Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
PedRespProb
| Question | Answer |
|---|---|
| sudden sickness. syndrome often begins with vomiting, which lasts for many hrs. The vomiting is quickly followed by irritable and aggressive behavior. As the condition gets worse, the child may be unable to stay awake and alert.in children ages 4-12 | Reye syndrome;children given aspirin when they have chicken pox or the flu. is sudden (acute) brain damage and liver function problems of unknown cause. |
| FDA; tx s/n/b done w/children w/the common cold under age 2 | FDA is against OTC cough and cold meds; risk out ways benefits |
| tx thats discouraged by the FDA in children with the common cold over age 2yrs | use of decongestants nasal sprays and other OTC cough and cold meds |
| sore throat, painful swallowing, fever,nasal congestion, mouth breathing ->drying of the throat;viral & managed symptomatically | tonsillitis and pharyngitis |
| trmt tonsillitis and pharyngitis | warm saline gargles, no asa analgesia/antipyrtics |
| strep throat with a rash ;GABHS | scarlet fever |
| tonsillitis and pharyngitis are cased by | Group A beta hemolytic stretpococcus GABHS |
| Untreated _____->otitis media, pus-forming infections surrounding tissue, meningitis, rheumatic fever, acute glomerulonephritis | strep throat |
| pus in the back of the throat,one or both tonsils infected;Difficulty and pain opening mouth,Drooling,Facial swelling,Hot potato voice. | peritonsillar of retropharyngeal abscess |
| TX: ABC's ;airway s/b evaluated, possible endotracheal intubation if airway compromised. non asas antipyritic/analgesia, surgical drainage, abx from strep | peritonsillar of retropharyngeal abscess |
| S/P removal NIC: tonsil removal If recurrent strep or lrg tonsils interfere with eating; wait until >3yr to decrease blood loss | monitor for bleeding, infections, pain, side lying position to facilitate drainage, no cough or nose blowing, offer non acidic liquids (not red or brown) soft foods-no straws |
| Parent teaching r/t peritonsillar of retropharyngeal abscess removal | watch bleed, infection for next few wks; pain mgt, and soft non acidic diet |
| CM:Fever,Sore throat,Swollen lymph glands Epstein-Barr virus;via saliva,"kissing disease." Sometimes swollen spleen. | Infectious mononucleosis |
| Trmt of mono | No abx - viral; symptomatically for pain and fever, warm salt water gargles;rest and fluids. Restrict activity (sports) r/t possible splenic rupture |
| inflammation or infection middle ear;tympanic membrane may rupture ->pus in the middle ear space drain into the ear canal.viral, bacterial, or fungal | Otitis media |
| tube that links the nasopharynx to the middle ear. adults longer; Children <3 tube is shorter and horizontal. | Eustachian tube |
| decreases risk of otitis media | breastfeeding; positioning while feeding, breast milk las macrophages and they chg when baby or mom is sick so it protects baby |
| increases rick of otitis media | tobacco exposure |
| CM otitis media | pain-crying, pulling or tugging ear, fever, irritable, vomiting, diarrhea, cold s&s, inattentive to voice |
| strep trmt | amoxicillin/penicillin |
| tx for AOM was amoxicillin or augmenten q12h, however the american academy of pediatrics and the academy of family physicians guidelines suggest | watchful waiting for some children w/non-sever acute otitis media b/c often non bacterial |
| What are some complication r/t AOM and require f/u visits @ 2-4 wks to make sure resolved | hearing loss, abscess formation, menigitis, septicemia |
| time frame to be diag chronic AOM | > 2 wks in 6 months |
| tx for chronic AOM | ongoing assessment and antibiotic +/- steroids, tympanostomy, hearing eval |
| is a small tube inserted into the eardrum to prevent fluid accumulation | tympanostomy tube;pressure equalization tube |
| pt edu r/t AOM/tube | complete abx; ear plugs w/swim or bath w/ PE tube |
| highly contagious bacterial disease that causes uncontrollable, violent "whooping" coughing heard when trying to breath. | Pertussis |
| What precautions s/b initiated w/Pertussis, or whooping cough, uri Bordetella pertussis or Bordetella parapertussis bacteria. | droplet for 5 days after initiation of effective therapy or until 3 wks p onset of paroxysms |
| best tx for pertussis/whooping | prevention/immunization |
