Wong's Nursing Care of Infants and Children, 11th Ed., Hockenberry, Wilson & Rogers | Registered Nurse (RN) School Study Aid
Types of Wound Healing
- Acute
- Chronic
- Primary Intention
- Approximated Edges
- Secondary Intention
- Edges Not Approximated
- Tertiary Intention
- Delayed Closure due to Infection and Necrosis
Inflammatory Response
- Pathogens Infect Tissue
- Mast Cells Release Histamine
- Histamine Dilates and Increases Capillary Permeability
- Macrophages Engulf Pathogens
- Macrophage Signals Cells With Cytokines
- Responding Neutrophils Cross Capillary Wall
- B And T Lymphocytes Arrive At Injury Site
Prednisone (Glucocorticoids)
- Glucocorticoid
- Inflammatory Conditions
- Organ Transplant Rejection
- Cataracts and Glaucoma
- Cushing's Syndrome
- Osteoporosis
- Immunosuppression
- Hyperglycemia
- Ulcers
- Adrenal Insufficiency
- Taper Gradually
Stages of Hypothermia
- 32 to 35°C (90 to 95°F)
- Shivering
- 28 to 32°C (82 to 90°F)
- Obvious Motor Impairment
- Slowed Thinking
- < 28°C (< 82°F)
- Shivering Stops
- Paradoxical Undressing
- Arrhythmias
Hypothermia Interventions
- Remove From Environment
- Remove Wet Clothing
- Warm Clothing
- Heated Blankets
- Warm IV Solutions
- Heated Oxygen
- Warm Gastric Lavage
- Warm Trunk BEFORE Extremities
Attention-Deficit Hyperactivity Disorder (ADHD) Assessment
- Inattention
- Incomplete Tasks
- Easily Distracted
- Hyperactivity
- Impulsiveness
- Disruptive
- Two Areas of Life
- Onset by Age 12
- Symptoms > 6 Months
Attention-Deficit Hyperactivity Disorder (ADHD) Interventions
- CNS Stimulants
- Amphetamine
- Methylphenidate
- Bupropion (Wellbutrin)
- Atomoxetine (Strattera)
- Guanfacine (Intuniv)
- Manage Disruptive Behavior
- Provide Simple Instructions
CNS Stimulants
- Attention Deficit Hyperactivity Disorder (ADHD)
- Obesity
- Increase Catecholamines at Synaptic Cleft
- Increase Norepinephrine
- Increase Dopamine
- Methylphenidate (Ritalin)
- Methamphetamine
- Potential for Abuse
CNS Stimulant Indications
- Amphetamine
- Methylphenidate (Ritalin)
- Increased Norepinephrine
- Increased Dopamine
- Attention Deficit Hyperactivity Disorder (ADHD)
- Obesity
- Narcolepsy
CNS Stimulant Side Effects
- Agitation
- Insomnia
- Hypertension
- Tachycardia
- Tics
- Anorexia
- Tolerance Develops
- High Risk of Abuse and Dependence
Posttraumatic Stress Disorder (PTSD)
- Re-experience Traumatic Event
- Flashbacks
- Nightmares
- Avoidance
- Self-destructive Behaviors
- Assess Suicide Risk
- Actively Listen to Stories
- Anxiety Medications
Tricyclic Antidepressants (TCAs)
- Inhibits Reuptake of Norepinephrine and Serotonin
- Depression
- Bipolar Disorder
- Fibromyalgia
- Sedation
- Orthostatic Hypotension
- Anticholinergic Effects
- Cardiac Toxicity
- Delayed Effect
- Do Not Stop Abruptly
Tricyclic Antidepressants (TCAs) Indications
- Major Depression
- Bedwetting
- Fibromyalgia
- OCD
- -Iptyline or -Ipramine Suffix
- Amitriptyline
- Desipramine
- Clomipramine
- Imipramine
- Nortriptyline
Selective Serotonin Reuptake Inhibitor (SSRI) Overview
- Depression
- Anxiety
- Selective Serotonin Reuptake Inhibitors
- Paroxetine
- Sertraline
- Escitalopram
- Fluoxetine
- Sexual Dysfunction
- Serotonin Syndrome
- Treat with Cyproheptadine
Depression Assessment
- Anergia
- Self Neglect
- Decreased Libido
- Vegetative Signs
- Sad Affect
- Worthlessness
- Guilt
- Anger and Irritability
- Ineffective Problem Solving
- Slowed Thinking
SIG E CAPS for Major Depressive Disorder (MDD)
- Sleep Problems
- Interest Deficit
- Guilt or Worthlessness
- Energy Loss or Fatigue
- Concentration Difficulty
- Appetite Changes
- Psychomotor Retardation or Agitation
- Suicidal Ideation
- 5 Symptoms Including Depressed Mood or Anhedonia for 2 Weeks
Bupropion
- Depression
- Smoking Cessation
- Increase Dopamine and NE
- Stimulant Side Effects
- Seizure
Schizophrenia Assessment
- Hallucinations
- Delusions
- Associative Looseness
- Flat Affect
- Poverty of Thought
- Absence of Something that Should be Present
- Illogical Thinking
- Impaired Judgment and Memory
- Dysphoria