Oxygenation

Question 1

Children Airway Structures
( Lower Airway )

Answer 1

• Bifurcation of trachea occurs at level three vs six in adults ( Important when suctioning )
• Bronchi and Bronchioles are narrower ( Increased risk for obstruction )
• Smaller number of alveoli ( Higher risk for hypoxemia )

Question 2

Children Airway Structures
( Ribs and Sternum )

Answer 2

• Chest walls are more compliant and pliable
• Can’t support lungs as well

Question 3

Children Airway Structures
( Metabolic Rate / Oxygen )

Answer 3

• Higher metabolic rate
• Resting rates are faster
• Demand for oxygen higher
• Can develop hypoxemia faster

Question 4

Tonsilitis Nursing Assessment

Answer 4

• History of pharyngitis
• Fever
• Childs voice hoarse / muffled
• Redness, enlargement
• Mouth breathe / snore

Question 5

Tonsilitis Surgical Interventions

Answer 5

• Tonsillectomy
• Adenoidectomy

Question 6

Tonsilitis Post Surgery

Answer 6

• Airway clearance ( Side lying / prone , elevation , avoid trauma to surgical site )
• Maintain fluid * Monitor risk for bleeding ( Dried blood may be present, high concern for fresh bleeding, no straws, excess swallowing, discourage coughing, blowing nose )
• Fluid Intake ( Popsicles, ice, avoid acidic juices, avoid red / brown liquids )
• Pain relief ( Liquid meds, round the clock meds wake up at night )
• Education: Pain control, hydration, rest, monitor for bleeding and infection

Question 7

Tonsilitis When to Contact Provider

Answer 7

• Signs of hemorrhage ( frequent swallowing, clearing throat, pallor, restlessness, bright red emesis )
• Signs of infection