| incubation period of pertussis | 3-12 days |
| infants under 6 mo are less likely to pertussis-whoop, but are at risk for | exhaustion and apnea |
| breathing difficulty; "barking" cough,parainfluenza virus, between 3 mo-5yrs ,common October and March. (Winter Months) | Croup |
| Rest and comfort, fluids, nebulized epinephrine or corticosteroids, cool mist blow-by,take child outside briefly at night or stand by a cool shower | TX for croup |
| bacterial infection by the(H. influenzae). inflammed tissue can cover the trachea (windpipe). | Epiglottitis |
| child in epiglottitis distress is sitting forward w/jaw thrust out, not talking or taking fluids, drooling, anxious looking, not coughing...remeber the 4 D's which are... | Drooling,Difficulty breathing,Difficulty swallowing(dysphagia)Voice changes (hoarseness)[Dysphonia] |
| keep child calm, do not examine throat, Moistened (humidified) oxygen, Breathing tube (intubation) ready, diag w/xRAY,watch airway, antibiotic,fluids, and supportive measures for mgt of... | Epiglottitis |
| a routine childhood immunization used help prevent Epiglottitis | H. influenzae type B (Hib) |
| swelling and mucus buildup in the smallest air passages (bronchioles), usually due (RSV) affects children under 2.Wheezing and crackling sounds heard. | Bronchiolitis |
| starts out as a URI, then symptoms worsen with wheezing and s/s of resp distress, retraction-ribs, substernal, clavicular, nasal flare,lethargic,cyanosis around mouth,pallor,grunting,and coughing are cm of | Bronchiolitis |
| complication of Bronchiolitis are apnea, atelectasis, 2ndary bacterial infection, resp failure. What diagnostic testing s/b done | physical exam, chx, wbc will be norm, sputim culture |
| Drinking plenty of fluids.Breathing moist air to help loosen sticky mucus Getting plenty of rest.Ribavirin (antiviral) only in high risk population | Trmt Bronchiolitis |
| inflammation of the lungs caused by infection via Bacteria, viruses,or fungi.often mimics the flu, beginning with a cough and a fever. | pneumonia |
| more diffuse, involving bronchi and general lung fields | bronchial |
| Diag of pneumonia by | cm, physical exam, sputum culture, chx to id extent or loc of involement |
| is inflammation of the lungs and airways to the lungs (bronchial tubes) from breathing in foreign material. Increased risks w/feeding & neuro problemsin w/child | Aspiration pneumonia |
| prevention of Aspiration pneumonia | feeding techniques, positioning, avoid aspiration risks such as oily nose drops, solvents, talcum powder |
| acute onset involving skin, mucus membrane (hives, itching, swelling of lips, tongue uvula)-resp distress and/or hypotension,syncope incontinence | peditric anaphylaxis |
| epinephrine first drug of choice. 0.01-0.5mg mg/kg s/b admin. may be repeated q5-15min;nebulized albuterol for bronchospasm | tx of anaphylaxis |
| seasonal-outdoor allergens, trees,grass, weed pollens; perennial-indoor allergens, dust mites, molds, per dander; linked to chronic otits media b/c eusation tube swells and gets blocked | Allergic rhinitis ;Hay fever; Nasal allergies |
| nasal congestion, runny nose, itchy eyes, nose ears | hay fever/allergic rhinitis |
| general allergy mgt;claritin used in children as young as | 2 yrs (no benadrly b/c of hyperactivity) |
| general allergy mgt; zyrtec in infants ages.. | >6 months (no benadrly b/c of hyperactivity) |
| this is a common chronic d/o of the airways that is complex and characterized by vaiable and recurring sympeoms, airflow obstruction, bronchial hyper-responsiveness, and an underlying inflammaion | asthma |
| antigens, irritant,infections,asa,nsaid,gi reflux,food and food preservatives,emotional stress, and excercise can trigger what | asthma inflammatory response |
| hx and phy, chgs in pulmonary function, esp PEEK rates responseive w/trmt, chx to rule out other diseases or food in lung are diag criteria for | childern under 3 who wheeze, 30% will later id as asthmatic |
| T&C for: expiratory wheezing, chronic cough, dyspnea, also chg in peak flow volume variation in am and pm, tachypnea, restractions nasal flaring, orthopnea, anxiety | sit pt up overhead table,Oxygen ,Juice , soda, fluids. Coke has caffeine old fashioned treatment for asthma |
| medication bb causing smooth muscle relaxation dilates bronchial in asthma | albuterol; used for exacerbations / short acting |
