Acute resp pt2 Flashcards
croup
Swelling or obstruction in region of Larynx
Horse, barky, cough, inspiratory, stridor
Viral croup
Inflammation of mucosal lining of Larynx, trachea and bronchi
Narrowed airway
which stage of viral croup is an emergency
Stage four
Treatment for croup
cool mist and humidity
Avoid cough, syrups and cold meds
Fluids
when should you keep a child NPO for respiratory issues?
Respiratory rate greater than 60 per minute
Epiglottitis
bacterial croup
Life-threatening obstruction/inflammatory process
What causes bacterial croup?
H. Flu B or strep pneumonia
sx bacterial croup
Drooling, sitting forward
Muffled voice, inspiratory, stridor
Tongue protruding
Difficulty swallowing
nursing care for bacterial croup
Notify HCP
No tongue blades
Avoid x-ray and transport
Prep for sedation and intubation
Bronchiolitis
acute viral infection
Inflammation of smaller bronchioles
Thick mucus
what is most likely the cause of bronchiolitis?
RSV
Patho of RSV
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
Transmission of RSV
Direct contact
Droplet-Respiratory secretions
what is often the first signs of RSV in infancy
Apnea
What does RSV progress to?
increased RR
Air hunger
Retraction
Cyanosis
dx testing for RSV
PCR
Snog viral culture
what is the optimal treatment for RSV?
Suction
Hydration
Strict I/O
Pertussis
Whooping cough
Who is pertussis most common
unimmunized <4, >10
what symptom is seen in infants less than six months old?
Apnea
What symptom is seen in infants greater than six months old?
Paroxysmal cough
tuberculosis risk factors
Adolescent girls
Stress, illness, steroids
Concurrent infection
what is the main focus of treatment/evaluation for TB patients
Adequate nutrition
apnea of infancy
ALTE
Greater than 37 weeks gestation
Apnea greater than 20 seconds
education for parents with infants with continuous monitor
CPR
Attend to infant, not monitor
No extension cords
Interference from TV, radio, etc.
Emergency number on hand
SIDS
sudden infant death syndrome
Less than one year old during sleep
what is the peak age for SIDS to occur?
2 to 4 months
risk factors of SIDS
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
sleep standards for infants
On back
No blankets, pillows, bumpers
Don’t cosleep
