Pediatric Respiratory Disorders NUR 2310

Question 1

A child is suspected to have Bronchiolitis, what are the manifestations

Answer 1

initial manifestation- Rhinorrhea (runny nose) and low-grade fever commonly occur first
Coughing, wheezing

Question 2

what is Bronchiolitis?

Answer 2

Bronchiolitis is an inflammation of the bronchioles that causes production of thick mucus that occludes bronchiole tubes and small bronchi. RSV causes an acute viral infection and is a common cause of bronchiolitis

Question 3

the child with acute manifestation of bronchiolitis is admitted. What precaution is implemented for the pt?

Answer 3

Use contact and standard precautions during care, isolate the child in a single room or place in a room with another child with RSV. Use good hand-washing techniques and wear gloves and gowns are necessary.

Question 4

Diagnostic

Answer 4

Nasal secretions for RSV antigens

Question 5

what is treatment recommended for children with Bronchiolitis

Answer 5

Rest, fluids, and high-humidity environment.
O2
Prevention—medication: palivizumab
Treatment—medication: ribavirin
Decreased energy level; will tire easily.
Small frequent feedings.
Teach parents how to assess for respiratory difficulty.
Teach parents care implications

Question 6

what is another name for croup

Answer 6

Acute Laryngotracheobronchitis (croup)

Question 7

the nurse assess a 5 yr old child. child has Inspiratory stridor, Flaring of nares, use of accessory muscles of respiration, low grade fever 102 deg. and a “Seal bark” what resp. infection could this be

Answer 7

Laryngotracheobronchitis. Croup is inflammation of the larynx, trachea, and bronchi. The most common type of croup being Laryngotracheobronchitis, it may be viral or bacterial and most frequently occurs in children younger than 5 years. Common causative organisms include parainfluenza virus types 2 and 3, respiratory syncytial virus (RSV), Mycoplasma pneumoniae, and influenza A and B.
It is characterized by gradual onset that may be preceded by an upper respiratory infection.

Question 8

the child symptoms develop and is now having Retractions, Increased anxiety and restlessness.
Tachypnea (70 breaths/min).
Pallor, diaphoresis, and
Nasal flaring. what is happening in the child

Answer 8

these are Signs of impending obstruction.

Question 9

Croup Treatment

Answer 9

Cool mist humidification, Corticosteroids, administered intravenously, intramuscularly, or orally, Oxygen, No sedatives

Question 10

Nursing interventions

Answer 10

Assess for increasing hypoxia.
Provide humidified O2; closely evaluate because cyanosis is a late sign of hypoxia.
Conserve energy; prevent crying.
Monitor pulse oximetry for adequate oxygenation.