2.7 Clinical Management of the Pediatric Patient w/ CV & PD Flashcards
Specific considerations for infant - 1 yr:
make eye contact w/ and be comforted by parents/primary caretaker
Specific considerations for older infant:
protest when separated when taken from parents/primary caretaker
Specific considerations for toddler 1-3yrs:
protest when separated, resist placement in supine
Specific considerations for preschoolers 3-5yrs:
able to point to painful areas of the body, should be comforted by parents
Specific considerations for young children 6-10yr:s
good concept of body parts and can be comforted by HCP, typically uncomfortable with focus on body
Specific considerations for adolescent 11-14yrs:
intensely private, able to discuss clinical condition and POC
- importance of peers
Specific considerations for teenager 15-18yrs:
peers are crucially important!!
What effects does chemotherapy have on the cardiopulmonary system?
RBC and bone marrow production Fatigue SOB Pulmontoxicity Muscle weakness Cardiotoxcitiy Cardiomyopathy Risk of infection Decrease aerobic capacity
What effects does lung metastases and resection of the lung tissue have?
Decreased lung capacity Reduced V/Q Lung damage Decrease FRC Increase WOB and SOB Inflammation
How will someone with asthma create a worst scenario?
Coughing SOB Inflammation Bronchoconstriction Increase mucus Difficulty breathing Increased WOB and SOB
Airway Clearance Techniques
1) Increase ventilation/respiration
2) Improve O2 transport/functional residual capacity
3) Mobilize secretions
Aerobic Conditioning Exercises
1) Improve aerobic calcification/improve endurance
2) Promote health/wellness, and fitness
3) Prevent 2˚ complications
Active Cycle of Breathing
1) Improve breath control/relaxation
2) Mobilize secretions
