CHILD DISORDERS (RESPI - intro x assessment) Flashcards
Lower respiratory tract
Bronchi
Bronchioles
Alveoli
Inspiration function
- Delivers WARM and MOISTENED air to the alveoli
- Transport oxygen across the alveolar membrane
Expiration function
Allows carbon-filled air to DISCHARGE
what are the 4 factors that Increases the Respiratory Rate
- Diminished PO2 levels
- Increased PCO2 levels
- Increased body acidity
- Temperature and Blood Pressure
A series of expiratory coughs after a deep inspiration
Paroxysmal Cough
Caused by the stimulation of the nerves of the respi tract mucosa by the presence of dust, chemicals, mucus, inflammation
COUGH
This increases the chest pressure decreasing the venous return to the heart
COUGH
An increased respi rate
Tachypnea
A decreased respi rate
Bradypnea
When should you count respiration rate when assessing a child ?
Before waking the child
Non-rigid part of the chest draws INWARD because of DECREASED INTRAPLEURAL PRESSURE
RETRACTIONS
Can be an effect of hypoxia
RESTLESSNESS
Blue tinge to the skin which can indicate hypoxia
CYANOSIS
Change in the angle between the fingernail and the nailbed because of increased capillary growth in fingertips
CLUBBING OF FINGERS
Softer and Longer Inspiratory Sound
VESICULAR BREATHING
Longer and softer expiratory sound
TUBULAR or BRONCHIAL BREATHING
Snoring sound which can connote obstruction in the nose and pharynx
RHONCHI
Extra of abnormal breath sound
ADVENTITIOUS BREATH SOUND
Harsh sound on inspiration which can connote obstruction at the base of the tongue or in the larynx
STRIDOR
Expiratory whistle sound
WHEEZE
Fine crackling sound over the alveoli
RALES
Elongated anteroposterior diameter of the chest caused by trapped air
PIGEON CHEST
4 components of BGA
- Partial pressure of O2
- Partial pressure of CO2
- pH
- HCO3 / carbonic acid
invasive method of determining the effectiveness of ventilation and acid-base status
BLOOD GAS ANALYSIS (BGA)
non invasive technique to measure the oxygen saturatio
PULSE OXIMETER
Continuous, non-invasive technique to measure oxygen saturation; electrodes heated to 44 C attached to the chest causing vasodilation and brings peripheral arterial blood to the surface
TRANSCUTANEOUS OXYGEN MONITORING
Reveals information about microorganisms causing the diseases of Upper Respi Tract Infection
NASOPHARYNGEAL CULTURE
Diagnose an infection by the syncytial virus
saline instilled to the nose and then aspirated and send to lab for analysis
RSVNW / Respiratory Syncytial Virus Nasal Washings
Analysis of sputum; deep breathing for cough progression
SPUTUM ANALYSIS
Shows areas of infiltration or consolidation lungs
CHEST X RAY
Introduction of radiopaque solution in respi tract through USN (Ultrasonic Nebulizer) or catheter
BRONCHOGRAPHY
Measure force of inertia, elasticity and flow resistance
PULMONARY FUNCTION STUDIES
Device used for Pulmonary Function Studies
SPIROMETER
