Additional Pediatric Questions Flashcards
Foreign body aspiration can mimic the symptoms of what condition?
Croup
When treating a healthy 3 year old for pneumonia, the NP realizes that the MOST likely cause is?
Respiratory virus
Antibiotic that effectively treats atypical pathogens in pneumonia?
Clarithromycin
the “summer cold” pathogen
Enterovirus
the most common cause of croup
parainfluenza
first line therapy for bronchiolitis in children
Supportive measures
What age group is usually affected by croup?
6 months - 5 years old
Croup is usually preceded by a ____?
URI
What typically causes croup?
a virus
How should the nurse practitioner treat a child with mild symptoms of croup
- oral hydration
- minimal handling
- dexamethasone (0.15 mg/kg IM)
- may DC if symp. improve < 3 hours
Moderate to severe croup requires what treatment from the NP?
- humidified O2
- dexamethasone IM x1
- nebulized racemic epi
- s/s should improve within 10 - 30 minutes - or admit to hospital*
What is epiglottitis?
a severe form of croup
What pathogen causes epiglottitis?
Haemophilus Influenzae type B (HiB)
The most common cause of bronchiolitis
RSV
Bronchiolitis usually affects what age group?
< 2 years old
If the NP suspects RSV, what should the NP order to confirm diagnosis?
Viral nasal swap
According to AAP (2015), what treatments are NOT recommended for bronchiolitis?
- Routine RSV testing
- Chest XRAY
- Albuterol
- Corticosteroids
- Antibiotics
- Ribavirin (Antiviral med)
What pathogen causes pertussis?
Bordetella Pertusis
What diagnostic tool will confirm pertussis?
- Rapid Antigen (PCR) nasal swab
OR - nasal aspirate 1st 3 weeks of cough
Community acquired pneumonia is commonly caused by ____ in children
RSV
T/F Bacterial pneumonia is more common in children
FALSE - viral
The organism responsible for most cases of acute bacterial pneumonia in children is:
Streptococcus Pneumoniae
