Pedatric Respiratory Distress - EXAM 3 Flashcards
1
Q
What should be done if a child appears to be in respiratory distress?
A
- Ask pertinent questions about the child’s behavior
- Assess LOC/interaction with environment
- Check: BP, HR, RR, SpO2
- Place child on cardiopulmonary monitor
- Respiratory Assessment:
- Inspects for nasal flaring
- Assesses for expiratory grunting, coughing, drooling
- Inspects, palpates, and auscultates chest
- Palpates CRT, skin temp, diaphoresis, color, and peripheral pulses
2
Q
Cardinal Signs of a child in respiratory failure
A
- Restlessness
- Tachypnea
- Tachycardia
- Diaphoresis
- Flaring nares
- Chest wall retractions
- Expiratory grunt
- Wheezing or prolonged expiration
3
Q
Early but less obvious signs of a child in respiratory failure
A
- Mood changes (euphoria or depression)
- Headache
- Altered depth and pattern of respirations
- Hypertension
- Exertional dyspnea
- Anorexia
- Increased cardiac output
- Increased renal output
- Central nervous system symptoms
- decreased efficiency
- impaired judgement
- anxiety
- confusion
- restlessness
- irritability
- depressed level of consciousness
4
Q
Severe signs of a child in respiratory failure
A
- Hypotension or hypertension
- Dimness of vision
- Somnolence
- Stupor
- Coma
- Dysnpea
- Depressed respirations
- Bradycardia
- Cyanosis, peripheral or central
5
Q
Procedures for Maintaining Respiratory Function
A
- Inhalation
- Bronchial (Postural) Drainage
- Chest Physical Therapy
- Artificial Ventilation
6
Q
Inhalation
A
- Oxygen therapy VIA plastic hood, NC, mask, O2 tent
- careful consideration of oxygen toxicity: retina in the preterm infant or lung damage, carbon dixoide narcosis
- Monitor Oxygen therapy VIA pulse oximetry
- Aerosol Therapy VIA nebs, MDIs
7
Q
Bronchial Postural Drainage
A
Positioning to take advantage of gravity to facilitate removal of secretions
8
Q
Chest Physical Therapy
A
Manual percussion, vibration, coughing and breathing exercises
9
Q
Artificial Ventilation
A
- Intubation VIA endotracheal, orotracheal, tracheostomy
- Suctioning
- Routine Care
- Practice emergency care should tube become occluded or accidental decannulation