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Child Health Nursing > Pediatric Respiratory Dysfunction > Flashcards

Pediatric Respiratory Dysfunction Flashcards

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1
Q

______ FIRST UNLESS THEYRE ALREADY CYANOTIC –GIVE OXYGEN

A

APPLY PULSE OX

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2
Q

______ –one q tip swab that goes in both nares of nose ONLY USED IN ACUTE CARE, not doctors office, comes back in about 45 minutes, measures anything with upper resp, __________________________

A

RESPIRATORY PANEL LAB
corona virus, flu, parainfluenza (croup/bronchiole infect), RSV

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3
Q

adno
entero
rhino viruses

A

THESE THREE ARE THE MOST COMMON

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4
Q

______ is only useful if its going to change the plan of care for the patient

A

respiratory panel

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5
Q

core concept: most resp illnesses are treated the ______ as far as interventions

A

same

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6
Q

What are priority findings for acute streptococcal pharyngitis?

A

exudate
fever
painful swallowing/difficulty swallowing

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7
Q

What are nursing care interventions for acute streptococcal pharyngitis?

A

Obtain a throat culture and/or rapid antigen test (80-90% of cases are viral)

Cold or warm compress to the neck, gargle with warm saline, encourage cool liquids/ice chips

Administer antibiotics if indicated (penicillin for 10 days, amoxicillin, ampicillin)
-return to school note 24 hours after starting antibiotics
-discard/replace toothbrush

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8
Q

____________ –HAS EXUDATE
GENERALLY HAS A FEVER (X>100.4)
PAINFUL SWALLOWING

A

acute streptococcal pharyngitis

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9
Q

DIFFERENCE BETWEEN NORMAL AND ACUTE STREP IS THE EXUDATE, ______ HAS EXUDATE

A

ACUTE STREP

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10
Q

rhumatic fever can accompany strep and can progress to ______ IF BACTERIAL-CAN GO TO THE HEART HAVE

A

endocarditis

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11
Q

_____ can also happen : fever that is a sand paper-like rash, not really in the USA, don’t see it much anymore bc of vaccines

A

scarlet fever

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12
Q

PENICILLIN
AMOXYCYLIN
AMPICILLIN
THREE ANTIBIOTICS USED TO TREAT______

A

STREP USUALLY

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13
Q

______ given IM hurts

A

penicillin

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14
Q

STREP –PATIENT NEEDS TO REPLACE ______ 24 HOURS AFTER THEY START ANTIBIOTICS, CAN RETURN TO SCHOOL ______ AFTER STARDING ANTIBIOTICS -THIS IS GOING TO BE ON THE EXAM

A

TOOTHBRUSH
24 HOURS

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15
Q
A

Strep

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16
Q
A

tonsillitis

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17
Q

Inflamed tonsils
mouth breathing
drainage leads to otitis media

A

priority findings for tonsillitis

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18
Q

What are priority findings with tonsilitis

A

Inflamed tonsils
mouth breathing
drainage leads to otitis media

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19
Q

What is nursing care for tonsillitis?

A

soft foods
saltwater gargles
throat lozenges
antipyretics

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20
Q

______ –can cause drainage that leads to an ear infection

A

tonsillitis

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21
Q

treatment: Tylenol and Motrin most of the time. DO NOT USE ASPRIN BC OF RYES SYNDROMSE WHICH IS A NEURO PROBLEM

A

for tonsillitis

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22
Q

Motrin: contraindicated if the child is under ______of age and has to do with the heart

A

6 months

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23
Q

can alternate Tylenol and Motrin

tonsillitis does usually not require _____

A

surgery

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24
Q

Early sign of ______: continuous swallowing/frequently swallowing

A

bleeding

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25
Q

What are late signs of bleeding?

A

tachycardia and pallor

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26
Q

first sign is frequent ______ for bleeding from tonsillectomy –put them on ______ -IS GOING TO BE ON THE EXAM

A

swallowing, left side lying position

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27
Q

____ is contraindicated with an adenoidectomy bc of apnea/respiratory depression?

A

codeine

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28
Q

_____ filter and protect the respiratory tract

A

tonsils

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29
Q

have to do patient education about norco containing acetaminophen

discourage coughing/blowing the nose which can disrupt the sutures

discourage physical activity that can make bleeding worse

A

patient education for tonsillectomy/adenoidectomy

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30
Q

: avoid irritating foods, avoid vigorous toothbrushing, discourage coughing/blowing the nose/clearing throat, using analgesics/opioids for pain, limiting activity to decreased bleeding potential.

