33 - peds resp. emergencies

Question 1

asthma triggers

Answer 1

1. resp infection most common
2. alleganes
3. cold or humidity
4. airway irritants

Question 2

signs of severe asthma

Answer 2

1. tachyp
2. suprasternal retractions
3. nasal flaring
4. poor air entry
5. lethargy

Question 3

Tx of asthma

Answer 3

1. vitals
2. O2
3. beta-agonist - salbutamol
4. antichol - atrovent
5. corticosteroid
   - for all but minor
6. for sever and refractory - Mg sulfate

Question 4

metered dose Vs. nebulizer

Answer 4

metered dose just as good

Question 5

5 discharge to give

Answer 5

1. salbutamol 4-8puffs
2. pediapred
3. inhaled corticosteroid - fluticasone
4. follow up in 24-48hrs
5. return if increased work of breathing

Question 6

what is bronchiolitis

Answer 6

• resp distress with crackles and wheeze

- usually a viral etiology

Question 7

5 steps to mgmt of bronchiolitis

Answer 7

1. O2
2. hydration in small feeds or IV
3. no pharma
4. admit if: grunting, can’t hydrate orally, o2

Question 8

DC instructions for bronchiolitis

Answer 8

1. frequent small feeds
2. stress that Sx last 2-3 weeks
3. no pharma
4. follow up in 24-48 hours

Question 9

what is croup

Answer 9

viral syndrome presenting with barking cough, hoarse voice, inp. stridor and resp distress

Question 10

4 Tx for croup

Answer 10

1. no humidifier
2. steroids - dexa 0.6-1mg/kg oral - FOR ALL**
3. nebulized epi
4. admit if poor response to dexa or repeated epi required