attenuated influenza vaccine (LAIV) |
available as a nasal spray recommended for children at 2yo |
|
Immunizations recommended for children from 4 - 6 years old |
DTaP MMR Varicella vacine IPV yearly TIV or nasal LAIV |
|
Immunizations recommended for 11 to 12 yo |
Tdap HPV2 or HPV4 in 3 doses for females HPV4 for males MCV4 (meningococcal vaccine) |
|
intradermal injection |
TB syringe 26 to 30 gauge insert at 15 degree angle |
|
subcutaneous injection |
common sites: lateral aspect of upper arm, abdomen and anterior thigh V of less than 0.5 mL use 1 mL syringe 26 - 30 gauge needle 90 angle unless child very thin, then 45 degree angle check policy for aspiration practices |
|
IM injections |
22-25 gauge needles vastus lateralis recommended in infants and young children ventrogluteal deltoid -up to 1 mL up to 0.5 mL for infants up to 2 mLs for children |
|
acceptable meds for mild to moderate pain |
acetaminophen NSAIDs |
|
acceptable for moderate to severe pain |
opiods |
|
common opiods for children |
morphine sulfate oxycodone (Oxycontin) fentanyl (Duragesic) |
|
combining an opiod and a nonopiod treats pain |
both peripherally and centrally |
|
intranasal injections are not recommended for children younger than |
18 yo |
|
transdermal/topical administrations are not recommended in children younger than |
12 yo |
|
meds used to sedate children prior to a LP |
(EMLA, at injection site) fentanyl (Sublimaze) midazolam (Versed) |
|
medications used for meningitis |
antibiotics for bacterial infections corticosteroids for bacterial >dexamethasone(Decadron) acetaminophen w/ codeine |
|
medications used for reyes syndrome |
osmotic diuretics >mannitol (Osmitrol) Vitamin K |
|
nursing considerations for mannitol |
osmotic diuretics used with Reye syndrom to decrease cerebral swelling >monitor for increased ICP |
|
why is mannitol given for Reyes Syndrome |
osmotic diuretics used with Reye syndrom to decrease cerebral swelling |
|
nursing considerations for Vitamin K |
subcut is preferred route identify P sensitivity to benzyl alcohol or castor oil |
|
why is Vit K used for Reyes Syndrome |
it improves synthesis of blood clotting factors on the liver |
|
medications used for seizures-antiepileptic drugs |
diazepam (Valium)
phenytoin (Dilantin) carbamazepine (Tegretol) valproic acid (Depakene) fosphenytoin sodium (Cerebyx) |
|
meds used for status epiliepticus |
loading dose of diazepam or larazepam. if necessary, fosphenytoin followed by phenobarbital |
|
meds used for head injuries |
corticosteroids osmotic diuretics antiepileptics antibiotics analgesics |
|
corticosteroids used to decrease cerebral edema |
dexamethasone (Decadron) methylprednisolone (Solu-Medrol) |
|
antibiotics given for bacterial tonsillitis |
IM penicillin G erythromycin azithromycin cephalosporins amoxicillin |
|
medications recommended for nasopharyngitis (common cold) |
antipyretic for fever decongestants for > 1yo cough suppressants with caution *** antibiotics and antihistamines are NOT recommended |
|
medications given for bacterial tracheitis |
antipyretics IV antibiotics as prescribed |
|
meds for bronchitis |
antipyretics cough suppressant |
|
meds for bronchiolitis |
nebulized bronchodilators ***corticosteroids and antihistamines NOT recommended antibiotics are NOT recommended if RSV Ribavirin administration is controversial |
|
meds for bacterial epiglottis |
humidified oxygen racemic epinephrine corticosteroids IV fluids as prescribed IV antibiotics >deftriaxone sodium or cephalosporin >start IV and then transition to PO to complete 10 day course |
|
meds for acute laryngotracheobronchitis and acute spasmodic laryngitis
|
nebulized recemic epinephrine corticosteroids: -PO prednisone, -IM dexamethasone or - nebulized budesonide |
|
Amantadine (Symmetrel) |
for type A influenza shortens time of illness give w/in 24 to 48 hrs of onset |
|
rimantadine (Flumadine) |
for type A treats menifestations PO 2 times/day for 7 days for children > 1 year old |
|
zanamivir (Relenza) |
for type A and B for children 7 yo and older prophylaxis for children 5 yo and older start w/in 48 hours inhaled 2 times/day for 5 days |
|
oseltamivir (Tamaflu) |
decreases manifestations PO for 5 days for children > 1 yo start w/in 48 hours |
|
live influenza vaccine should not be given to: |
children who are immunocompromised have respiratory conditions pregnant history of Guillain-Barre syndrome |
|
bronchodilators used for asthma |
short-acting beta 2 agonists cholinergic antagonists |
|
short-acting beta2 agonists |
albuterol (Proventil) levalbuterol (Xopenex) terbutaline (Brethinel) |
|
short-acting beta2 agonists are used for |
acute exacerbations of asthma prevention of exercise induced asthma |
|
cholinergic antagonists used for asthma: |
anticholinergic medications ipratropium (Atrovent) |
|
cholinergic antagonists are used for |
blocking the parasympathetic nervous system, providing relief of acute bronchospasms |
|
corticosteroids agents used for asthma |
as anti-inflammatory agents methylprednisolone (Solu-Medrol) >IV or PO prednisone >PO |
|
anti-inflammatory agents used for asthma |
corticosteroids leukotriene modifiers mast cell stabilizers monoclonal antibodies combination meds |
|
leukotriene modifier |
montelukast (Singulair) |
|
mast cell stabilizer |
cromolyn sodium (Intal) |
|
monoclonal antibodies |
omalizumab (Xolair) |
|
combination asthma medications |
fluticasone/salmeterol (Advair) inhaled corticosteroid/long-acting beta2 agonist |
|
medications recommended for status asthmaticus |
3 nebulizer treatments of a beta2-agonist >albuterol >levalbuterol >terbutaline * ipatropium may be added to the nebulizer to increase bronchodilations |
|
medications often used for cystic fibrosis |
short-acing beta2-agonists-albuterol anticholinergics-ipratropium bromide fluticasone propinate/salmeterol dornase alfa (Pulmozyme) antibiotics-tobramycin,ticarcillin,gentamicin pancreatic enzymes-pancrelipase(Pancrease) daily Vit A, E, D, and K |
|
meds used for congenital heart disorders |
digoxin (Lanoxin) captopril (Capoten) enalapril (Vasotex) |