HESI PN PEDIATRICS PROCTORED EXAM

HESI PN PEDIATRICS PROCTORED EXAM

VERSION 5

 Expected findings Pediatrics Proctored Exam Remediation Acute and Infectious Respiratory Illnesses: Recognizing Epiglottis 1 / 2

o Predictive signs: Absence of cough, drooling and agitation

• Tripod position
• Dysphonia; thick, muffled voice and froglike croaking sound
• Dysphagia
• Inspiratory stridor
• Suprasternal and substernal retractions
• Sore throat
• high fever
• restlessness

Acute Infectious Gastrointestinal Disorders: Priority Action for Acute Diarrhea

 Oral rehydration therapy

• Start replacement with an oral replacement solution of 75 to 90 sodium mEq/L at 40 to 50 mL/kg over
• hr
• Determine the need for further rehydration after initial replacement
• Initiate maintenance therapy with ORS of 40 to 60 sodium mEq/L and limit to 150 mL/kg/day

 Give Oral rehydration therapy alternatively with appropriate intake  Give infants water, breast milk, or lactose‑free formula if supplementary fluid is needed  Older children may resume their regular diets for additional intake

• Replace each diarrheal stool with 10 mL/kg of Oral replacement solution for ongoing diarrhea

Acute Infectious Gastrointestinal Disorders: Precautions for Rotavirus

 Transmission: fecal‑oral

 Prevention measures: immunization

 Most common cause of diarrhea: less than 5 years of age

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