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quarter5 respiratory
| Question | Answer |
|---|---|
| WHAT ARE EARLY SIGNS OF HYPOXIA? | RESTLESSNESS, ANXIETY, TACHYCARDIA/TACHYPNEA |
| WHAT ARE LATE SIGNS OF HYPOXIA? | BRADYCARDIA, EXTREME RESTLESSNESS, DYSPNEA |
| WHEN YOUR CHILD HAS PROBLEMS BREAATHING OR GETTING AIR INTO & OUT OF THE LUNGS. IT MAY OCCUR AT ANY AGE, USUALLY DUE TO AN INFECTIONOF THE UPPER AIRWAY OR LOWER AIRWAY OF THE LUNGS & THE SYMPTOMS ARE CAUSED BY SWELLING & INFLAMMATION OF THE MUCUS MEMBRANE | RESPIRATORY DISTRESS |
| MAY OR MAY NOT HAVE A FEVER, BREATHING MORE THAN 60 TIMES A MINUTE (0-2YRS) 40 TIMES A MIN (> 2YRS),RETRACTIONS, NASAL FLARING, UNABLE TO SWALLOW OR TALK, GRUNTING WHEN BREATHING OUT,POOR COLOR-PALE OR GRAY, RESTLESSNESS OR AIR HUNGER | RESPIRATORY DISTRESS |
| PULLING IN WHILE BREATHING, LOOK FOR THIS UNDER THE RIBS, BETWEEN THE RIBS AND IN THE NECK. | RETRACTIONS |
| WHAT IS THE ONSET FOR ALTB (CROUP)? | SLOW ONSET |
| WHEN DOES ALTB (CROUP) OCCUR? | AT NIGHT |
| ALTB INCREASE WHEN IN CHILDREN? | IN FALL & WINTER |
| WHAT ARE THE SIGNS AND SYMPTOMS OF ALTB (CROUP)? | BARKING COUGH, CROWING COUGH, INSPIRATORY STRIDOR, MAY HAVE SLIGHT TEMP 102 DEGREES,RETRACTIONS,RESTLESSNESS, |
| WHAT ARE S/S OF EPIGLOTTITIS? | AIRWAY CLOSED,INCREASED PULSE,RESTLESSNESS,RETRACTIONS,ANXIETY INCREASED,INSPIRATORY STRIDOR,DROOLING |
| WHAT TREATMENT WOULD YOU DO FOR A PATIENT WITH EPIGLOTTITIS? | DO NOT EXAMINE THE THROAT....NO TONGUE BLADE, POSITION FOR COMFORT & HAVE TRACH TRAY AVAILABLE |
| WHAT ARE THE RESPIRATORY DIFFERENCES IN THE CHILD? | INCREASED RR, BREATHING PATTERN IS IRREGULAR, WEAK ACCESSORY MUSCLES OF RR WHICH LEADS TO DIAPHRAGMATIC/ABDOMINAL BREATHING, FROM BIRTH TO 7YRS |
| WHAT AGE IN A CHILD IS ADULT BREATHING DEVELOPED BY? | AGE 7 |
| DECREASED AIRWAY DIAMETER, SHORTER NECKS & CLOSENESS OF RESPIRATORY STRUCTURES ________________ POTENTIAL FOR OBSTRUCTIONS | INCREASED |
| MUCOUS MEMBRANES HIGHLY VASCULAR WHICH LEADS TO _____________ risk for edema | INCREASED |
| FOR EVERY 1 DEGREE OF FEVER, RRs INCREASE BY ____BPM AND AHR BY ____BPM | 4 & 10 |
| THE LARYNX IN A INFANT AND CHILD IS A RISK FOR? | ASPIRATION |
| A LARGE TONGUE IN A INFANT/CHILD CONTRIBUTES TO? | AIRWAY OBSTRUCTION |
| THE INFANT RELIES PRIMARILY ON THE _______________&_____________ FOR BREATHING | ABDOMINAL & DIAPHRAGM |
| WHAT ARE SOME OTHER SIGNS OF RESPIRATORY COMPROMISE? | NASAL FLARING,FEEDING DIFFICULTY,CYANOSIS & PALLOR,INSPIRATORY STRIDOR, EXPIRATORY GRUNTING,ABSENT BREATH SOUNDS, |
| WHAT ARE DIAGNOSTIC TESTS FOR ALL RESPIRATORY DISEASES? | CLINICAL EXAM, CHEST X-RAY, CBC, PULSE OX,BLOOD GASES |
