DONT STUDY peds Flashcards
features of chest X-ray birth to 3 months
heart takes more space, angle of rides (flat)
chest structure birth to 3 months
ribs cartilaginous
ribs horizontal, close
lung structure birth to 3 months
less efficient gas exchange
less lung compliance (elasticity)
requires more pressure to expand the lungs
less alveoli available (poor reserve)
airways birth to 3 months
narrow , soft
how to birth to 3 months breath
diaphragm breathers
nose breathers
T/F birth to 3 months higher tidal volume
false, lower TV
T/F birth to 3 months higher RR
true
which has rectangular and triangle chest shape
rect (3-6m), tri (b-3m)
T/F 3-6 months ribs aren’t horizontal
false - they are horiz
3-6 breather types
diaphragm
what happens to RR and TV in 3-6 m
RR DECrease, TV increase
when do ribs start going downward
6-12 months
what phase do major changes in lunge volume, RR, TV etc happen
6-12 months
when does collateral ventilation develop
1-8y
whens pores of Kohn by
1-2y
when canals of Lambert
6-8y
T/f risk of upper airway obstruction due to rapid growth in lymph tissue for 1-8
yes
1-8 breather types
diaphragm , nose
1-8 increase lung compliance T /F
false, decrease lung compliance
subjective questions children
birth history
Feeding
Sleeping
Color changes?
IPPA for children
signs of distress
breathing pattern
quality of cry, cough
signs of respiratory distress in infants
nasals flare
grunting
head bobbing
bradycardia
Inspection of children
chest deformities
scoliosis
finger clubbing
palpation of children
chest wall movement is less apparent
percussion in children
unreliable
auscultation for children
know where the ribs are
bronchopulmonary dysplasia
chronic lung disease for premies
abnormal chest xray
can be lifelong
croup
inflammation / edema in UPPER airways from virus
barking cough
NO PT in acute
bronchiolitis
inflammation lower air ward from virus
PT but cautious
congenital heart defects
lower oxygen saturation , limited energy for acts
heart rate for a new born
100-180
RR new born
30-60