MARK KILMEK BLUE BOOK

MARK KILMEK BLUE BOOK

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

• 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

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?

• 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

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