| WHAT IS AN ACUTE UPPER AIRWAY RESPIRATORY CONDITION, INFLAMMATION LEADING TO OBSTRUCTION, ALSO KNOWN AS CROUP? | ALTB (ACUTE LARYNGOTRACHEOBRONCHITIS) |
| WHAT IS THE COMMON AGE FOR ALTB? | TODDLERS |
| WHAT IS THE MOST COMMON CAUSE OF ALTB? | VIRUS |
| WHEN IS THE COMMON OCCURENCE FOR ALTB? | WINTER MONTHS |
| WHAT IS THE ONSET FOR ALTB? | gradual cough over 6-12 hours |
| WHAT IS HIGH PITCH FROM THE VOICE BOX? | INSPIRATORY STRIDOR |
| HOW IS ALTB DIAGNOSED? | THROAT CULTURE & LATERAL NECK X-RAY |
| WITH A LATERAL NECK X-RAY WHAT ARE YOU LOOKING FOR? | CHURCH STEEPLE IN THE TRACHEA |
| WHAT WILL A CBC SHOW WITH ALTB? | VIRAL VS BACTERIAL CAUSE |
| WITH ALTB YOU WOULD INSTRUCT THE PARENTS TO DECREASE 02 CONSUMPTION BY? | KEEPING THE CHILD CALM |
| WHY WOULD YOU USE A COOL MIST HUMIDIFIER OR HOT STEAM FROM THE SHOWER WITH ALTB? | IT HELPS WITH THE SWELLING |
| WHY DO YOU WANT TO INCREASE FLUID INTAKE WITH ALTB? | TO HYDRATE AND THIN OUT MUCOUS |
| WHAT IS THE #1 MAIN GOAL FOR HOSIPTAL CARE WITH ALTB? | TO MAINTAIN OPEN AIRWAY |
| AS A NURSE WHAT DO YOU WANT TO MONITOR WITH ALTB? | respiratory & cardiac status, vs and pulse ox |
| WITH ALTB RACEMIC EPINEPHRINE IS TAKE HOW AND WHAT DOES IT DO? | BY NEB (INHALED) HELP YOU TO BREATH |
| WITH ALTB CORTICOSTEROIDS(DEXAMETHOSONE) ARE USE TO DO WHAT? | REDUCE INFLAMMATION |
| WHAT IS A LIFE THREATENING INFECTION OF THE EPIGLOTTIS CAUSING INFLAMMATION RAPIDLY LEADING TO COMPLETE AIRWAY OBSTRUCTION, IT IS AN UPPER AIRWAY CONDITION? | EPIGLOTTITIS |
| WHAT IS THE COMMON AGE GROUP OF EPIGLOTTITIS? | PRESCHOOLERS |
| WHEN IS THE COMMON OCCURENCE OF EPIGLOTTITIS? | WINTER MONTHS |
| WHAT IS THE COMMON CAUSE OF EPIGLOTTITIS? | H-FLU TYPE B (BACTERIAL) |
| WHAT IS THE ONSET OF EPIGLOTTITIS? | to complete airway obstruction is 1-2hrs |
| what is used to diagnosis epiglottitis? | lateral neck x-ray |
| with epiglottitis & a lateral neck x-ray what are you looking for? | shows a thumb sign |
| what are the signs & symptoms of epiglottitis? | DROOLING,DYSPHAGIA(DIFF SWALLOWING), DYSPHONIA (DIFF SPEAKING), DISTRESSED RSPIRATORY EFFORTS (INSPIRATORY STRIDOR), TRIPOD POSITION,ORTHOPENEA (SITS & LEANS FORWARD)SORE THROAT & ELEVATED TEMP 102 DEGREES |
| TO PREVENT EPIGLOTTITITIS WHAT WOULD YOU TELL PARENTS? | GET HIB VACCINE GIVEN AT 2,4,6 AND 15 MONTHS |
| WHAT IS THE #1 GOAL FOR EPIGLOTTITIS? | MAINTAIN A OPEN AIRWAY |
| WITH EPIGLOTTITIS WHAT POSITION WOULD YOU PUT YOUR PATIENT IN? | UPRIGHT |
| WITH EPIGLOTTITIS WHAT NEEDS TO BE SET UP AT THE BEDSIDE? | TRACHEOTOMY OR ETT |
| WHAT TYPE OF PRECAUTION WILL YOU USE IN A PATIENT WITH EPIGLOTTITIS? | DROPLET PRECAUTION |
| HOW LONG WILL YOU USE DROPLET PRECATUIONS WITH EPIGLOTTITIS? | UNTIL 24 HRS OF ADMINISTERED ANTIBIOTICS |
