asthma in the peds patient
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| show | nose, pharynx, and larynx
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| show | trachea, bronchi, bronchioles, and lungs including alveoli
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| what comprises lower respiratory airway. | show 🗑
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| The trachea | show 🗑
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| right main bronchu | show 🗑
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| show | lobar bronchi, segmental bronchi, and bronchioles and terminate in alveoli. Mucus-secreting goblet cells line the bronchi and protect the lungs from dust and bacteria.
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| right lung | show 🗑
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| left has two lobes | show 🗑
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| show | lines the entire thoracic cavity
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| show | encases each lung
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| alveoli | show 🗑
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| show | a breath sound that is not normally heard, such as a crackle, gurgle, rhonchus, or wheeze. It may be superimposed on normal breath sounds.
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| show | Discontinuous, short, crackling, popping sounds heard during inspiration and not cleared by coughing.
Described as discrete (short), discontinuous.
Fine crackles are high pitched whereas coarse crackles are louder and lower pitched.
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| show | Heard when air moves through airways narrowed by fluid.
Airways suddenly pop open, creating crackling sound as gas pressures between the two compartments equalize.
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| Clinical Example Crackles (rales, crepitations) | show 🗑
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| Pleural friction rub | show 🗑
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| Pleural friction rub Mechanism | show 🗑
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| show | Pleuritis, accompanied by pain with breathing. (Rub disappears after a few days if pleural fluid accumulates and separates pleurae).
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| High-pitched wheeze heard with narrowing of the air passages from fluid, swelling, spasm, and tumors | show 🗑
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| show | Low-pitched, musical snoring, moaning sounds.
Heard throughout the respiratory cycle, although they are more prominent on expiration and may clear somewhat with coughing.
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| fremitus | show 🗑
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| show | Partial arterial oxygen pressure (PaO2)
Partial pressure of carbon dioxide in arterial blood (PaCO2)
Acid-base balance (pH)
Bicarbonate (HCO3-)
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| show | a test for the patency of the radial artery after insertion of an indwelling monitoring catheter.
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| show | greater than normal amounts of carbon dioxide in the blood.
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| show | Allow parent to hold child and continue with assessment
Allowing the parent to hold a child who begins crying while the nurse is auscultating the lungs may console the child from crying and it is the most appropriate intervention for this situation.
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| Demonstrate the appropriate method of conducting respiratory assessment in this child by organizing the sequential steps listed. | show 🗑
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| nurse notes an increased resp rate and retractions while the child is supine on the examining table. action nurse to perform next to obtain an accurate resp assessment? Reposition the child upright. Begin auscultating the lungs. Ask the child to blow | show 🗑
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| show | Pulse oximetry is useful to determine oxygenation status and is the most appropriate method to evaluate the effectiveness of oxygen therapy in a 2-year-old child.
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| Grade 0 | show 🗑
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| show | upper chest lag on inspiration
lower chest and xiphoid retractions just visible
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| show | upper chest see-saw
lower chest and xiphoid retractions marked
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| show | Cilia move mucous to the pharynx.
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Created by:
adricela55