part 6

Question 1

What diagnosis might require racemic epinephrine?

Answer 1

croup

Question 2

• acute viral infection that occurs primarily in winter and spring
• RSV accounts for 80% of all cases of this
• transmission is commonly from not washing hands
• infants younger than 2 months are often hospitalized for this

Answer 2

Bronchiolitis

Question 3

How long can RSV live on skin, paper, and cribs?

Answer 3

skin and paper - 1 hour

cribs - up to 6 hours

Question 4

What are the symptoms of bronchiolitis?

Answer 4

-URI symptoms for several days followed by:
tachypnea, dyspnea
inspiratory and expiratory wheezing, crackles, rhonchi, cough, nasal stuffiness
retractions (ribs) with or without nasal flaring
cyanosis

Question 5

How is bronchiolitis usually treated?

Answer 5

• at home with fluids, humidification, and rest
• if hospitalized: isolation and elevate HOB
• no abx

Question 6

What can infants who are at risk for RSV get to prevent?

Answer 6

• Nov-April Synagis injections
• premature infants
• less than 2 years with chronic lung disease, heart disease, or immunocompromised

Question 7

What are the 3 signs that indicate a child is truly choking, requires immediate action, and can die within 4 minutes?

Answer 7

1. cannot speak
2. cyanotic
3. collapses

Question 8

Should you ever perform a blind sweep?

Answer 8

no

Question 9

Therapeutic management of foreign body aspiration.

Answer 9

• older than 1 year abdominal thrust

- less than 1 year back blows

Question 10

What makes asthma different in children compared with adults?

Answer 10

• smaller airway and undeveloped supporting cartilage
• rapid development of alveoli from birth to age 3 years
• flexible rib cage and underdeveloped chest muscles and diaphragm

Question 11

• Wheezing, crackles
• breathlessness and SOB
• chest tightness
• cough, especially at night or in early morning
• prolonged expiration

Answer 11

clinical manifestations of asthma