| leukotriene receptor antagonist used for asthma and to relieve s/s of seasonal allergies | montelukast (singular) |
| for chronic asthma CC blocker->inhibits histamine release in asthma | cromolyn |
| is an anticholinergic drug that opens bronchi and providing releif | ipratroium |
| steroids given w/ asthma and may be given as a short burst to manage an attack or long term every morning or every other morning | methyprednisone,prednisone,prednislolne |
| this caffeine from tea leaves not used much today since new drugs available that are effective and easier to manage | theophylline |
| attack PEF >50% and or O2 sat>92% on RA | moderate asthma attack |
| PEF <50% and or O2 sat <92% or refractory to initial reatment | Severe asthma attack |
| emergent phase prehospital asthma | oxygen,albuterol, epi 1/1000 if severe distress and very poor air exchg |
| er care-mild to moderate asthma attack | albuterol (saba), 2-6 puffs w/or w/out mask (2yo get mask; nebulizer 0.15mg/kg to a max of 5mg, q 20 mon up to 3 doses; oral dexamethasone 0.6mg/kg/doae or oral prednisone 2mg/kg/dose |
| tx severe asthma attack | nebulizee ipratroium bromide (atrovent) and short acting beta agonists q 20 min up to 3 treatments; oxygen via mask; oral dexamethasone 0.6mg/kg/dose ir irak oredbusibe 2mg/kg/dose or may need to go parenteral |
| try and avoid intubation in non responsive status asthmaticus continue... | inhaled trmt,nebulized ipratropium (atrovent), IV dexamethasone, IV magnesium all concurrently; IV hydration, o2 monitoring |
| nic w/asthma, child in what position | upright over bed table |
| understand disease, early cm of attacks, prevention/triggers, infection,avoidance, lifestyle choices; dont over use inhalers | Pt edu asthma |
| genetic disease that causes thick,sticky mucus to build up in the lungs, digestive tract, and other areas of the body. r/t 2 defective gene on chrom 7.It is one of the most common chronic lung diseases in children & young adults | CF, instead of acting like a lubricant, mucus plugs things up |
| Neonatal cystic fibrosis screening blood test screens nb for increased | levels of immunoreactive trypsinogen (IRT), a protein produced by the pancreas that is linked to CF. |
| Sweat chloride test for ____the disease. | A high salt level in the patient's sweat is a sign of Cystic fibrosis |
| Meconium ileus,failure to grow,bulky greasy stools,frequent resp infections are cm of | Cystic fibrosis |
| airway medication that makes mucus thinner and easier to cough up | pumozyme |
| bronchodilator | albuterol |
| CF bronchial airway draings at least | 2 x day for 20-30 min |
| bronchial airway drainage manual clappinng and postural dranage, inflatable vest that vibrate at high frequency | chest physical therapy |
| foreign body aspiration most common at age | 6mo-4yr |
| restrict activity, no sports to prevent possible splenic rupture in what resp disease | infectious mononucleosis, tetanus-diphtheria-acellular pertussis vaccination |
| expiratory wheezing, productive cough, thick sputum, dyspnea | asthma |
| ______is derived from a hormone called epinephrine, which is released when stressed. used w/ asthma and labor b/c it relaxes smooth muscles; used in prehosp astma attack mgt | Terbutaline |
| Mast cell stabilizer, ccb inhibits histamine related mediators | cromolyn |
| anticholinergic opens the bronchi, and provides relief | Ipratropium (trade name Atrovent |
| PEF >50% and or O2 sat>92% on RA | moderate asthma attack |
| PEF <50% and or O2 sat <92% or refractory to initial treatment | Severe asthma attack |
| Prehospital- Oxygen, cardiorespiratory monitoring with pulse ox, beta-agonist nebulizer (albuterol, alupentterbutaline, etc), IV ( if moderate), s/c turb or epinephrine 1/1000 (0.01 ml/kg) if severe distress and very poor air exchange | astma attack prehosp treatment |
| L/S ratio of 3:1 or more or the presence of _________(a component of surfactant) in the amniotic fluid is more indicative of adequate lung maturity. | phosphatidylglycerol |
| hypoglycemia manifests w/in the first 1 to 6 hrs after birth. S/s of hypoglycemia include | jitteriness, apnea, tachypnea, and cyanosis. |
| mothers have antibodies for HBsAg or hep developed during preg or the postpartum period s/b treated with | hepatitis B immunoglobulin (HBIG) |
Created by:
troop27
Popular Anatomy sets