Chapter 30 PEDS Pulmonary Flashcards
1
Q
Viral Croup
A
- Common in children 6 months to 5 years
- Commonly caused by parainfluenza
- Subglottic inflammation and edema
- Usually occurs after an episode of rhinorrhea, sore throat, low-grade fever
- Barking cough
- Most resolve within 24-48 hours
2
Q
Tonsillar infections
A
- Incidence of tonsillitis secondary to GABH and MRSA has risen in the past 15 years
- Complication of viral infection
- Can lead to upper airway obstruction
- Tonsillar and peritonsillar abscess
3
Q
OSA (2)
A
- Partial or intermittent
- Airway narrowing, increased upper airway collapsibility, and airway inflammation
4
Q
OSA Treatment
A
- -Tonsillectomy
- Adenoidectomy
- CPAP
5
Q
Surfactant Deficiency Disorder
A
- Lack of adequate surfactant
- Primarily a disease of preterm infants
- Caused by surfactant deficiency
6
Q
When is surfactant produced?
A
At the end of pregnancy
7
Q
Surfactant deficiency disorder causes….(2)
A
- Widespread atelectasis
- Causes hypoxemia
8
Q
Symptoms of Surfactant Deficiency Disorder (4)
A
- Tachypnea
- Expiratory grunting
- Nasal flaring and retractions
- Cyanosis]
9
Q
Cystic Fibrosis inheritance type?
A
-Autosomal recessive
10
Q
Cystic fibrosis characteristics
A
- Mucus plugging
- Chronic inflammation
- Chronic infection of small airways
11
Q
What cells does cystic fibrosis affect
A
Mucus producing cells
12
Q
Causes of cystic fibrosis
A
-Defective gene alters a protein that regulates the normal movement of salt in and out of cells
13
Q
Diagnostics for Cystic Fibrosis
A
- Sweat test (chloride >60mEq/L)
- PFT
- Genetic testing
- CXR
14
Q
Cystic fibrosis treatment (4)
A
- Antibiotics
- Mucus-thinning drugs
- Bronchodilators
- Bronchial airway drainage
15
Q
Cystic fibrosis prevention (4)
A
- Immunizations
- Pneumovac
- Good hand washing
- Prevent infection