respiratory-peds
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| increase respiratory effort can lead to | increase fluid loss
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| rescue bronchodilator | short acting beta-2 agonist
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| tachypena puts the child at risk for | aspiration when drinking or eating
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| primary goal of nursing assessment for a child with increase respiratory effort | recongition of respiratory distress
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| lung sound heard with asthma | wheezing
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| S/Sx child will c/o with otitis media with effusion | "fullness" in ear
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| pulmonary function test used to evaluate asthma management | peak flow meter
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| peak flow meter | evaluates severity of asthma
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| dietary considerations for children with cystic fibrosis | increase KCAL, increase protein, vit A,D,
E,K, free use of salt
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| clinical presentation of worsening respiratory distress | tachycardia
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| factors that contribut to respiratory dysfunction in the child | age, size of airways, resistance of immune system
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| nursing interventions for child with increase respiratory effort | ease effort, fever management, promote rest, promote hydration, infection control, family support
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| immediate nursing care post tonsilectomy | semi-prone position, monitor for surgical site bleeding,pain management, assess hydration status (I&O)
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| complications of influenza | otits media, croup, pneumonia
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| otitis media | usually follows upper respiratory infection
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| otitis media with effusion | pt will c/o "fullness" in ear
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| treatment for otitis media | antibx, if chronic PE tubes
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| Care of pt with PE tubes | ear plugs worn to prevent water entering middle ear for swimming, etc
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| acute epiglottitis | always a medical emergency. epiglottis is cherry red and swollen, monitor for airway obstruction
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| laryngotracheobronchitis (LTB) | inspiratory stridor, suprasternal retractions, seal-like barky cough,may present with increasing respiratory distress
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| management of LTB | racemic epi, steroids, IV hydration, cool humidified mist
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| bronchitis | dry cough then productive cough on day 2 or 3
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| Bronchiolitis/RSV | mucosa swells and fills lower airways with mucous and exudate
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| first s/sx infant may present with if positive for RSV | apnea
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| synergis | immune globbin given to at risk infants for RSV
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| treatment plan for pneumonia | antibx(possible), fluids, chest PT, bronchodilators, oxygen, antipyretics, cool mist
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| tuberculosis | INH,Rifampin are examples of med therapy used. lenght of treatment is 6-12 months
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| foreign body aspiration | prevention is key. use CPR age appropiate techinques to dislodge object
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| asthma | chronic inflammatory disorder of lower airways. constriction and edema of airway is present
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| resuce medication intervention for asthma | short acting beta 2 agonists
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| maintance medication for asthma management | long acting broncho dilators, inhaled sterroids, leukotrine modifiers
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| delilvery routes for asthma meds | oral, IV, MDI, nebulizers
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| goals of asthma management | avoid triggers, releive episodes promptly, monitor function with peak flow meter, self management
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| cystic fibrosis | exocrine gland dysfunction that produces multi-system involvement
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| clincial manifestations of CF | thick mucoprotein accumulates, dilates, coagulates to form concentrations in glands and ducts. respiratory tract and pancreas are predominately affected
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| respiratory manifestations of CF | decreased O2/CO2 exchange, results in hypoxia, hypercapnea, acidosis
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| GI manifestations of CF | pancreatic enzymes are blocked from reaching duodenum. impaired digestion/absorption of fat - steatorrhea. impaired digestion/absorption of protein- azotorrhea
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| clinical presentation of CF | failure to thrive, progressive COPD, wheezing, patchy atelectasis, cyanosis, clubbing, repeated respiratory infections
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| possible first clinical sign of CF | meconium ileus
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| management goals of CF | prevent pulmonary complications, adequate nutrition for growth, assist in adapting to chronic illness
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| respiratory management of CF | CPT, forced expiraton, aggressive treatment of infactions, aerosolized antibiotics
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| GI management of CF | replacement of pancreatic enzymes, high protein and high calorie diet, salt supplementation, replacment of vit A,D,E,K
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| albutoerol, xopenex | short acting beta 2 agonists
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| serevent | example of long acting beta 2 agonists
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