A

education for adenoidectomy

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31
Q

originates from the epstein bar virus

A

Mono

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32
Q

seen in middle school/high school age kids

A

mononucleosis

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33
Q

starts with fever, exudate of pharyngitis, petichea, enlarged lymph nodes, TRANSMITTED FROM ORAL SECRETIONS

A

Mononucleosis

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34
Q

MOST INFECTIOUS 24 HOURS BEFORE SYMPTOMS START AND 24 HOURS AFTER SYMPTOMS RESOLVE, CAN BE A PROBLEM FOR CONTACT SPORTS

A

mononucleosis

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35
Q

CAUSES SPLEEN ENLARGEMENT

patient is fatigued and have a ton of loss of energy, significant weight loss, FEVER FOR 10 DAYS (usually the whole cycle), can last up to 6 weeks though

test: looks like FSBS strip

A

mononucleosis

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36
Q

WATCH AIRWAY, ESPECIALLY FOR STRIDOR

assess left side for tenderness

if patient gets stridor and has difficulty breathing, YOU NEED TO HAVE PHYSICIAN COME IN AND LOOK AT THEM

A

mononucleosis

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37
Q

difference between strep and mono –patients with mono usually have some sort of ______

A

petichea

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38
Q

What does this image indicate?

A

petichea

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39
Q

Fever, exudative pharyngitis, petechiae, enlarged lymphoid, enlarged spleen

A

s/s of mononucleosis

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40
Q

Assess airway for obstruction/stridor, assess abdomen for tenderness and inflammation

A

nusing care for mononucleosus

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41
Q

Fever, chills, runny nose, dry cough, muscle pain (myalgia)

A

s/s of influenza

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42
Q

Spreads through nasopharyngeal secretions (Droplet) 24 hours prior to symptoms and 5-7 days post symptoms

A

influenza

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43
Q

Symptoms last 4-5 days. Some children have vomiting and diarrhea

A

influenza

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44
Q

there is flu A, B, and C –flu C is pretty mild compared to flu a and b

influenza is ____ parainfluenza

A

NOT

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45
Q

s/s: chills, runny nose, dry cough, myalgia (muscle pain), in little kids –vomiting and diarrhea

spread through sneezes, Kleenexes, coughing, USE DROPLET PRECAUTIONS

YOU HAVE TO BE ______ MONTHS TO HAVE IBUPROPHEN OR MOTRIN

A

6 months

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46
Q

acetaminophen is ___ mg/kg

ibuprofen _____ mg/kg

A

15, 10

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47
Q

Tamiflu tastes groos –pul it up in a syringe- put chocolate syrup and cherio on it –has to be started within _____ hours of symptom onset or its not going to work –Tamiflu doesn’t work great on kids

if you have the flu and ______ Tamiflu is a really good option, 9 days versus 10 days in the ICU

A

48, comorbidities

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48
Q

______ will worsen dehydration sometimes –children will get hallucinations from the dehydration

A

Tamiflu

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49
Q

flu vaccine starts at ___months of age, then you can get a booster around January

A

6

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50
Q

Fever, pulling infected ear, fluid in the middle ear chamber

Symptoms last 4-5 days. Some children have vomiting and diarrhea

A

acute otitis media s/s

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51
Q

Spreads through nasopharyngeal secretions (Droplet) 24 hours prior to symptoms and 5-7 days post symptoms

A

acute otitis media

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52
Q

acute otitis media –usually tugging at the eat –WHERE MIDDLE EAR IS INFECTED, 80% of ear infections are ______ but they give amoxicillin or another antiviotic to prevent conductive hearing loss, BULGING AND REDNESS,

A

viral

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53
Q

encourage ______(position helps them have less ear infection), discourage smoking, to help prevent acute otitis media

A

breast feeding

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54
Q

What are treatments for acute otitis media?

A

antipyretics
antibiotics -amoxicillin, augmentin, IM ceftriaxone
possibly tubes

encourage breastfeeding

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55
Q

______ is an infection on the outside of the ear- known as swimmers ear – patient doesn’t usually have a fever, but have extreme pain, can do antipyretics, can also have ear drops

A

Otitis externa

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56
Q

benzocaine ear drops are only for ______–don’t solve the issue

can do warm or cool compresses for the ears

A

anesthesia

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57
Q

______–usually happens from otitis media –is very foul smelling –has potential progressive hearing loss, check vitals, have they had ear drainage?, ear drainage that is grey/yellow in discharge is __________ –THIS PERSON NEEDS ______

