Primary dietary prescription for calcium
nephrolithiasis (kidney stones) ? PG. 85 Low calcium diet
For client with nephrolithiasis the diet
should be _ ash Acid If kidney stone is calcium phosphate the diet must be low in too Phosphorus
Primary diet tx for uric acid nephrolithiasis
is _ _ Low purine Client with uric acid nephrolithiasis should have a diet low in
Methionine
What is methionine? Precursor of the amino acid cystine
2 foods high in methionine? Eggs, milk
Clients with cystine nephrolithiasis should
have an ash diet Alkaline Inc. fluids over 3000 cc /day is more effective in treating renal calculi than ANY dietary modification, T/F? True. Want to flush tract than worry about diet What is the common name for Laryngotracheobronchitis – LTB Croup 1 / 4 What is the typical temp elevation in croup? Low grade, usually below 102, but can go up to 104. Are ATBs helpful for croup? For epiglottits? For croup, no. Epiglottitis, yes Is croup viral or bacterial? Viral With which condition is croup most often confused? Epiglottitis Can croup be managed at home? Can epiglottitis be managed at home? Yes. No, epiglottitis is a 911 emergency Are sedatives used for kids with croup? No, bc this would mask the signs of respiratory distress What causes epiglottitis? A virus or bacteria? H. influenza BACTERIA What is the best tx for croup? Cool moist air What should never be done to a child with epiglottitis? Never put anything in the child’s mouth, ie, a tongue blade can lead to obstruction What are the typical signs and symptoms of croup? Barking cough, inspiratory stridor, labored resp. pattern 2 / 4 What 3 signs tell you that the child has epiglottitis instead of croup? Muffled voice, drooling, increased fever When is croup bad enough to be evaluated by a doc? When retractions, and high pitched stridor are present What lead level needs intervention? 50-60 micrograms/ dl With which class of drugs will a child with lead poisoning be treated? Chelating agents What do chelating drugs do? They increase the excretion of heavy metals The most freq. cause of lead poisoning is… Ingestion of lead-based paint chips Name 3 common chelating agents for lead poisoning EDTA, desferal, BAL in oil S&S of lead poisoning Drowsiness, clumsiness, ataxia, seizures, coma, resp. arrest Sx of lead poisoning show up in the
system Neuro
Leukemia is cancer of the forming tissues Blood 3 / 4 The type of cell that is most common and problematic in leukemia is _ Immature WBC In leukemia the RBC count is … Low, bc the bone marrow is going “wild” producing all those immature WBC – no energy or nutrients to make platelets In leukemia, the platelet count is … Low, bc the bone marrow is going “wild” producing all those immature WBC – no energy or nutrients to make platelets Bc the RBCs are low, the pt will exhibit
and Pallor and fatigue Bc of the immature WBCs, the pt is at risk for
Infection
Bc of low platelets, the pt is at risk for , , and _
Bruising, ecchymosis, bleeding, petechiae
What causes lymph gland enlargement in
leukemia?
All those small immature WBC clog the
lymph system
Should you take a rectal temp on a child
with leukemia? No
Should you take an oral temp on a child
with leukemia?
Yes, as long as they are over 4 years old,
in remission, and have no sores in their
mouth
Should the child with active leukemia use
straws, forks, cups? NO straws, NO forks, YES cups