| WHAT LAB VALUES WILL YOU MONITOR WITH EPIGLOTTITIS? | WBC (20-30THOUSAND) AND THROAT & BLOOD CULTURE |
| WHAT DO YOU NEVER DO WITH A PATIENT WHO HAS EPIGLOTTITIS? | STICK ANYTHING IN THE BACK OF THE THROAT; NO TONGUE BLADES |
| WHAT WILL HAPPEN IF YOU WERE TO STICK SOMETHING IN THE BACK OF THE THROAT WITH A PT WITH EPIGLOTTITIS? | LARYGE0SPASM & RESPIRATORY ARREST ( CAUSES AIRWAY TO COMPLETELY CLOSE) |
| WHAT ARE THE SIMILARITIES WITH CROUP & EPIGLOTTITIS? | BOTH HAVE HX OF URI, BOTH OBSTRUCT AIRWAY, BOTH OCCUR IN WINTER, INSPIRATION STRIDOR, BOTH HAVE VIRAL CAUSES & FEVER |
| WHAT ARE THE DIFFERENCES BETWEEN EPI &CROUP? | EPI HAS WBC OF 20-30 THOUSAND,CROUP WBC DETERMINES IF VIRAL OR BACTERIAL, EPI HAS THE 4 D'S, CROUP HAS A BARKING COUGH & EPI ONSET IS FASTER THAN CROUP, EPI HAS THUMB SIGN AND CROUP HAS STEEPLE SIGN IN XRAY |
| WHAT IS A VIRAL INFLAMMATION OF THE LOWER BRONCHIOLES & SMAL BRONCHI OF THE LOWER RESPIRATORY TRACT | BRONCHIOLITIS |
| WHAT IS THE COMMON AGE FOR BRONCHIOLITIS? | UNDER AGE 2 |
| WHAT AGE DOES BRONCHIOLITIS PEAK? | 6 MONTHS |
| WHAT IS THE MOST COMMON CAUSE OF BRONCHIOLITIS? | RSV |
| WHEN DOES BRONCHIOLITIS OCCUR IN CHILDREN? | FALL & WINTER |
| WHY IS IT DANGEROUS FOR AN INFANT TO HAVE BROCHIOLITIS? | THEY CAN'T DO ANYTHING AND CAN DROWND IN THEIR OWN SECRETIONS |
| WHAT TYPE OF PRECAUTIONS DO YOU USE WITH BRONCHIOLITIS? | DROPLET PRECAUTIONS |
| WITH BROCHIOLITIS YOU ARE STILL CONSIDERED CONTAGIOUS AFTER _____DAYS AND WITH NO_______ | 30 DAYS & NO S/S |
| WHAT ARE THE S/S OF BRONCHIOLITIS? | HISTORY OF URI, MILD FEVER, NASAL CONGESTION & FLARING, PAROXYSMAL COUGHING (STONG COUGH YOU CAN'T STOP)& SIGNS OF RESPIRATORY DISTRESS |
| WHEEZING, TACHYPNEA, POOR FEEDING, DEHYDRATION ARE S/S OF | RESPIRATORY DISTRESS |
| WHAT MEDICATION IS GIVEN FOR THOSE AT RISK FOR SERIOUS COMPLICATIONS (rsv)? | RIBAVIRIN (VIROZOLE)AN ANTIVIRAL MED |
| HOW IS RIBAVIRIN GIVEN? | AEROSOL |
| WHO CAN NOT BE AROUND THIS MEDICATIN AND WHY? | PREGNANT AND LACTATING WOMEN BECAUSE CAN CAUSE SERIOUS BIRTH DEFECTS & CAUSE SEVERE ILLNESS IF BREASTFEEDING |
| WHAT ADMINISTERING THE MED WHAT SAFETY PRECAUTIONS DO YOU USE WITH RIBAVIRIN? | GOWN,GLOVES,MASK & EYE SHIELD |
| WHAT ARE THE PRECAUTIONS FOR RSV? | CONTACT ISOLATION, PRIVATE ROOM OR ROOM WITH SOMEONE WHO HAS RSV, WASH HANDS WELL AFTER CARE |
| WHO IS AT GREATER RISK OF SEVERE ILLNESS WITH RSV? | PREMIES |
| WHAT DIAGNOSTIC TEST IS DEFINITIVE FOR RSV? | NASAL WASHING OR RAPID RSV TEST |
| HYPERTROPHIED (ENLARGED) SCARRED TONSILS & ADENOIDS, MAY OBSTRUCT WHILE SLEEPING | TONSILLITIS/ADENOIDITIS |
| WHAT IS THE COMMON CAUSE OF TONSILLITIS/ADENOIDITIS? | STREP WHICH INCREASES THE RISK FOR GLOMERULONEPHRITIS OR RHEUMATIC FEVER |
