Pediatric Respiratory Flashcards
What diet adjustment would you recommend for the child with CF?
-Provide a high-fat diet
-Increased protein intake
- Add fat-soluble vitamin supplements
- CF pts have impaired absorption of fat
What level of Cl in a sweat test would make you suspicious for CF?
- > 60 is definitive
What teaching would you give for the CF child receiving pancreatic lipase capsules?
- Give it before or with meals and snacks
- You can open the capsules and sprinkle it on food
- Don’t add it to hot food
- Give the kid a high-fat diet and a multivitamin
Name a couple of cues that might make you suspicious of CF
- Skin tastes salty (Excess Cl)
- Bulky, frothy, foul smelling stool (Inability to digest fats)
Name a popular mucolytic agent for CF
- Dornase alfa (inhaled)
- Breaks down DNA in mucus
CF pt’s can also receive inhaled __________ for treatment. Compared to PO, this can reach the secretions/source of infx in the bronchioles
Antibiotics
CF patients are commonly put on _________ precautions due to how commonly they contract infections of _______-_______ ________ ________.
- Contact
- Multi-drug resistant bacteria (MRSA, VRSA)
You should monitor these electrolyte labs in the CF patient.
- Na and Cl
- This is especially true in the summer with excessive sweating.
TB can also cause weight loss
Partial or complete _________ __________ is a common GI complication of CF
bowel obstruction
How far should you insert the suction catheter to suction a trach?
0.5 cm beyond the end of the trach tube
How often to suction trach?
Limit suctioning to no more than 3 aspirations at a time
What are leukotrienes? What disease are they primarily associated with?
Endogenous Inflammatory lipid molecules. Asthma
Example of a leukotriene receptor antagonist? What does it do?
Montelukast. Antagonizes the inflammatory molecules to lower the inflammatory response.
Albuterol and the other familiar bronchodilators are short-acting. Which are the long-acting?
Formoterol, salmeterol. ** Not for acute relief. Usually for like exercise-induced asthma
Laryngotracheobronchitis is another name for ________?
Croup
Humidified O2 may be beneficial for ______, _______ ________, and post-_____________.
-Croup
-Common Cold
- Post-Tonsillectomy
An oxygen tent provides what kind of environment? What % O2 does it offer?
High-humidity
Up to 50% O2
An oxygen hood is used for which population of patients? It provides high-concentration O2, typically 80-90%. Can and should also be humidified.
Infants
RSV causes inflammation to which airways?
Bronchioles –> Bronchiolitis.
Is maternal RSV recommended or beneficial to the fetus?
Yes. Should be given between 32-36 weeks gestation. Immunity will pass to fetus via umbilical cord.
If the mother did not receive RSV vaccine during pregnancy, what should the infant get before 8 months? (It may also be given within 1 week of birth if child is born during RSV season.)
RSV antibody (nirsevimab)
When is RSV season?
Fall through early spring. So October to March.
