Nsg 210 Peds Resp Word Scramble
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Question | Answer |
What is therapeutic mgmnt for CO poisoning? | 100% O2 and prepare for intubation and tracheostomy |
What are s/s of CO poisoning? | red lips, HA, N, confused |
Both parents have the gene for cystic fibrosis, what is % that child will have CF? % that child will be carrier? | 25% will have CF 50% be carrier |
____ is a hereditary disorder with lung congestion and infection and malabsorption of nutrients by the pancreas | cystic fibrosis |
1 in __________American children are born with CF | 2500 |
What are the main s/s of CF | coughing/wheezing, dry unproductive cough, repeat lung inf., SOB, obstructive emphysema, patchy atelectasis, cyanosis, clubbing, meconium ileus, steatorrhea, prolapse of rectum, poor growth, delay puberty in female, infertility in males, hypoalbuminemia |
Blockage of the pancreas can lead to what disorder in children with CF? | DM |
A parent reports their baby tastes saltier than usual. What test will be performed to dx CF? What values indicate CF? | sweat-chloride test >60mmol/L |
What is the most traditional infectious pathogen for pulmonary infections in children wtih CF? | pseudomonas aeruginosa and burkholderia cepacia |
CF can worsen into what respiratory problems? | hypoxemia, pulmonary hypertension, cor pulmonale, pneumothorax |
CF affects the GI tract by preventing _________ enzymes from reaching the duodenum | pancreatic |
what is azotorrhea | impaired digestion/absorption of protein |
These are all GI problems that can arise with CF | diabetes mellitus, biliary cirrhosis, impaired salivation, wt loss, steatorrhea, azotorrhea |
To diagnose CF when a pt shows patchy atelectasis and obstructuve emphysema, what will be done? | Chest xray |
What will dx a meconium ileus | barium enema |
Steroid use for CF can cause what complications in children | inhibit growth dev, osteoporosis, moon face, DM |
What kind of diet is given to CF pt? | High fat/high protein w/ as much as 150%RDA along with pancreatic enzymes |
What vitamins are needed with CF pt? | Water supplement vit ADEK |
What are signs of resp distress in children | work of breathing (WOB), nasal flaring, retractions, grunting, stridor, wheezing, restlessness, cyanosis, tachycardia |
Pediatric CPR usually follows | respiratory failure or progressive shock called an asphyxial arrest |
An infant is choking, what procedure should be done? | give 5 back blows followed by 5 chest thrusts repeatedly until object is expelled or victim becomes unresponsive |
children who continue to show resp distress despite use of albuterol, epinephrine are considered to be in? s/s? | status asthmaticus s/s: sweat, restlessness |
What is the initial therapy for status asthmaticus? | Three treatments of B2 agonists spaced 20-30 min apart, corticosteroids |
Air is passed in one direction only, inspiration, but air passages diminish not allowing expiration, what degree of obstruction is this? | second degree. 1st degree allows inspiratory and expiratory passage of air. Complete obstruction is just that. |
Croup Syndromes affect what respiratory elements? | infections of epiglottis, larynx |
What vaccine is given against the Haemophilus influenzae? At what age? What resp illness can this prevent? | Hib vaccine, 2mos, Acute Epiglottitis |
Children >5 years increase in what respiratory infections | mycoplasma pneumonia and B-strep infections |
RSV is most common when? mycoplasmal pneumonia inf most common when? Asthmatic bronchitis when? | RSV: winter/spring myco: fall/winter bron: cold weather |
True/False...A steam humidifier is a good therapeutic to put in a child's room that has a respiratory infection? | False, never place steam humidifiers in room cause of risk of burn |
At what age is RSV most common | 6mos - 18mos |
At what age can cough suppressants be given? | 4-5y |
With nasopharyngitis, what is therapeutic mgmt? | antipyretics(tylenol/ibuprofen), decongestants(nasal sprays for only 3 days), cough suppressants(4-5y), antihistamines |
In Pharyngitis, what tests can rule out group A B-hemolytic strep? | Rapid tests throat culture to confirm neg rapid strep test |