A

cholesteatoma, ANTIBIOTICS

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58
Q

Bulging and redness to the tympanic membrane
-Judicious use of antibiotics
-Encourage breastfeeding, discourage second hand smoke and bottle propping

A

care for acute otitis media

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59
Q

Ear pain with pinna manipulation
*Pain with pressure application on the tragus

A

otitis externa

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60
Q

Occurs more in the summer

Swimmer’s ear

irritated ear canal

A

otitis externa

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61
Q

Antipyretics
Ear wick
Ear drops (5 minutes

A

otitis externa

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62
Q

Prevention: keep the ear canal dry
-Ear plugs for swimming/showering
-restore pH

A

otitis externa

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63
Q

Ear drops:
Polymyxin-B sulfate/neomycin sulfate, ciprofloxacin and gentamycin sulfate

A

otitis externa

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64
Q

Inspiratory stridor
Swelling of the larynx/subglottic airway
Respiratory distress

A

croup

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65
Q

Age 6 months-3 years
(small diameter of the airway)

A

croup [lung issues in general are worse in this age group though]

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66
Q

Home: Prednisone
Cool Mist Humidifier

A

treatment for croup

67
Q

Hospital: racemic epinephrine, positive airway pressure, dexamethasone/Decadron (orally) *single dose

A

possible treatments for croup

68
Q

IS A VOICE TYPE OF BREATHING, HAPPENS AT 3 AM OR 4 AM IN THE MORNING, IF AT HOME ENCOURAGE THEM (AS LONG AS THEIR VITALS ARE OK) HAVE THEM BREATHE MIST IN FROM THE SHOWER, COOL AIR CAN HELP WITH ____

A

CROUP

69
Q

NOTIFY PYSICIAN: IF THE PATIENT HAS ____ OR HAS A RESP RATE ABOVE ___ RESP RATE NOTIFY THE PHYSICAN IMMEDIATELY

A

STRIDOR, 60

70
Q

WITH CROUP THE DISTINGUISHING FACTOR IS _______________ –can produce respiratory distress, cool mist humidifier doesn’t improve or worsen things but it does moisten upper airway area so there could be less nasal bleeding and help keep secretions moist and thin,

A

INSPRIATORY STRIDOR

71
Q

croup can happen in lots of ages but is WAY WORSE FROM__________OF AGE because of the diameter of the airway, the diameter is the size of the patients pinky finger

A

6 MONTHS TO 3 YEARS

72
Q

to get rid of croup a lot of it is going to be steroids, IF IN THE HOSPITAL, ONLY IF IN THE HOSPITAL THEY CAN GET _________________________ –but it can cause rebound croup and go back into inspiratory stridor and get worse ______ AFTER MED ADMINISTRATION, DO HOURLY assessments

A

RACEMIC EPINEPHRINE, FOUR HOURS

73
Q

Drooling (inability to swallow secretions)
Fever
Tripod positioning
Mouth open with tongue protruding
Restlessness, irritability, agitation
Froglike croaking
Hypoxia
cherry red throat

A

acute epiglottitis

74
Q

SpO2 (pulse ox monitoring)
Intubation supplies close by
Antibiotics
Suction equipment available (excessive drooling)

A

nursing care for acute epiglottitis

75
Q

Allow the child to assume a position of comfort
If intubation is needed a skill provider is necessary
-cricothyrotomy supplies should be available for an unsucessful intubation

A

Acute epiglottitis

76
Q

STREP COULD CAUSE THIS, USUALLY PARAINFLUENZA THOUGH

A

acute epiglottitis

77
Q

patient is excessively drooling, can swallow secretions, can clear secretions, may bein tripod position, may have tongue protruding, restless or irritable,

A

acute epiglottitis

78
Q

don’t see this in USA often bc of the H. influenzae type B vaccine which is given at 2 months of age –patient is usually not vaccinated, patient has probably had some type of viral illness within the last few weeks

A

acute epiglottitis

79
Q

NO ______ DO NOT PUT ANYTHING IN THE THROAT, NO THROAT CULTURES, DO NOT PISS THE KID OFF BC THE KID WILL GO INTO AN AIRWAY OBSTRUCTION, GET THE DIFFICULT AIRWAY CART, USUALLY ONLY HAS ONE CHANCE TO GET INTUBATED AFTER THAT YOU HAVE TO GO TO A CHRICH, ON A CHILD THAT IS LESS THAN 8 YOU CANNOT CHRICH THEM SO YOU HAVE TO USE AN 18 GAGUE ANGIO CATH AND CONNECT TO A BAG . THIS IS GOING TO BE A TEST QUESTION

