Exam 1 Module 4 Flashcards

1
Q

What type of acute infection is the most common caus of illness in an infant or child

A

Acute infection of the respiratory tract

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2
Q

Are tongues larger in infants than in adults?
- can a displacement of the tongue quickly cause an airway obstruction

A

yes and yes

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3
Q

why is it bad that children have an airway that is short and narrow in infants and children

A

If edema or mucus is present it can easily cause obstruction
- Allows for infections to travel quickly to the lower airways

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4
Q

Do children have a significantly higher or lower metabolic rate which either increases or decreases O2 demand?

A

Have a higher metabolic rate which requires a higher demand for O2

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5
Q

What RSV?
- what is it?
- is it contagious?
What is bronchiolitis?

A

RSV is a virus that causes acute inflammation of the bronchioles and small bronchi
- yes
- lower resp. tract illness causing inflammation and obstruction of bronchioles caused by RSV

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6
Q

RSV causes air to be allowed __ but mucus and airway leads to difficulty getting air ___ and this causes what?
- The pathophysiology can lead to what?

A

Wheezing and crackles in the airway
- apnea and pulmonary edema

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7
Q

Why does RSV put patients at risk for resp. failure

A

Carbon dioxide levels increases and O2 decreases

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8
Q

How can RSV spread

A

droplet and contact with contaminated surfaces/items

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9
Q

What are the risk factors for RSV
- what age for infants is it highly likely
- its at greater risk for those who have/are

A

Infants < 6 months
- born prematurely
- born with CHD
- weak immune system
- exposed to secondhand smoke

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10
Q

Is good hand hygiene good at preventing disease?
- is avoiding crowds and not sharing items with people are sick a good idea for disease prevention

A
  • of course!
  • Yes
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11
Q

What are the CDC recommendations for RSV at
- Adults 60+?
- Infants?
- Pregnant individuals

A

Adults: a single dose of RSV vaccine
- Infants: single dose < 8 months born at 1st RSV season, 1 dose for 8-19 months who are at risk for severe RSV disease
- Pregnant: 1 dose of maternal RSV vaccine during weeks 32-36

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12
Q

What vaccine is an RSV F protein inhibitor monoclonal antibody that boosts the immune systems to slow/stop th spread of RSV

A

Synogis

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13
Q

Synagis prevents RSV in children < __ months who are at high risk for developing ___ and have underlying conditions

A

24 months; RSV

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14
Q

Is Synagis qualified for those who are born at or before 35 weeks and are 6 months of age or less at the start of RSV season?

A

YES

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15
Q

What is Beyfortus

A

Long-acting monoclonal antibody given via IM injection for prevention of RSV lower resp. tract disease in neonates and infants BORN DURING OR ENTERING THEIR FIRST RSV SEASON

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16
Q

What weeks of pregnancy is recommended to give Abrysvo?

A

32-36 weeks of pregnancy

17
Q

Clinical manifestation of RSV
- what are the clinical manifestations?
- What does it do to the airway
- what are emergent symptoms

Severe cases?

A
  • Rhinorrhea
  • Nasal Congestion
  • Cough
  • Sneezing
  • Intermittent low-grade fever
  • Difficulty feeding
  • coughing
  • wheezing
  • tachypnea
  • excessive secretions
  • buildup of thick secretions that block and obstruct airways if not cleared

emergent symptoms:
- Nasal flaring
- Sternal retractions
- Gruntin
- Adventitious breath sounds
- Cyanosis
- Hypoxia

Severe:
Apneic spells

18
Q

What are the diagnostic tests for RSV
- one involves a nasal swab
- Which looks for genetic material from the RSV
- Which is a chest scan?
- What is an acronym for arterial blood gas?

A

-rapid RSV antigen detection test (nasal swab)
- RT-PCR (molecular tests
- Resp. pathogen panel
- Chest x-ray
- ABG

19
Q

Those currently admitted for RSV are treated with what

A

hypertonic solution
- reduces the edema and improve mucous clearance

20
Q

Treatment for RSV pediatrics

A
  • Oral and IV hydration
  • ## nasal suctioning
21
Q

What is the biggest prioritization for child with RSV

A

Airway

22
Q

What is CF
- what can CF lead to?

A
  • inherited disorder
  • mutation in protein CFTR gene
  • increased secretion of mucus and obstructs airway and organs
  • leads to infection and impaired gas exchange
23
Q

is there an increase in sodium and chloride content of sweat for CF

A

yes

24
Q

do parents both need to carry the recessive trait of CF?

A

yes

25
Q

What can be clinical manifestations/reasons for CF

A

Family Hx
- freq. resp. infections
- FTT
- Meconium ileus at birth

26
Q

With CF, what happens to the liver, pancreas, and integumentary?

A

liver
- bile duct blocked by mucus

Pancreas
- Mucus secretion leads to pancreatic duct clogged
- no pancreatic enzymes, cant absorb fat and protein

Integumentary
- salty sweat, tears, saliva

27
Q
A