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respiratory-peds

QuestionAnswer
increase respiratory effort can lead to increase fluid loss
rescue bronchodilator short acting beta-2 agonist
tachypena puts the child at risk for aspiration when drinking or eating
primary goal of nursing assessment for a child with increase respiratory effort recongition of respiratory distress
lung sound heard with asthma wheezing
S/Sx child will c/o with otitis media with effusion "fullness" in ear
pulmonary function test used to evaluate asthma management peak flow meter
peak flow meter evaluates severity of asthma
dietary considerations for children with cystic fibrosis increase KCAL, increase protein, vit A,D, E,K, free use of salt
clinical presentation of worsening respiratory distress tachycardia
factors that contribut to respiratory dysfunction in the child age, size of airways, resistance of immune system
nursing interventions for child with increase respiratory effort ease effort, fever management, promote rest, promote hydration, infection control, family support
immediate nursing care post tonsilectomy semi-prone position, monitor for surgical site bleeding,pain management, assess hydration status (I&O)
complications of influenza otits media, croup, pneumonia
otitis media usually follows upper respiratory infection
otitis media with effusion pt will c/o "fullness" in ear
treatment for otitis media antibx, if chronic PE tubes
Care of pt with PE tubes ear plugs worn to prevent water entering middle ear for swimming, etc
acute epiglottitis always a medical emergency. epiglottis is cherry red and swollen, monitor for airway obstruction
laryngotracheobronchitis (LTB) inspiratory stridor, suprasternal retractions, seal-like barky cough,may present with increasing respiratory distress
management of LTB racemic epi, steroids, IV hydration, cool humidified mist
bronchitis dry cough then productive cough on day 2 or 3
Bronchiolitis/RSV mucosa swells and fills lower airways with mucous and exudate
first s/sx infant may present with if positive for RSV apnea
synergis immune globbin given to at risk infants for RSV
treatment plan for pneumonia antibx(possible), fluids, chest PT, bronchodilators, oxygen, antipyretics, cool mist
tuberculosis INH,Rifampin are examples of med therapy used. lenght of treatment is 6-12 months
foreign body aspiration prevention is key. use CPR age appropiate techinques to dislodge object
asthma chronic inflammatory disorder of lower airways. constriction and edema of airway is present
resuce medication intervention for asthma short acting beta 2 agonists
maintance medication for asthma management long acting broncho dilators, inhaled sterroids, leukotrine modifiers
delilvery routes for asthma meds oral, IV, MDI, nebulizers
goals of asthma management avoid triggers, releive episodes promptly, monitor function with peak flow meter, self management
cystic fibrosis exocrine gland dysfunction that produces multi-system involvement
clincial manifestations of CF thick mucoprotein accumulates, dilates, coagulates to form concentrations in glands and ducts. respiratory tract and pancreas are predominately affected
respiratory manifestations of CF decreased O2/CO2 exchange, results in hypoxia, hypercapnea, acidosis
GI manifestations of CF pancreatic enzymes are blocked from reaching duodenum. impaired digestion/absorption of fat - steatorrhea. impaired digestion/absorption of protein- azotorrhea
clinical presentation of CF failure to thrive, progressive COPD, wheezing, patchy atelectasis, cyanosis, clubbing, repeated respiratory infections
possible first clinical sign of CF meconium ileus
management goals of CF prevent pulmonary complications, adequate nutrition for growth, assist in adapting to chronic illness
respiratory management of CF CPT, forced expiraton, aggressive treatment of infactions, aerosolized antibiotics
GI management of CF replacement of pancreatic enzymes, high protein and high calorie diet, salt supplementation, replacment of vit A,D,E,K
albutoerol, xopenex short acting beta 2 agonists
serevent example of long acting beta 2 agonists
Created by: NURS390