Nursing Tip of the Day! - Pediatric Nursing

Category: Pediatric Nursing 
Little League elbow is a term used to describe a group of injuries of the elbow, including apophysitis, medial epicondylitis and osteochondritis dissecans of the radial head and capitellum.

Nursing Tip of the Day! - Pediatric Nursing

Category: Pediatric Nursing 
Children with Osgood-Schlatter syndrome have tenderness, pain and swelling at the site of insertion of the patellar tendon on the tibial tubercle. Pain is worsened with activities that cause the quadriceps to contract, such as running and jumping.

Nursing Tip of the Day! - Pediatric Nursing

Category: Pediatric Nursing 
Toddler’s fractures are oblique nondisplaced fractures of the distal tibia caused by low-energy torsional forces applied to the porous bone of infants and young children. The peak incidence is between 9 and 36 months of age.

Nursing Tip of the Day! - Pediatric Nursing

Category: Pediatric Nursing 
Nursemaid’s elbow occurs in children a few months to 5 years of age and has a peak incidence between 2 and 3 years. The affected arm is typically held against the body, with the elbow slightly flexed and the arm pronated.

Nursing Tip of the Day! - Pediatric Nursing

Category: Pediatric Nursing 
Radial head subluxation is also known as annular ligament displacement or nursemaid’s elbow. It typically occurs when axial traction is placed on an extended and pronated arm, as when the child is pulled up or swung by the arms.

Nursing Tip of the Day! - Pediatric Nursing

Category: Pediatric Nursing 
The clavicle is a frequently broken bone in children. The physis of the clavicle does not close until the third decade (someone in their 20s) and is at risk for injury until that time. The usual mechanism of injury is a fall on the shoulder.

Nursing Tip of the Day! - Pediatric Nursing

Category: Pediatric Nursing 
Priapism can present at any age, including the neonate. Sickle cell disease (SSD) is responsible for most cases in children, with nearly 50% of all males with SSD having at least one episode of priapism.

Nursing Tip of the Day! - Pediatric Nursing

Category: Pediatric Nursing 
Rotavirus is the leading cause of diarrhea worldwide among children younger than 5 years old. Neurologic symptoms, most commonly seizures, occur in 2% to 3% of children with rotavirus infection.

Nursing Tip of the Day! - Pediatric Nursing

Category: Pediatric Nursing 
GI foreign bodies usually are seen in children younger than 5 years of age. Coins, magnets, batteries and jewelry are the most common esophageal foreign bodies in children, compared to food boluses in adults. Most ingestions are accidental.

Nursing Tip of the Day! - Pediatric Nursing

Category: Pediatric Nursing 
Hirschsprung’s disease refers to congenital aganglionosis of the colon - that is, an absence of ganglion cells in the myenteric plexus of the distal colon. The anus is invariably involved, with aganglionic bowel usually extending proximally 4 to 25 cm.

Nursing Tip of the Day! - Pediatric Nursing

Category: Pediatric Nursing 
The classic triad of clinical findings in intussusception consists of abdominal pain, a palpable sausage-shaped abdominal mass and bloody stools, described as currant jelly. All three features are present in a minority of patients, however.

Nursing Tip of the Day! - Pediatric Nursing

Category: Pediatric Nursing 
Intussusception refers to the invagination of part of the intestine into itself. It is the most common cause of intestinal obstruction in children younger than 2 years, occurring most frequently in infants 5 to 12 months of age.

Nursing Tip of the Day! - Pediatric Nursing

Category: Pediatric Nursing 
Hypertrophic pyloric stenosis is the most common cause of infantile GI obstruction beyond the first month of life. This condition occurs in 1 of every 250 live births, although rates and trends vary significantly by region.

Nursing Tip of the Day! - Pediatric Nursing

Category: Pediatric Nursing 
Toxic levels of bilirubin (dependent on age, but in general > 20 mg/dL) may be associated with neurotoxicity, encephalopathy, and the development of kernicterus. Kernicterus is characterized by yellow staining in areas of the basal ganglia.

Nursing Tip of the Day! - Pediatric Nursing

Category: Pediatric Nursing 
Breast milk jaundice is the second most common cause of neonatal jaundice. The exact pathophysiology is uncertain, but it may be hormonally mediated or related to increased enterohepatic resorption of bilirubin.

Nursing Tip of the Day! - Pediatric Nursing

Category: Pediatric Nursing 
Kernicterus refers to chronic, long-term neurologic issues. Symptoms include cerebral palsy, sensorineural hearing loss and gaze abnormalities. Management of neonatal jaundice is aimed at preventing the development of kernicterus.

Nursing Tip of the Day! - Pediatric Nursing

Category: Pediatric Nursing 
Acute bilirubin encephalopathy refers to the early, potentially reversible, signs and symptoms, including somnolence, poor feeding, hypertonia or hypotonia and a high-pitched cry associated with severe hyperbilirubinemia (> 20 to 25 mg/dL).

Nursing Tip of the Day! - Pediatric Nursing

Category: Pediatric Nursing 
Individuals with Marfan syndrome should be evaluated for potential cardiac abnormalities before being allowed to participate in competitive sports. Around 50% of patients with Marfan syndrome have cardiac manifestations.

Nursing Tip of the Day! - Pediatric Nursing

Category: Pediatric Nursing 
Acute rheumatic fever is a common cause of acquired heart disease in children and the result of a delayed immune reaction to a group A streptococcal infection. In the United States, it most commonly occurs in children 5 to 15 years old.

Nursing Tip of the Day! - Pediatric Nursing

Category: Pediatric Nursing 
Factors that predispose children with underlying anatomic cardiac defects to bacterial endocarditis include dental procedures and other surgical procedures involving the respiratory, gastrointestinal or genitourinary tracts.