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The Child with a Respiratory Disorder

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
Composed of lecithin and sphingomyelin and prevents the alveoli from collapsing during respirations after birth   Surfactant  
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What is a premature birth accompanied by?   Problems with respiratory gas exchange  
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The process of breathing air into and out of the lungs   Ventilation  
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Most common infection of the respiratory tract   Acute Coryza (cold)  
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May be related to inhaled cocaine or other drug abuse   Nasopharyngitis  
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TRUE or FALSE. Antibiotics are NOT effective against the common cold   TRUE  
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An inflammation of the structures in the throat   Acute Pharyngitis  
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What is suspected when an upper respiratory infection lasts longer that 10 days with a daytime cough?   Acute sinusitis  
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Treatment for acute sinusitis   10 to 14 day antibiotic therapy  
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A "barking" cough and varying degrees of inspiratory stridor   Croup  
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Weakness of the airway walls and a floppy epiglottis that causes stridor on inspiration   Congenital laryngeal stridor  
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How will you place an infant to lessen symptoms of congenital laryngeal stidor?   Prone or propped in the side-lying position  
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Usually occurs in children between 1 to 3 years of age and can be caused by a virus, allergy, or psychological trigger   Spasmodic laryngitis (spasmodic croup)  
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TRUE or FALSE. The attack of spasmodic croup lasts a few hours and by morning the child will feel normal?   TRUE  
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Manifested by edema, destruction of respiratory cilia, and exudate, resulting in respiratory obstruction   Laryngotracheobronchitis  
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Swelling of the tissues above the vocal cords   Epilottitis (life-threatening)  
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Viral infection of the small airways in the lower respiratory tract   Bronchiolitis (leads to atelectasis)  
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Treatment for Bronchiolitis   Semi-fowler's position with a slightly hyperextended neck to facilitate respirations; Oral feedings supplemented by IV fluids; Bronchodilating aerosol therapy and high-humidity tents are prescribed; monitor vital signs and O2  
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Responsible for 50% of cases of bronchiolitis in infants and yound children; MOST COMMON cause of viral pneumonia   Respiratory syncytial virus (RSV)  
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Transmission of RSV   Direct contact w/ respiratory secretions (can survive for more than 6hrs on countertops, tissues, and soap bars)  
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Prevention of RSV   Monoclonal antibody, palivizumab (synagis)given monthly intramuscular injections  
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Occurs when infant inhales an oil-based substance into the airways   Lipoid pneumonia  
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An inflammation of the lungs in which the alveoli become filled with exudate and surfactant may be reduced   Pneumonia  
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Most common cause of pneumonia in newborns   Group B streptococci  
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Most common cause of pneumonia in infants 3 wks to 3 mos   Chlamydia  
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Severe type of pneumonia caused by the coronavirus   Severe acute respiratory syndrome (SARS)  
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The maxillary and ethmoid sinuses are most often involved   in childhood sinusitis  
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A complication of childhood sinusitis   Periorbital  
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TRUE or FALSE. Pulse oximetry readings are of great value in carbon monoxide poisoning   FALSE  
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What should be readily available at the bedside in infants with carbon monoxide poisoning   An intubation tray  
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Should be avoided in the immediate postoperative period after a tonsillectomy   Coughing, clearing the throat, and blowing nose  
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Benign forms of Croup   Laryngomalacia and acute spasmodic laryngitis  
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Acute types of Croup   Laryngotracheobronchitis and epiglottitis  
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A tongue blade examination of the throat can cause sudden respiratory arrest in a child with what?   Epiglottitis  
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Characteristics of cystic fibrosis   Bulky, frothy, fou-smelling stools  
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A multisystem disease characterized by an increased viscosity of mucous gland secretions   Cystic fibrosis  
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