Fellow Nurses! Learn To Make Money Online For Free!

Nov 22, 2008

PEDIATRIC NURSING DISORDERS NOTES

SPINA BIFIDA- CNS Defect
 Neural tube failure to close during embryonic development
Cause: Unspecific
Contributing Factors:
 Late maternal age
 Poor nutrition/vitamin A deficiency (folic Acid)
 Genetic influence
Diagnostic Test
 Amniocentesis
 UTZ
 Myelogram
 AFP- ALPHA FETO PROTEIN – Dx of choice
o N (<15 ng/ml), ↑ in spina bifida, ↓ down syndrome
2 TYPES
1. Spina Bifida Occulta – no sac; dimpling at the base of the spine
 Tuffs of hair, NO PARALYSIS, no surgery

2. Spina Cystica- sac, COULD BE PARALYSIS, requires surgery
 Meningocele- CSF, meninges
 Meningomyocele- CSF, meninges, nerves, spinal cord
o PARALYSIS, SAC IS VERY THIN- sac will be prone to rapture and leakage
o Most relevant Nursing Diagnosis 1st 120 of life: Risk for infection

Transillumination- to check & measure the amount of CSF
No Transillumination- AP can’t measure the CSF accurately
- the portion of spinal cord has entered the sac
LUMBO-SACRAL AREA- most common site

ASSESSMENT
1. Visible spinal defect
2. flaccid paralysis of the legs
3. Altered bladder and bowel function
4. Hip and Joint deformities

READ MORE AND DOWNLOAD THE WHOLE FILE! CLICK HERE!

1 comments:

eros November 22, 2008 at 11:57 PM  

yup, last week img member na ako. wow, it's nice na family's goal ang financial independence ninyo. you're so lucky you learn these things at an early age, you'll educate a lot people for sure.

Post a Comment

Join Now

Recent Comments

My Sister's Online Shop

  © Blogger template 'External' by Ourblogtemplates.com 2008

Back to TOP