What are s/s of pharyngitis? | abrupt onset w/ sore throat, HA, fever, abd pain, cervical lymphadenopathy, tonsils have exudate |
What is taught to parents about toothbrushes with pharyngitis? | discard after 24hr on medication |
Which tonsils are removed in a tonsillectomy? In an adenoidectomy? | palatine tonsils pharyngeal tonsils |
A person is contagious with the flu virus __ day before s/s and up to __days after becoming sick. | 1, 5 |
At what age can you take the flu mist? flu vaccine? | 2-49y 6mos and older adults |
Which antiviral is most used for flu type A? | Amantadine |
which antiviral is used for Flu type A in adults? | rimantidine |
When is Tamiflu given? | within 2 days of s/s for A & B |
What is classic s/s of croup | barking cough, inspiratory stridor |
Epiglottitis, layngitis, LTB, and tracheitis all are called | croup syndromes |
This is an emergency caused by the Haemophilis influenza type B and presents an swollen and red throat | Acute Epiglottitis |
Name the key s/s for epiglottitis | absence of cough, drooling, tripod positioning, inspiratory stridor |
What should a nurse never do in assessing pt with Acute Epiglottits? | examine throat wtih tongue depressor |
Pt complains of hoarseness, what might they have? | Acute Laryngitis |
What is the tx for acute laryngitis? | fluids and humidified air |
What is the most common of the croup syndromes? | laryngotracheobronchitis LTB, caused by RSV and dx by steeple sign on chest xray |
What is the "midnight" croup? tx? | acute spasmodic laryngitis, child 1-3y tx: cool/warm mist |
A nonproductive cough that worsens at night indicates? | bronchitis |
This lower respiratory tract disorder has highest incidence in spring/summer, contagious and affects mainly non-immunized child | whooping cough/pertusis |
You see a pt go into respiratory arrest, what is your immediate action? | Call 911, then CPR. If you don't see pt go down, start CPR. |
Oily nose drops, solvents, talcum powder are all avoided to prevent what? | aspiration pneumonia |
__ is inflammation of the large airways(trachea/bronchi) | bronchitis |
__acute viral infection of bronchioles in children <2y and dx with nasal wash for RSV | bronchiolitis and RSV |
What is tx for severe RSV? | ribavirin, but pregnant workers can not be around |
What is prophylactic for RSV? | RSV-IVIG(infusion monthly), Synagis(IM injection), vial good for 6h |
What are s/s of TB? | fever, night sweats, malaise, wt loss, cough, pallor, fatigue |
A 2y old pt shows a 10mm induration after the Manteaux Test with no past exposure or medical hx, what will nurse do? | report findings and Dr will order chest xray bc shows positive |
A pt has had close contact with TB pt and shows a 5mm induration after skin test, is this person positive for TB? | Yes, this is a positive reaction and will have to follow up with chest xray. |
A child, age 10, shows a 14mm induration after skin test, what will the nurse do? | Document and that's all, not positive for TB |
Who might be tested for TB? | foreign travel/immigrant/exposure to TB/incarcerated/HIV/homeless/institutionalized/drug user/someone who got BCG vaccine |
Drug therapy for TB is what | INH, Rifampin/PZA(pyrazinamide) for 9-12mos |
What is definitive dx for TB | sputum smear |
Waht precautions should nurse take wtih pt wtih TB | airborne precautions/neg pressure room/fitted respirator N95 |
Classic s/s for asthma? At what age is child dx with asthma? | wheezing/dyspnea/coughing after 5y |
Mild Intermittent Asthma? Mild, persistent? moderate, persistent? severe, persistent? | Mild, int: s/s <2x/wk mild, per: s/s >2x/wk, <1x/day mod: daily s/s severe: continual s/s |
How to dx asthma? | PFTs, Peak Exp Flow Rate(max flow of air that can be forcefully exhaled in 1 sec), skin test for allergens |
Name long term meds for asthma | inhaled steroids, Cromolyn sodium/Nedocromil(good for prophylactic tx b4 exercise), Singulair |
Short term meds for asthma | rescue meds: B2 adrenergic agonists(albuterol, metaproterenol, terbutaline) |
Short term anticholinergics | Atrovent(inhaled) |
When are methylxanthines used in asthma tx? | theophylline is 3rd line agent, monitor levels 5-15. |
Which excercise is most tolerated with asthma | swimming |
Created by:
palmerag
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