RESP 220 review
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| Inflammation and swelling of the epiglottis | epiglotitis
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| Why is epiglottitus life threatening? | Because edema in this area can obstruct the airway and occlude the trachea within minutes.
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| What is the most common offending organism of epiglottitis? | haemophilus influenzae
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| When is onset for epiglottitis? | sudden
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| Which vaccine has decreased incidence of epiglottitus? | Hib
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| What can epiglottitus be caused by? | streptococcus and staphylococcus
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| What are signs and symptoms of epiglottitus? | child awaken with sudden onset of high fever extremely sore throat, pain on swallowing, 3 D's dysphonia (muffled voice), Dysphagia, Drooling, child is anxious, sits in tripod position, edematous, cherry-red epiglottis,
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| For epiglottitus, what should the nurse assess? | respiratory distress, decreased respiratory effort, changes in status, sitting position
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| With a child that has Epiglottitus what should the nurse remember? | never leave child unattended, have endotracheal and trachetomy equipment readily available, child is usually intubated 24 hours, Maintain NPO, IV fluids for hydration, Meds- antibotics for bacterial infection, corticosteroids to decrease edema, antipyreti
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| What meds are used for epiglottitus? | antibotics for bacterial infection, corticosteriods to decrease edema, antipyretics
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| CF is what kind of disease? | autosomal recessive disease
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| What test are used to diagnose CF? | sweat test, stool for fat, chest x-ray
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| What does the history of a CF pt. usually reveal? | frequent bouts of respiratory infections
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| What are the respiratory symptoms of CF? | cough, sputum thick, dyspnea, digital clubbing, hypoxia, slow growth curve, bulky froathy foul smelling stools (steatorrhea), protuberant abdomen, thin extremities
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| During nursing assessment of a CF pt. the nurse should monitor for? | retractions, dyspnea, cyanosis, color of sputum, quality of cough, clubbing, ausculate breath sounds, plot height and weight
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| What is the Nutrition thearapy for CF? | high calories, high protein, snacks, predigested formula (pregestimil, nutramigen), admin. pancreatic enzymes, fat souluable vitamins, determine food preferences, daily weight
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| What are the medications used for CF? | antibotics, pancreatic enzymes, vitamin supplementation, mycolytics, bronchiodilators
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| What is clinical thearypy for CF? | chest percussion and postural drainage, avoid exposure to resp. infections, report fever increased cough, change in sputum, promote lung expansion with physical activity, genetic counseling
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| CF affects the functioning of what? | endocrine glands
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| What may be the first indicator of CF? | meconium ileus
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| What may be as effective as chest physiothearpy in relieving pulmonary obstruction in CF | aerobic exercise
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| What results from increased pulmonary resistence?CF | cor pulmonale
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| A child with CF requires extra ____ and _____ when the weather is hot | salt and fluids
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| Resp. shorter distance between structures in | young children
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| Luman of young childs respiratory tract is ______ thus more easily obstructed | smaller
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| Diameter of the trachea is approximately the size of the child's what? | fifth finger
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| Eustachian tubes are shorter and more what? | horizontal
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| Neonates are what kind of breathers? | obligate nose-breathers
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