L6/7 Cardiopulmonary & Pain Flashcards

1
Q

Asthma

A
  • obstructive pulmonary disease, episodic periods of reversible narrowing by way of airway inflammation
  • most common chronic childhood disease
  • 20% of those with asthma at 7 will have asthma at 42
  • presents as prolonged exhalation time
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2
Q

Etiology of Asthma

A

genetics
infection
environment (air quality, air pollution, allergens, cold/dry air)

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3
Q

Exacerbations of Asthma

A

irritant
virus
cigarette smoke

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4
Q

Asthmatic Airway vs normal airway

A

wall is inflammed and thickened

during an asthma attack, the smooth muscles become tight, and air becomes trapped in the alveoli

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5
Q

PT’s role with asthma

A
  • encourage aerobic conditioning
  • monitor impact of inhaled corticosteroids
  • help with medication use and timing
  • longer warm up period
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6
Q

Outcome measure for asthma

A

pediatric asthma QOL questionnaire

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7
Q

Exercise induced bronchospasm

A
  • defined by s/s within 5-10 min of exercise with intensity of 70-85%
  • may include airway narrowing that occurs anytime during or immediately after exercise
  • resolves spontaneosusly within 20-30 min
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8
Q

S/S of EIB

A
  • SOB
  • wheezing
  • cough
  • tightness of chest
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9
Q

Refractory EIB

A

repeated bouts of exercise within 2 hours of of the initial episode (EIB) will not exacerbate EIB

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10
Q

Cystic Fibrosis

A
  • autosomal recessive, genetically inherited disease
  • thick, viscous secretions by excretory glands
  • decreased enzymatic production in GI tract
  • commonly impacts pulmonary system with obstruction of airways, resulting in hyperinflation, infection, tissue destruction
  • child may have concurrent failure to thrive due to GI issues
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11
Q

Airways with cystic fibrosis

A
  • thick sticky mucus blocks airway
  • dilated airway
  • blood in mucus
  • bacterial infection
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12
Q

PT role with CF

A
  • secretion removal techniques
  • education
  • aerobic exercise program
  • bladder control techniques
  • medication, environmental controls, navigating health care system
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13
Q

Common thing parent says with CF

A

“my baby tastes salty”

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14
Q

Congenital cardiac defects

A
  • structural anomalies that allow for an alternative route of blood through CVP systems or obstruct usual rote of blood flow
  • usually require surgical intervention if they are symptomatic
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15
Q

PT role with congenital cardiac defects

A
  • preoperative and post operative care
  • positioning
  • modifications for exercise activity
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16
Q

Neurodevelopmental effects of congential cardiac defects

A

decreased brain volume
mild motor deficits
language deficits
impacted participation

17
Q

Can you use the borg scale with kids?

A

YES

18
Q

WeeFIM 2

A

used for kids with congenital or acquired diseases to measure function

19
Q

Pediatric Pain

A

Acute (traumatic, burns)
Chronic (disease)
Combo

20
Q

Pain presentation in kids

A
  • verbal
  • crying, screaming, grunting
  • grabbing body part, limping
  • change in pace, energy level, agitation level, movement, facial expression
  • change in want for touch/support from others (either increased or decreased)
21
Q

Components of pain to address

A

behavioral
emotional
functional
physical

22
Q

Faces pain scale

A

used as a way to determine pain level of a child if they aren’t able to verbally share

23
Q

Pain mgmt action items

A
  • look at communication and alertness
  • recognize disparities between children of color
  • engage with multiple disciplines, use peds pain programs, use PT/exercise
  • pain attention to child’s baseline
  • believe the patient
24
Q

Face, Legs, Activity, Cry, Consolability Behavioral Pain Scale

A

reliable and valid for children with cognitive impairments

25
Q

Pain self-assessment for kids

A

Wong-Baker FACES
for ages 3+

26
Q

Pressure Injuries Prevention

A

Manage prevent and avoid:
immobility
shear
friction
mositure

27
Q

Transfers for kids

A
  • execute safe transfers every time
  • education for families, caregivers, other providers
  • includes beds, toilets, stretchers, w/c
28
Q

Stages of pressure injury

A
  • 1: intact skin
  • 2: partial thickness loss
  • 3: full thickness loss with visible fat
  • 4: full thickness loss with visible bone, muscle
  • Unstageable: full thickness with slough
  • DTPI: intact or nonintact, deep red or maroon
29
Q

Burns

A
  • 25% of burn injuries in US occur in kids under 15 yrs
  • can be caused by scalding, fires, electric, matches
30
Q

PT role with burns

A
  • acute care includes assessment, functional mobility, positioning, wound care
  • rehab includes management of chronic wounds, functional mobility maintenance
  • outpatient/long term, helping with long term funciton
31
Q

Burn classification

A

Categorization utilizing thickness, zones, identified locations

anatomical proportions change throughout lifespan development, so age matters

child’s function will be dependent on size and location

32
Q

Abuse and disability

A

children with a disability have increased likelihood of being abused or neglected AND may have challenges communicating or physically getting away

33
Q

Abuse recognition

A
  • observation of skin
  • sensitive areas of body
  • unexplained bruises, burns, scars, other signs of trauma