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Peds Exam 2 > Oxygen & Respiratory Therapies > Flashcards

Oxygen & Respiratory Therapies Flashcards

1
Q

Inhalation Therapy - Nebulized Aerosol Therapy

patho

A

The process of nebulization breaks up meds into minute particles that are then dispersed throughout the resp tract. These droplets are much finer than those created by inhalers

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2
Q

Inhalation Therapy - Nebulized Aerosol Therapy

indications

A
  • Resp conditions that requires:
    > bronchodilators
    > corticosteroids
    > mucolytics
    > antibiotics
  • Chronic respiratory conditions
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3
Q

Inhalation Therapy - Nebulized Aerosol Therapy

preparation

A
  • Intrust child & family tht treatment can take 10-15mins
  • Determine if child should use a mouthpiece, mask, or blow-by
  • Take VS & O2 sat preprocedure
  • Pour medication into small container & attach device to an air or oxygen source
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4
Q

Inhalation Therapy - Nebulized Aerosol Therapy

ongoing care

A
  • Encourage child to take slow, deep breaths
  • Watch for local tracheal or bronchial effects
    > spasms, edema
  • Assess VS, O2 sat, & lungs sound at completion
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5
Q

Inhalation Therapy - Nebulized Aerosol Therapy

education

A
  • Teach family how to operate home nebulizer
  • Teach family abt AEs
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6
Q

Inhalation Therapy - Metered-Dose Inhaler/Dry Powder Inhaler

patho

A

These are handheld devices tht allow children to self-administer meds on an intermittent basis

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7
Q

Inhalation Therapy - Metered-Dose Inhaler/Dry Powder Inhaler

indications

A
  • Asthma
  • Resp Conditions tht Require:
    > bronchodilators
    > corticosteriods
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8
Q

Inhalation Therapy - Meterd-Dose Inhaler/Dry Powder Inhaler

preparation

A
  • Remove cap
  • Shake 5-6 times
  • Attach spacer
  • Hold inhaler w/ mouthpiece at bottom
  • Hold inhaler w/ thimb near mouthpiece, index & middle fingers at top
  • Tilt head back and inhale 3-5 seconds
  • Hold breath for 5-10 seconds
  • Wait 1 minute btwn puffs
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9
Q

Inhalation Therapy - Metered-Dose Inhaler/Dry Powder Inhaler

education

A

Rinse mouth after use

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10
Q

Inhalation Therapy - Metered-Dose Inhaler/Dry Powder Inhaler

concerns w/ steriod use

A

Growth stunts

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11
Q

What med should you give prior to chest physiotherapy?

A

Bronchodilator
as well as, before eating or a few hours after

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12
Q

Chest Physiotherapy

A
  • A set of techniques tht include manual or mechanical percussion, vibration, cough, forceful expiration, & breathing exercises
    > loosen resp secretions & move them into central airways, eliminated by coughing or suctioning
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13
Q

Chest Physiotherapy - Indications

A
  • Cystic Fibrosis
  • Thick secretions w/ an inability to clear airway
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14
Q

Chest Physiotherapy - Contraindication

A
  • Dcrd cardiac reserves
  • Pulmonary embolism
  • Incr intracranial pressure
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15
Q

Chest Physiotherapy - Preprocedure Nursing Actions

A
  • Before meals
  • OR 1hr after meals
  • HS to dcr vomiting or aspiration
  • Administer bronchodilator prior
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16
Q

Chest Physiotherapy - Postprocedure Nursing Actions

A
  • Auscultate lungs
  • Assess amnt, color, & character of secretions
  • Document interventions & repeat as prescribed
17
Q

Oxygen Therapy

A
  • Incrs oxygen concentration
  • Delivered via nasal cannula, face mask, face tent, CPAP, BiPAP, tent, hood, mech vent
  • Humidification moistens airways
  • Monitor VS & O2
18
Q

Oxygen Therapy - Indications

A
  • Hypoxemia
    > develops when there is inadequate lvl of oxygen in blood
    > hypovolemia, hypoventilation, & interruption of arterial flow can lead to hypoxemia
19
Q

Hypoxemia - Early CMs

A
  • Tachypnea
  • Tachycardia
  • Restlessness
  • Pallor of skin & mucous membranes
  • Resp distress
    > use of accessory muscles, nasal flaring, tracheal tuggies, adventitious lung sounds
20
Q

Suctioning - Indications

A

To remove mucus plugs & excessive secretions

21
Q

Suctioning - Pt Presentation

A
  • Early manifs of hypoxemia
    > restlessness
    > tachypnea
    > tachycardia
    > dcrd O2 lvls
  • Adventitious breath sounds
  • Visualization of secretions
  • Cyanosis
  • Absence of spontaneous cough
22
Q

Respiratory Distress

A
  • Incrd rate & work of breathing
  • Retractions
  • Nasal flaring
  • Head bobbing
  • Use of accessory muscles
  • Grunting
  • Anxiety (incrd HR)
  • Child wants to sit upright
23
Q

Respiratory Failure

A
  • When compensatory mechanism fail
    > leads to change in mental status
  • Desat
  • Cyanosis
  • Little air entry (gasping)
  • Head bobbing
  • Seesaw resps
  • Stridor

Peds Exam 2 (23 decks)

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