Sample interview questions: Can you explain your understanding of emergency pediatric rheumatologic emergencies?
Sample answer:
Emergency pediatric rheumatologic emergencies refer to acute and often severe conditions involving the musculoskeletal system in children. As an Emergency Room (ER) Nurse, it is crucial to have a comprehensive understanding of these emergencies to provide timely and appropriate care.
One of the most common pediatric rheumatologic emergencies encountered in the ER is juvenile idiopathic arthritis (JIA) flare-ups. JIA is a chronic autoimmune condition that causes inflammation in the joints. During flare-ups, children may present with severe joint pain, swelling, and limited mobility. It is important to assess the affected joints, document their range of motion, and provide pain relief medication according to the physician’s orders. Additionally, applying ice packs and educating the child and their parents about the disease process, medication management, and the importance of regular follow-ups can help improve outcomes.
Another significant pediatric rheumatologic emergency is Kawasaki disease, an acute systemic vasculitis primarily affecting children under the age of five. Kawasaki disease can lead to coronary artery aneurysms if not promptly recognized and treated. Nurses play a vital role in identifying the characteristic symptoms, such as prolonged fever, conjunctivitis, rash, swollen lymph nodes, and changes in the lips and oral mucosa. Timely administration of intravenous immunoglobulin (IVIG) and aspirin therapy, as ordered by the physician, is crucial to reduce the risk of complications.
Systemic lupus erythematosus (SLE) is another rheumatologic emergency that can present in pediatric patients. SLE is a chronic autoimmune disease that can affect multiple organ systems, includin… Read full answer
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