M - 11 - Respiratory Distress - Pediatric Flashcards
For the pediatric respiratory distress, oxygen should be titrated to _____.
A. over 90%
B. Over 92%
C. Over 94%
D. Over 96%
C. Over 94%
For the pediatric respiratory distress, what are the S/S that would indicated possible sepsis?
fever, decreased PO intake, dehydration
For the pediatric respiratory distress, if no inspiratory stridor is present, what is administered first?
A. Methylprednisone IV
B. Albuterol/Ipratropium
C. NS bolus at 20 mL/kg
D. Prednisone PO
B. Albuterol/Ipratropium
In pediatric respiratory distress, what is the dose of albuterol/Ipratropium?
6 mg nebulized albuterol
1 mg ipratropium
What is the mechanism of action of albuterol?
alpha and beta receptor agonist, which acts to:
- Increase heart rate, increase cardiac contractility, increase peripheral vasoconstriction (alpha effects)
- Promote bronchodilation (beta effects)
What is the mechanism of action of ipratropium?
Acts to reduce bronchoconstriction by blocking muscarinic receptors in bronchial smooth muscle.
Ipratropium is a compound produced by mixing isopropyl bromide and _____.
atropine
In peds respiratory distress, what are the mild/moderate S/S that would prompt administration of steroids?
- No retractions
- No extremis (hypotension, AMS, etc.)
- No bronchospastic waveform on capnography
- ETCO2 under 35 mmHg with increased RR
- No hypoxia (SpO2 under 94%)
In peds respiratory distress, assessment of severe bronchospasm includes what findings during physical?
- prior intubation
- prior ICU stay
- Hx of asthma
In severe peds respiratory distress and not with suspected croup, what should be administered quickly?
A. 1:1,000 epinephrine IM
B. 5 mg albuterol
C. 125 mg solumedrol
A. 1:1,000 epinephrine IM
S/S of croup:
- Severe inspiratory and expiratory stridor (seal-like cough)
Initial treatment for croup involves ______.
humidified oxygen
Stridor at rest in the peds respiratory distress patient should be given ______.
nebulized albuterol
