Question

• Compare and contrast the various types of traction used to treat musculoskeletal disorders in children and how to assess the child in traction.
• Review the two major groups (idiopathic, teratologic) and three degrees of developmental dysplasia of the hip (DDH) (acetabular dysplasia, subluxation, dislocation), and discuss the treatments and management of the conditions.
• Identify the preoperative and postoperative nursing goals and responsibilities used in caring for a neonate with myelomeningocele.
• Review the causes, clinical manifestations (Box 49.10, Clinical Manifestations of Guillain-Barré Syndrome), therapeutic and care management, and prognosis of Guillain-Barré syndrome (GBS).
• Discuss emergency care, prognosis, and rehabilitation for the child with a spinal cord injury.

Answer 1

Gbs ( Gullian Barre syndrome

Acute demylinating disorder of peripheral nervous system

Causes- teggers of infection present before gbs manifestation

Campylobacter jejuni diarrhea

Cmv(cytomegalovirus)

Ebv(ebestien bar Virus)

Mycoplasma

Hep A,B,hiv

- clinical feature. 1. Flaccid paralysis (tone decrease) bilateral symmetrical

2. Truncal paralysis

3 quadriplegia

4 respiratory muscle paralysis

5 mc cranial nerve involved in gbs - 7th nerve , facial palsy

6 sensory symptoms- paraesthesia, tingling numbness

Treatment-iv immunoglobulins .doc

Plasmapheresis ( efficacy of iv ig and plasma pheresis are equal