CHILD DISORDERS (RESPI - Therapeutic Techniques) Flashcards
Types of expectorant therapy
- Liquefying agents
- humidification
- Nebulizers
- Coughing
- Chest Physiotherapy
- Mucus clearing therapy (Flutter device)
used to liquefy mucus
Liquefying agents
Emit a stream of air moistened by fine droplets of water into a room, providing either a warm or cool mist in the entire room
HUMIDIFICATION
mechanical device that provide a stream of moistened air directly into respi tract
NEBULIZERS
effective method of raising mucus
COUGHING
Involves changing the child’s position to help move mucus, initiate cough and be expelled
CHEST PHYSIOTHERAPY
Types of chest physiotherapy position and drainage pathway
- Trendelenburg; removes mucus from lower lobes and bronchi
- Semi-fowler’s; drains mucus from the anterior bronchi
- Supine; drains mucus from the anterior bronchi
- Prone; Drains mucus from the posterior bronchi
3 techniques of chest physiotherapy
> Postural drainage
Percussion (cupping)
Vibration
looks like a small plastic pipe where the child breathes in and the ball inside the device causes vibration in to the lungs
MUCUS CLEARING DEVICE (Flutter Device)
Elevate the arterial o2 saturation level by supplying more oxygen to the RBC
Oxygen Administration / Therapy
Pharmacologic therapies
> Nasal Spray: Oxymetazoline (Afrin)
> Antihistamines: Loratadine (Claritin)
> Decongestants: Pseudoephedrine (Sudafed)
Expectorants: Guaifenesin (Mucinex)
> Bronchodilator: Salbutamol (Ventolin)
> Antibiotic: Amoxicillin
> Corticosteroids: Prednisone
> Metered Dose Inhalers (MDI): Fluticasone-Salmeterol (Advair)
a hand held device used to provide a route of medication administration directly into the respiratory tract
MDI or Metered Dose Inhaler
Device encourages children to inhale deeply to aerate the lungs fully and move mucus
INCENTIVE SPIROMETRY
helps better inflate and more fully empty the alveoli
BREATHING TECHNIQUES
Types of breathing techniques
Blowing a cotton
Pursed lip breathing
Blowing a balloon
Opening into the trachea to create an artificial airway to relieve respiratory obstruction that had occurred above the point
TRACHEOSTOMY
Procedure to create airway in the cricoid cartilage
Tracheostomy
Remove mucus from the respi tract with the use of a catheter; done every 15 mins for 15 secs
SUCTIONING TECHNIQUE
Nasal or oral intubation; preferred means of bypassing the upper airway obstruction and allowing free air to the trachea
ENDOTRACHEAL INTUBATION
Device that measures the amount of CO2 in inhaled or exhaled breaths
CAPNOMETER
Positive pressure machine which delivers moistened or nebulized air or oxygen to the lungs under enough pressure and with appropriate timing
ASSISTED VENTILATION
May involve a single lung or can be done in conjunction with a heart transplant
LUNG TRANSPLANTATION