General
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Epiglottitits incidence & cause | mostly in children 2-7
bacterial/viral cause
-H. influenza type-B most common bacterial
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Epiglottitits S&S | Begins as mild Upper RTI
1-2days later: Inflammation gets epiglottis
-severe respiratory stridor (seal)
-high fever
-hoarseness
-sore throat
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Epiglottitits NI | Moist air to reduce inflammation
02 as needed
IV fluids
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Epiglottitits Never! | NEVER attempt to visualize
- may close the airway
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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
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Cystic Fibrosis Diagnosised | Sweat Chloride Analysis - ↑ NA & Cl
Duodenal Test - ↓ pancreatic enzyme
Pulmonary Studies - Sweat Cl - ↑ NA & Cl
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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
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Cystic Fibrosis Characteristics - Pancreas Involvement | Absense of digestive enzymes
-Lipase, amylase, trypsin
Steatorrrhea (fat stool)
↓ fat soluable vitamins A D E & K
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Cystic Fibrosis Characteristics - Sweat gland | salty skin
-chloride to sodium
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Cystic Fibrosis Nutritional Implications | poor digestion & absorption fat, f-vitamins, bile, b-salts
infection & low health ↑ caloric intake
possible osteopenia (low bone density)
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