Oxygenation- Upper Airway Flashcards
Exam 2
A child 2 months of age has congestion in their nose, will the child be able to breathe?
No
children under 4 months are strictly nose breathers and will not use their mouths to breathe
Where are you able to hear the middle lobe of the lung?
the right front or axillary line, NOT from the back
When and why do we use Chest physiotherapy?
in the AM, before meals or 1 hour after, after aerosol treatment, suction after treatment
What is NEBS? when is it done?
meds into airway directly, done by respiratory, done before child eats
What are signs of respiratory distress mainly seen in children?
grunting, croup, retractions, head bobbing, sniffing.
Can happen very quickly
What is a concern if a child that is in respiratory distress?
Dehydration
What assessments are done during a focused assessment of respirations?
o2 saturation, retractions, skin color, position, LOC, cap refill, RR. rhythm, depth, character of breath sounds, cough duration, production, pattern, secretions
Which areas are contractions present?
suprasternal, supraclavicular, intercostal, substernal, subcostal
If a child is retracting in many spots, is this more or less concerning?
MORE, more contractions= higher level of distress
What is Schamroth’s window?
diamond between finger nails that shows there is no clubbing
Apparent Life-threatening Event (ALTE)
or
Brief Resolved Unexplained Event (BRUE)
combo of acute symptoms
apnea, color change, change in muscle tone, chocking, gagging, coughing
What is Apnea?
cessation of respirations lasting longer than 20 seconds
Methylxanthines
medication for ATLE/BRUE
caffeine, stimulates respiratory
Sudden Infant Death Syndrome (SIDS)
sudden death of an infant where a cause of death cannot be confirmed in an infant under 1 year old,
unknown cause, 3rd leading cause of infant death, happens during sleep, higher % in boys
What does an autopsy of a SIDS baby reveal?
pulmonary edema, intrathoracic petechiae
