12 months old - The nurse should know that the infant must be less than 18 months old due to her anterior fontanel still being open. She should assess the infant at approximately 12 months old due to the presence of six teeth. Her skills - sitting unsupported (8 months), drinking well from a cup (9 months), stranger anxiety (8 months), and her ability to say two words (12 months) - should also help the nurse estimate the infant's age as 12 months. Abdominal aortic aneurysm (AAA) - Aorta that becomes abnormally large, ballooning outward *Triple A= triple the size* Indications of a rupturing AAA: Sudden and increasing lower abdominal and back pain (an indication that the aneurysm is extending downward and pressing on the lumbar-sacral nerve roots) Indications of Shock including decreased BP and increased pulse Acarbose (Precose) adverse effects - Sleepiness, headaches, anemia The most common adverse effects are gastrointestinal: diarrhea, abdominal distention, cramping, flatulence Addison's disease - occurs when the adrenal glands do not produce enough of the hormones cortisol (glucocorticoids) or aldosterone Manifestations: severe fluid and electrolyte imbalances -> Hyponatremia, hyperkalemia Tx: (to Prevent Addisonian crisis) nurse should do a rapid infusion of IV fluids such as .9 percent sodium chloride and IV administration of high-dose corticosteroid such as hydrocortisone to correct the deficiency
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