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Exam 1.5
| Question | Answer |
|---|---|
| What type of diet do they put cystic fibrosis patients on | high calorie high fat high protein |
| How is CF diagnosed | Sweat chloride test >60 |
| How big is the infant airway? | 4mm |
| Bronchiolitis affects what part of the respiratory tract? What can it be caused by? What is it mainly caused by? | Lower respiratory tract illness caused by virus or bacteria. Causes inflammation and obstruction of bronchi and bronchioles. Mostly caused by RSV> |
| RSV bronchitis what does it cause? | Irritation/edema leads to partial obstruction and bronchospasms leading to wheezing and atelectasis |
| What breath sounds does RSV cause? | Expiratory wheeze, crackles |
| At what age do almost all children have a pmhx of rsv | 2 years |
| When is RSV season | october-march |
| How is RSV transmitted? How long does it incubate? | Transmission happens via direct or indirect contact with respiratory secretions. Incubates for 2-8 days |
| What are the risk factors for RSV? | Preterm babies, children under 2, children with chronic lung or heart disease, children of smokers, older adults and adults with chronic lung disease |
| The general health population usually only has what symptoms of RSV | upper |
| RSV broncholitis signs and sx | Rhinorrhea, fever, pharyngitis, coughing, ear/eye infections |
| Signs of severe RSV illness | RR > 70, listlessness, apneic spells, cyanosis |
| How is RSV diagnosed? | Nasal swab |
| RSV management | Supplemental O2 until 90 maintained, PRN suctioning, antipyretics to reduce fever, and if severe; bronchodilators |
| What is racemic epinephrine? | Inhaled to improve upper airway occlusion (stridor) |
| Pediatric asthma sx | Bronchoconstriction, inflammation, sputum production, wheezing, chest tightness, SOB, nocturnal coughing. |
| Pediatric asthma mgmt, and when they need to go to the hospital | Bronchodilators, inhaled corticosteroids, Once you require a bronchodilator every hour, thats when you come to the hospital. |
| At what age are spacers always required | Less than 4 |