Acute resp pt2

Question 1

croup

Answer 1

Swelling or obstruction in region of Larynx

Horse, barky, cough, inspiratory, stridor

Question 2

Viral croup

Answer 2

Inflammation of mucosal lining of Larynx, trachea and bronchi

Narrowed airway

Question 3

which stage of viral croup is an emergency

Answer 3

Stage four

Question 4

Treatment for croup

Answer 4

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

Question 5

when should you keep a child NPO for respiratory issues?

Answer 5

Respiratory rate greater than 60 per minute

Question 6

Epiglottitis

Answer 6

bacterial croup
Life-threatening obstruction/inflammatory process

Question 7

What causes bacterial croup?

Answer 7

H. Flu B or strep pneumonia

Question 8

sx bacterial croup

Answer 8

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

Question 9

nursing care for bacterial croup

Answer 9

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

Question 10

Bronchiolitis

Answer 10

acute viral infection
Inflammation of smaller bronchioles
Thick mucus

Question 11

what is most likely the cause of bronchiolitis?

Answer 11

RSV

Question 12

Patho of RSV

Answer 12

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

Question 13

Transmission of RSV

Answer 13

Direct contact
Droplet-Respiratory secretions

Question 14

what is often the first signs of RSV in infancy

Answer 14

Apnea

Question 15

What does RSV progress to?

Answer 15

increased RR
Air hunger
Retraction
Cyanosis

Question 16

dx testing for RSV

Answer 16

PCR
Snog viral culture

Question 17

what is the optimal treatment for RSV?

Answer 17

Suction
Hydration
Strict I/O

Question 18

Pertussis

Answer 18

Whooping cough

Question 19

Who is pertussis most common

Answer 19

unimmunized <4, >10

Question 20

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

Answer 20

Apnea

Question 21

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

Answer 21

Paroxysmal cough

Question 22

tuberculosis risk factors

Answer 22

Adolescent girls
Stress, illness, steroids
Concurrent infection

Question 23

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

Answer 23

Adequate nutrition

Question 24

apnea of infancy

Answer 24

ALTE
Greater than 37 weeks gestation
Apnea greater than 20 seconds

Question 25

education for parents with infants with continuous monitor

Answer 25

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

Question 26

SIDS

Answer 26

sudden infant death syndrome Less than one year old during sleep

Question 27

what is the peak age for SIDS to occur?

Answer 27

2 to 4 months

Question 28

risk factors of SIDS

Answer 28

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

Question 29

sleep standards for infants

Answer 29

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