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Key treatments Hip-spica cast or corrective surgery (for olderchildren) Bryants traction, if the acetabulum doesntdeepen Pavlik harness or casting to keep the neonateships and knees flexed and the hips abducted forat least 3 monthsKey interventions Provide reassurance that early, prompttreatment commonly results in completecorrection.

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PMBrush up on key concepts27Cardiovascular refresher (continued)ENDOCARDITIS (CONTINUED)Key treatments Maintaining sufficient fluid intake Antibiotics: based on infecting organism AspirinKey interventions Watch for signs of embolization (hematuria, pleuritic chestpain, left upper quadrant pain, and paresis), a common occurrence during the first 3 months of treatment.

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NURSING DIAGNOSES Disturbed body image Deficient knowledge (disease process andtreatment regimen) AnxietyTREATMENT Avoiding circumcision (the foreskin maybe needed later for surgical repair)Postoperative care After the procedure, apply a pressuredressing to reduce bleeding and tissue swelling.

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CAUSESTREATMENT Phototherapy (preferred treatment) Exchange transfusion to remove maternalantibodies and sensitized RBCs if phototherapy fails Increased fluid intake Treatment for anemia if jaundice is causedby hemolytic diseaseINTERVENTIONS AND RATIONALES Assess neurologic status for signs ofencephalopathy, which indicates the potentialfor permanent damage.

NURSING DIAGNOSES Delayed growth and development Disturbed body image Impaired physical mobilityTREATMENT Observation for curves 25 to 40 degreesfor a child with completed growth Bracing for curves above 25 to 30 degreesin a growing child Surgery for curves 40 degrees or greaterto insert rods or perform spinal fusionINTERVENTIONS AND RATIONALES Provide emotional support to help the childdevelop a positive self image.

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