| WHAT ARE THE S/S OF TONSILLITIS/ADENOIDITIS? | SORE THROAT, FEVER, DIFFICULTY BREATHING, EATING AND SWALLOWING, SNORING & APNEA |
| WHAT IS THE TREATMENT FOR TONSILLITIS/ADENOIDITIS? | REMOVAL OF TONSILS AND OR ADNOIDS (TONSILLECTOMY/ADENOIDECTOMY (T&A) |
| WHAT ARE THE EARLY SIGNS OF BLEEDING POST OP OF A T&A? | FREQUENT SWALLOWING, CLEARING OF THROAT, VOMITING BRIGHT RED BLOOD |
| WHAT ARE THE LATE SIGNS OF BLEEDING POST OF A T&A? | INCREASED HEART RATE, INCREASED RESPIRATORY RATE, DECREASED BLOOD PRESSURE & INCREASED RESTLESSNESS AND ANXIETY |
| WHAT IS NEEDED BY THE BEDSIDE POST OP OF A T&A? | SUCTION & RESUSCITATION EQUIPMENT |
| WHAT POST OP POSITION WILL YOU PLACE A CHILD IN AND WHY? | SIDE LYING POSITION TO FACILITATE DRAINAGE |
| TO DECREASE SWELLING AFTER A T&A WHAT DO YOU DO? | APPLY ICE COLLAR |
| NO TONGUE BLADES BECAUSE... | MAY CAUSE BLEEDING |
| WHAT IS THE POST OP DIET OF A T&A? | CLEAR LIQUIDS IMMEDIATLY POST OP, ADVANCE TO SOFT DIET AS TOLERATED & INCREASE FLUIDS |
| WHAT DOES INCREASED FLUIDS POST OP OF A T&A HELP WITH? | KEEPING HYDRATED, HELPS WITH SWELLING & PROVES OK TO SWALLOW |
| WHAT ARE THE NO NO'S POST OP OF A T&A? | NO DAIRY PRODUCTS, NO OJ, NOTHING RED OR BROWN IN COLORED LIQUIDS, NO SPICEY FOOD, NO NOSE BLOWING,COUGHING OR CLEARING OF THROAT OR USE OF STRAWS. |
| AN OBSTRUCTION OR BLOCKAGE OF THE AIRWAYS, USUALLY REVERSIBLE THROUGH THE USE OF MEDICATIONS & IS USUALLY THE COMMON CAUSES FOR SCHOOL ABSENTTEEISM, ER VISITS & HOSPITALIZATION IN CHILDREN | ASTHMA |
| DURING A ASTHMA ATTACK, AIRWAYS BECAOME NARROWED OR BLOCKED BECAUSE OF A ______________ | 3 FOLD REACTION; 1. INFLAMMATION & EDEMA 2. BRONCHOSPASM 3. INCREASED MUCUS |
| WHAT ARE THE TRIGGERS OF ASTHMA? | DUST,WOOL,EMOTIONAL STRESS,POLLEN,ILLNESS, STRONG ODORS,FIRE PLACES, MOLD, FATIGUE, WET PAINT,ANIMAL DANDER,FEATHERS,COLD,PASSIVE SMOKE & WOOD STOVES |
| WHAT ARE THE S/S OF ASTHMA? | S/S OF RESPIRATORY DISTRESS, EXPIRATORY WHEEZING,PROLONGED EXPIRATORY PHASE (LONGER EXHALE), TIGHT, DRY & HACKY COUGH, SHORTNESS OF AIR, TIGHTNESS IN CHEST,CRACKLE BREATH SOUNDS |
| HOW IS ASTHMA DIAGNOSED? | PULMONARY FUNCTION TEST (PFT) OR ALLERGY TEST |
| WHAT ARE SOME QUICK ACTING BRONCHODIALATORS? | ALBUTEROL, ALUPENT, & BRETHINE |
| WHAT ARE LONG TERM BROCHODIALATORS? | BRETHINE, SEREVENT, & THEOPHYLLINE |
| AN AUTOSOMAL RECESSIVE TRAIT, BOTH PARENTS MUST BE CARRIERS, A MAJOR DYSFUNCTION OF THE EXOCRINE GLANDS(GLANDS THAT EXCRETE EXTERNALLY THROUGH 1 OR MORE DUCT) AND THIS APPEARS MORE FREQUENT IN CAUCASIANS | CYSTIC FIBROSIS |
Created by:
jmbosworth1972
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