March 23-25 Flashcards
first indicator of obstruction in young children (respiratory)
Tachypnea
when children is in hypoxia they become?
anxious and restless
clubbing happens because?
of increase capillary growth as body attempts to supply more oxygen routes
extra or abnormal breathing sounds
adventitious sounds
obstruction in the nose or pharynx what sound
rhonchi
obstruction at the base of the tounge or larynx
laryngeal stridor
obstruction in the lower trachea or bronchioles
Wheezing
alveoli become fluid-filled, fine crackling sounds
rales
elongated anteroposterior diameter of the chest
pigeon breast
Reduce hospitalization for asthma in children under 5
years of age from baseline of 41.4 out of 10,000
children to a target level of
18.1 out of 10, 000
children.
Reduce invasive pneumococcal infections in children
younger than
5 years from 20.3 out of 10. 000 children
Increase the proportion of children 6 months to 2
years of age who are immunized yearly against
seasonal influenza from 25% to
80%
is a common diagnostic category used in
this cases.
“Ineffective airway clearance”
related to edema and constriction of airway (Nx)
“Ineffective airway clearance”
“Ineffective airway clearance” AEB
Abnormal breath sounds (crackles, rhonchi, wheezes) Abnormal respiratory rate, rhythm, and depth Dyspnea Excessive secretions Hypoxemia/cyanosis Inability to remove airway secretions Ineffective or absent cough Orthopnea
“Ineffective breathing pattern” may be related to:
Increased work of breathing
Inflammatory process
Tracheobronchial obstruction
“Anxiety” : may be related to
Change in the health status of the infant or small child
Threat of or actual hospitalization of infant/small child
Collaborative nursing interventions in the care of a child
with respiratory dysfunction include:
suctioning to remove respiratory secretions,
administering oxygen, and providing humidification
expectorant therapy to help maintain clear airways.
(Expectorants are medications or natural ingredients that help clear mucus from
the airways).
independent nursing functions: respi
placing a child in an upright position to help the child cough more
effectively; (Support the patient’s airway and allows drainage of secretions)
providing an interesting exercise to teach a child the importance of
strengthening chest muscles; (push-ups, sit-ups, pull-ups, and tug-of-war)
supporting a child and family through the anxiety created when a
child is not breathing normally;
teaching parents of a child with chronic respiratory dysfunction the
basics of percussion or chest physiotherapy techniques.
types of inhalers
Metered dose (MDI) Dry powder (DPI) Soft mist (SMI)
Antialergenic agents
Budesonide
Cromolyn Sodium
Bronchodilators med
Salbutamol
Tarbutaline
Anto cholinergic
Anesthetics
Opiods
Mucolytic agents
Acetein
Mistabron