Note to Self: Pediatrics A

• Children who have juvenile idiopathic arthritis should sleep on a firm mattress to enhance comfort and rest.  Should all arthritic patients sleep on a firm mattress?
• What's impetigo?  The bacteria that causes impetigo lives right below the crust of the lesion.  Therefore, the crust must be softened in order to facilitate removal and make it possible to treat the lesion topically.
• Stages of Lyme disease: 1) rash, 2) ?, 3) deafness, memory loss, and encephalopathy.
• Teaching for growth hormone injections: Periodically check serum calcium.  The injection is given once daily or weekly subcutaneously.  Keep the reconstituted hormone refrigerated.  
• Bed rest is necessary in patients with strep throat to prevent cardiac damage.
• What is Bryant traction?  Bryant traction is a 90 degree skin traction with the child's buttock raised slightly off the bed.  It's skin traction.  Stay supine.  No position changes.
• There are safe levels of serum lead for a child?!!
• s/s Nephrotic syndrome: hyperalbuminuria
• Fluids for partial thickness burns: 1) First 24 hours, maintain plasma with LR.  2) Colloids like albumin and plasmalyte are given after the initial 24 hr treatment.
• In a patient with a sacral myelomeningocele, keep the legs abducted to counteract the risk of hip subluxations due to leg paralysis.  
• What is methylphenidate?  And what are the common adverse effects?
• Celiac=no gluten=rice only
• cystic fibrosis also causes impaired intestinal absorption
• What is Wilm's Disease?
• What's a ventriculoperitoneal shunt?  Nursing actions?
• Dyskinetic cerebral palsy vs spastic cerebral palsy
• For Diarrhea diet: What's a BRAT diet?  Bananas Rice Applesauce and Toast is bad--little nutritional value, and is low in electrolytes and high in carbs.  Gelatin is low in electrolytes and high in carbs.  Clear chicken broth  is too high in sodium and not enough carbohydrates.  Limit fruit juice.--So...is there a suggestion as to what TO eat?

Urinalysis:
nephrotic syndrome is protein

UTI is nitrates

DM is ketones

pyelonephritis is gross hematuria