Pediatric COPD Flashcards
Cystic Fibrosis
Genetic disease characterized by an exocrine gland dysfunction causing excessive mucus production
Intermittent asthma
Symptoms that last less than two days and don’t affect daily function, rescue medication for symptoms
Mild persistent asthma
Symptoms last less than two days and affect daily life mildly, daily Meds and rescue Meds for treatment
Moderate persistent asthma
Symptoms daily with interference with daily life, daily inhaled Meds, exacerbations last for days
Severe persistent asthma
Continual symptoms that limit daily living, high doses of steroids daily for Meds, frequent exacerbations
Extrinsic asthma triggers
Allergens, foods, irritants, colds
Intrinsic asthma triggers
Emotional, exercise, conditions, hormones
S/S of asthma
Inspiratory and expiatory wheeze, cough, SOB, restlessness, headache, chest tightness, accessory muscle use, hyperresonance on percussion, tripoding
Rescue asthma Meds
Medications for quick relief
Types of rescue asthma drugs
Beta adrenergic agonists (bronchodilators), corticosteroids (anti inflammatory)
Types of long term asthma drugs
Non steroid inhaler, leukotriene modifiers and long acting beta aginists
Cystic Fibrosis
Endocrine disorder that increases mucus production in the respiratory, GI, integumentary, and reproductive
How do you develop Cystic Fibrosis
It is genetic disease that is obtained in 1/4 of babies born to CF carriers
Respiratory symptoms of CF
Viscous mucus, cough, dyspnea, wheeze, atelectasis, clubbing, barrel chest, cyanosis
GI symptoms of CF
Steatorhea (fat in stool), prolapsed rectum, weight loss, malabsorption of fat soluble vitamins, abdominal distention, meconium ileus, distal intestinal obstruction syndrome
Skin and reproductive symptoms for CF
Increased sodium in sweat, mucus plus cervix, delayed female puberty, male sterility
Pulmonary therapy for CF
Chest physiotherapy, forced expiration, bronchodilators, mucolytics, corticosteroids, antibiotics, oxygen, lung transplant
Manual chest PT
Cupping hits on the back to get the mucus broken up and out
Mechanical chest PT
Vibrating vest
When not to do when in chest PT
after eating, pulmonary hemorrhage, PE, increased intracranial pressure, osteogenesis imperfecta, cardiac complications, anomalies, after Meds, ESRD
Drugs for CF
Nebulized bronchodilators, mucolytics, antibiotics, kalydeco (genetic therapy)
Problematic infections with CF patients
P. aeruginosa, B. cepacia (moves through CF patients very quickly), E. coli, flu, MRSA, fungal infections
Diet for a CF patient
High calorie, high protein, limit fat intake, pancreatic enzymes before meals, vitamins A D E K supplements, high salt, frequent meals
Asthma
Characterized by chronic inflammation and exacerbated by irritation from an allergen, bacteria, virus, exercise or stress
