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Epiglottitits incidence & cause mostly in children 2-7 bacterial/viral cause -H. influenza type-B most common bacterial
Epiglottitits S&S Begins as mild Upper RTI 1-2days later: Inflammation gets epiglottis -severe respiratory stridor (seal) -high fever -hoarseness -sore throat
Epiglottitits NI Moist air to reduce inflammation 02 as needed IV fluids
Epiglottitits Never! NEVER attempt to visualize - may close the airway
Cystic Fibrosis Cause Genetic disease Abnormality of chromosome 7 - inability to move salt/water between cells --mucus becomes think/sticky Both parents must have for child to develop Common in Caucasians, rare in AFA & Asians
Cystic Fibrosis Diagnosised Sweat Chloride Analysis - ↑ NA & Cl Duodenal Test - ↓ pancreatic enzyme Pulmonary Studies - Sweat Cl - ↑ NA & Cl
Cystic Fibrosis Characteristics - Lung Involvement Infected pockets of thick pooled secretions block the bronchioles; mucus narrows airways - ↓ airflow - ↓ oxygenation Chronic resp inf chronic bronchitis, bronchiectasis
Cystic Fibrosis Characteristics - Pancreas Involvement Absense of digestive enzymes -Lipase, amylase, trypsin Steatorrrhea (fat stool) ↓ fat soluable vitamins A D E & K
Cystic Fibrosis Characteristics - Sweat gland salty skin -chloride to sodium
Cystic Fibrosis Nutritional Implications poor digestion & absorption fat, f-vitamins, bile, b-salts infection & low health ↑ caloric intake possible osteopenia (low bone density)
Created by: Slacker