Pediatric Diseases Flashcards
bronchiolitis information gathering
Immediate prior hx of cold like symptoms (dx tool)
VS: RD, snotty nose
Bronchiolitis: treatment/DM
Droplet
Suction PRN before eating
Continuous cardiac and resp monitoring
Hydration
Family education
Croup characteristics
Barking cough
Steeple sign
Low grade fever (viral)
Stridor
Hx of cold like symptoms
Subglottic
6 mos - 3 yrs
Croup IG/dx
Lateral neck x ray
Croup tx/DM
Hydration
Tylenol/antipyretic
Systemic and/or inhaled corticosteroids
Racemic epi up to 3x, then Heliox if it doesn’t work
CF characteristics
Chronic productive cough
Recurring respiratory infections
Weight loss
Clubbing
CF IG
Sweat chloride (>60)
CXR (hyperinflation, infiltrates)
Cor pulmonale
Spirometry (baseline)
Sputum Gram stain/ C&S
ED for respiratory distress: CBC and electrolytes
CF tx/DM
Droplet precautions
1) bronchodilator
2) Dornase alpha
3) ACT
4) inhaled TOBI
oral/IV antibiotics specific to organism
CF stable tx/DM
Influenza vaccine
High-fat/low carb
Regular exercise
Pt Ed: aw clearance techniques/med usage
Epiglottitis characteristics
Bacterial infection
2-8 years
H. Influenzae
Acute onset
Supraglottic
Drooling
High fever
Epiglottitis IG
Lateral neck X-ray (thumb sign)
Fiber optic bronch for intubation (pros only)
CBC
Epiglottitis tx/DM
1) secure airway first! (Controlled intubation)
Mild sedation
Broad spectrum antibiotics
Epiglottitis/croup when to Extubate
Pt stable, leak test, afebrile
Foreign body aspiration characteristics
Most likely: R main stem bronchus
Sudden onset of cough
Unilateral wheeze
FBA IG
End expiratory CXR: distal hyperinflation
Lateral decubitus if CXR inadequate
