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Peds resp

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
What cell types does Reactive Airway Disease (Asthma) affect   Mast cells Eosinophils T Lymphocytes  
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Inflammation causes increase in   bronchial hyper response  
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obstructive airflow is due to   Inflammation Bronchospasms mucus plugging  
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with Reactive Airway Disease pt. has decrease in   tidal vol and expiratory vol.  
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Ph abnormalities seen in Reactive Airway Disease are d/t   increase in # of poorly ventilated alveoli increase in hypoxemia CO2 retention Resp acidosis  
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decrease in Ph and increase in CO2 build up results in   poor ventilation  
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Asthma triggers   Aspirin smoke cold air pollutants  
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What type of medications are used for maintenance of Asthma   inhaled antiinflammatory (steroid) mast cell inhibitors leukotriene modifiers  
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Name a mast cell inhibitor   Cromolyn  
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Name a leukotriene modifier   Singulair  
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Name 4 common inhaled steroids   Flovent Advair Pulmicort Azmacort  
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What does Leukotrienes do in the body   cause increase in mucus and tighten airway muscles (chemical response)  
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when in "yellow" (caution) of action plan what line of drugs to use   SABA-Short Acting Beta Agonist  
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When in "RED" of action plan what should pt. do   continue to use SABA and go to ER  
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Name one SABA   Albuterol  
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Name 2 corticosteroids used in treatment of relief of or rescue for asthma   Prednisone Beclomethasone (short term)  
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What anticholinergic is given in the ER   Atrovent  
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Cystic Fibrosis is what type of disorder   hereditary autosomal recessive trait; affecting 1:4 among carriers (both parents have the trait)  
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what are the manifestations of CF   malabsorption of nutrients by pancrease increased viscous mucus production Mucus gland secrets thick protein that accumulates and dilates the glands 1st manifestation is meconium ileus increase sodium chloride (sweat)  
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What are some physical findings of child with CF   clubbing of fingers increase resp with cyanosis productive moist cough barrel chest poor perfusion poor gas exchange  
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What are some findings other findings in child with CF   FTT freq URI malabsorption of fats and proteins mild malodorous diarrhea steatorrhea (fatty stools)  
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How is CF diagnosed   Sweat test (normal chloride <40 meq) pancreatic enzymes (tripsin and lipase)tripsin absent in 80%  
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How to manage CF   prevent and TX infection chest physiotherapy physical exercise dietary supplement (enzymes with meals)  
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What characteristics characterize Croup   Inspiratory stridor Barky cough hoarseness  
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what is the BIG 3 referring to in Croup   group of viral and bacterial syndromes laryngotracheobronchitis bacterial tracheitis epiglottitis  
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Is epiglottitis viral or bacterial   Bacterial  
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Is Croup viral or bacterial   both  
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what medication groups treat Croup   Beta agonist: bronchodilators to relaxe bronchi and bronchioles muscels corticosteroids:Dexamethasone (Decadron)  
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Name a beta agonist used with croup   Racemic Epi  
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What other interventions are used with croup   O2 with humidityy meet fluid and nutrional needs non carbonated non acid drinks  
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What does RSV stand for   Respiratory Synctial Virus  
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How is RSV diagnosed   nasal swab  
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What are manifestations of RSV   start out as URI progress to resp distress d/t infection of bronchial mucosa leading ot obstruction  
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Therapeutic regimen for RSV   bronchodilators steroids beta agonists  
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Name 2 medications given to children with RSV   Synagis Palivizumab IM RespiGam (RSV immune globin)  
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is RSV contagious   yes. place pt. on droplet and contact isolation  
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decreased ventilation can lead to respiratory acidosis. what lab values showes resp acidosis   increased blood CO2 and decreased pH  
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Give example of what lab values would look like for someone in acute resp acidosis   pH < 7.35 PaCO2 > 45 HCO3 22-26 (normal)  
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What lab value would increase if someone was partly compensating for resp acidosis   the HCO3 would increase  
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If pH was normal but PaCO2 and HCO3 were elevated in resp acidosis this would mean what   Body is compensating  
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