Acute resp pt2 Flashcards

1
Q

croup

A

Swelling or obstruction in region of Larynx

Horse, barky, cough, inspiratory, stridor

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2
Q

Viral croup

A

Inflammation of mucosal lining of Larynx, trachea and bronchi

Narrowed airway

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3
Q

which stage of viral croup is an emergency

A

Stage four

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4
Q

Treatment for croup

A

cool mist and humidity
Avoid cough, syrups and cold meds
Fluids

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5
Q

when should you keep a child NPO for respiratory issues?

A

Respiratory rate greater than 60 per minute

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6
Q

Epiglottitis

A

bacterial croup
Life-threatening obstruction/inflammatory process

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7
Q

What causes bacterial croup?

A

H. Flu B or strep pneumonia

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8
Q

sx bacterial croup

A

Drooling, sitting forward
Muffled voice, inspiratory, stridor
Tongue protruding
Difficulty swallowing

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9
Q

nursing care for bacterial croup

A

Notify HCP
No tongue blades
Avoid x-ray and transport
Prep for sedation and intubation

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10
Q

Bronchiolitis

A

acute viral infection
Inflammation of smaller bronchioles
Thick mucus

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11
Q

what is most likely the cause of bronchiolitis?

A

RSV

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12
Q

Patho of RSV

A

Epithelia wall swell , protrude into lumen

lose Cilia

fill With mucus and exudate

Bronchial walls infiltrated with inflammatory cells

Dead luminal sells shed into bronchioles

Small airway obstruction – hyper inflation

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13
Q

Transmission of RSV

A

Direct contact
Droplet-Respiratory secretions

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14
Q

what is often the first signs of RSV in infancy

A

Apnea

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15
Q

What does RSV progress to?

A

increased RR
Air hunger
Retraction
Cyanosis

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16
Q

dx testing for RSV

A

PCR
Snog viral culture

17
Q

what is the optimal treatment for RSV?

A

Suction
Hydration
Strict I/O

18
Q

Pertussis

A

Whooping cough

19
Q

Who is pertussis most common

A

unimmunized <4, >10

20
Q

what symptom is seen in infants less than six months old?

A

Apnea

21
Q

What symptom is seen in infants greater than six months old?

A

Paroxysmal cough

22
Q

tuberculosis risk factors

A

Adolescent girls
Stress, illness, steroids
Concurrent infection

23
Q

what is the main focus of treatment/evaluation for TB patients

A

Adequate nutrition

24
Q

apnea of infancy

A

ALTE
Greater than 37 weeks gestation
Apnea greater than 20 seconds

25
Q

education for parents with infants with continuous monitor

A

CPR
Attend to infant, not monitor
No extension cords
Interference from TV, radio, etc.
Emergency number on hand

26
Q

SIDS

A

sudden infant death syndrome
Less than one year old during sleep

27
Q

what is the peak age for SIDS to occur?

A

2 to 4 months

28
Q

risk factors of SIDS

A

Male
Native American/African-American/hiSpanic
Premature
Unsafe sleeping
Overheating
Bottle-fed
Poor prenatal care
Later birth order
Low Apgar score
Pre-and post natal smoking

29
Q

sleep standards for infants

A

On back
No blankets, pillows, bumpers
Don’t cosleep