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Test 2

Peds GI, Respiratiry, ETC

TermDefinition
Nasopharyngitis "Common cold" Fever, irritability, restlessness, Decreased fluid intake, Vomiting and diarrhea, dryness irritation of the nose and throat Home Management: Antipyretics (fever and pain) Humidified Air, Rest Increase fluids, suction, and HOB
Tonsillitis (URI) Inflammation of the palatine tonsils; S/S: Sore throat, fever, malaise Red inflamed tonsils, Pus pockets TX: Cold/frozen non acidic fluids to help throat and dehydration; ABX or Antipyretics
Pharyngitis (URI) Pharynx inflamed; HA, fever, sore throat, pain Throat culture to rule out strep Nursing Considerations: Throat swab for rapid strep; Cold or warm compress to neck; cool liquids or ice chips (don't force child to eat)
Tonsillectomy Highest risk for bleeding at 24hrs and 10 days post op; liquids & soft foods only (nothing red) frequent inspection of scabs (should fall out in 10 days) pain meds & ice collar
Influenza (URI) Can be subclinical to severe; Dry cough, hoarseness, dry nasal mucosa. Can lead to pneumonia, otitis media, and sinustis Prevention: Immunizations Nursing Considerations: Relieve symptoms; watcch for s/s of a secondary infection may need abx
Otitis Media Infection of the middle ear Nursing considerations: No water in ears if ear tubes in place until tubes fall out
Croup Syndrome Hoarseness, "barking" cough, inspiratory stridor,varying degrees of respiratory distress; Affects the larynx, trachea, and bronchi TX: Keep airway open(priority), cool mist, quiet environment, keep pt calm and limit visitors
Acute Epiglottis (Croup) *MEDICAL EMERGENCY NO THROAT CULTURES!! Sore throat, pain, tripod positioning, retractions, fever, inspiratory stridor, mild hypoxia, distress E.equipment intubation @ bedside Tx: Airway, Humid O2, ABX, racemic epi, corticosteroids Prevention: Hib Vacc
Acute Laryngitis (Croup) Hoarseness,Sore throat, congestion, fever, HA, malaise. More common in older child TX: Fluids, humid air, symptomatic
Acute LTB (Croup) Most Common of croup Inspiratory stridor, Suprasternal retractions, barking/seal-like cough; increasing respiratory distress&hypoxia Can progress to respiratory acidosis, respiratory failure, and death Airway management; Increase hydration, Nebulizer
Acute Spasmodic Laryngitis (Croup) Midnight Croup, Paroysmal attacks of laryngeal obstruction, Occurs chiefly at night Inflammation: mild or absent Humidified air, limit exposure to cold air Racemic EPI if severe
Bacterial Tracheitis (Croup) Infection of the mucosa of the upper trachea May be complication of LTB, Thick, purulent secretions result in respiratory distress; Humidified O2 Antipyretics Antibiotics May require intubation, Monitor respiratory failure, May be life threatening
RSV (LRI) Wheezing & crackles, otitis media, conjunctivitis (pink eye), increased secretions, nasal stuffiness, fever, decreased po intake, may lead to respirator failure DX: Nasal secretions TX: Cool O2, increase PO, Suction Suction, Isolation, steroids, No ABX
Pertussis (Whooping Cough) (LRI) Low grade fever, sneezing, runny nose( 1-2wks) Sever cough, especially at night, coughing may cause vomiting <6mnths, may have apnea Symptoms last 1-6wks DX: Sputum culture; TX: ABX, Steriods, best rest, o, droplet precautions, suction, monitor o2
Tuberculosis (TB) (LRI) If untreated, lung damage & CNS involvement; Airborne precautions, use of respirator, educate family or infection control, medication compliance TB can hang on surfaces for days or wks 2nd leading cause of infection disease; Mantoux Test
Foreign Body Aspiration (LRI) DX: H&P, X-RAY Endoscopy &airway management
Aspiration Pneumonia (LRI) Avoid Aspiration risks: Oily nose drops, Solvents, Talcum Powder
Asthma Chronic Inflammatory disorder of the tracheobronchial tree;attacks influenced by variety of triggers, Very individualized TX: Bronchodilators & antiinflammatory drugs Maintain activity levels, pulmonary fx, allergy control PFT, Chest physical therapy
Status Asthmaticus (Life threatening) Respiratory distress continues despite vigorous therapeutic measures Emergency TX: Epinephrine 0.01 ml/kg SC max: 0.3ml
Cystic Fibrosis (CF) Exocrine gland dysfunction that produces multisystem involvement; Inherits defective gene from both parents Increase viscosity of mucous gland secretions, Increased sweat electrolytes, abnormalities in nervous system function Sweat Chloride test, 2-5 <
Manifestation of CF Can't pass stool (meconium ileus); decreased o2-co2 exchange; results in hypoxia, hypercapnia, acidosis Compression of pulmonary blood vessels &pulmonary hypertension, cor pulmonal, respiratory failure, & death
Created by: dortega52