A

TONGUE DEPRESSORS,

80
Q

PREVENT: GET VACCINE
IF ITS HAPPENING: APPLY OXYGEN VERY CAREFULLY, ASSUME ANY POSITION OF COMFORT THEY WANT, HAVE THEM REMAIN CALM, YOU NEED TO REMAIN CALM, DO THROAT INSPECTIONS IF YOU CAN –WILL LOOK CHERRY RED

A

acute epiglottitis

81
Q

Starts with: rhinorrhea and low-grade fever
Occurs less in breast fed babies
May progress to pneumonia

A

RSV

82
Q

Severe RSV with in the 1st year of live is linked with ______ development

A

asthma

83
Q

Prevention: palivizumab (monoclonal antibody given every 30 days November-March)*must have a heart/lung disease/born before 29 weeks

A

RSV prevention

84
Q

Rapid ______ antigen detection with nasopharyngeal secretions
Nasal suctioning
SpO2 (pulse ox monitoring)
90% or lower requires oxygen
Heated high flow nasal cannula
Nursing/bottle feeding is difficult

Droplet precautions: direct contact with respiratory secretions

Tachypnea, weakness, and fatigue: IV fluids

A

RSV

85
Q

starts with rhinorrhea dn low grade fever

RSV & pneumonia is usually when hypoxia occurs

if the child has RSF withing the 1 st year of life, it is linked with asthma development

there is a vaccine [monoclonal antibodies] for RSF but only given to children that has significant ______(need heart surgery, cystic fibrosis, or born before 29 weeks of age)

A

comorbidities

86
Q

if O2 drops below 90% you need to apply some oxygen, a little bit goes a long way, the patient will usually just get a nasal canula unless they have some other stuff going on that’s decreasing their O2. HEATED HIGH FLOW OXYGEN IS RECOMMENDED.

IF RESP IS 60 OR ABOVE, DO NOT LET THEM EAT OR GIVE VERY SMALL AMOUNTS OF WATER –AT A HIGH RISK FOR ASPIRATION ON PAGE 905

A

RSV

87
Q

epiglottitis has excessive ______, this is the difference between epiglottitis and RSV

retractons, restlessness, increased heart rate, increased resp rate can occur

encourage small frequent sips of water

DROPLET PRECAUTIONS

A

drooling

88
Q

Inflammation, edema, mucus in the _______
80% of this disease begins with RSV
Signs/Symptoms: sneezing, coughing, nasal congestion, intermittent fever, apneic spells

A

bronchioles

89
Q

Keep oxygen saturation 90% or higher
Keep respiratory rate less than 60 per min.
Ensure adequate oral intake
Droplet precautions

A

Bronchiolitis

90
Q

ONE THING THAT IS DIFFERENT FROM RSV IS THAT THE PATIENT GETS __________ WITH BRONCHIOLITIS, LOSS OF CONSCIOUSNESS AND STOPS BREATHING FOR A WHILE

WILL SHOW UP ON A CHEST X RAY

DROPLET PRECAUTIONS

A

APNEIC SPELLS

91
Q

WHEN A KID IS SICK, THEIR SUGAR WILL DROP, USUALLY GIVE ______ SO THAT THEY HAVE A GOOD BLOOD SUGAR

A

D5

92
Q

Can be a complication from another disease
*Fever, chills, malaise, anorexia, muscle pain, headaches, dry cough that progresses to a productive cough, low SpO2, rapid shallow respirations

A

bacterial pneumonia

93
Q

Identify crackles in the lungs
Obtain a chest x ray
Administer antibiotics (high dose amoxicillin, Augmentin, ceftriaxone, erythromycin)
Blood culture
White blood cell count (WBC)
Sputum culture

A

bacterial pneumonia

94
Q

when you go to listen to their lung sounds you will hear crackles, _______can be a complications from any of the other resp conditions

fever, chills, DRY COUGH THAT PROGRESSES TO A PRODUCTIVE COUGH, THESE KIDS ARE COUGHING SO MUCH THEYRE VOMITTING, WILL LIKELY HAVE LOW SP02, RAPID SHALLOW RESPIRATIONS

will get a chest X ray

usually started on high dose of amoxicillin

patient will need blood cultures, use chloraprep, suppose to do 15 minutes in between the draws (some only do one depending

sputum cultures are possible

purple top -CBC –WBC will usually increase and the neutrophils will as well with bacterial pneumonia

there is a vaccine for one type of ______

A

bacterial pneumonia

95
Q

Dyspnea, decreased oxygen saturation, labored respirations, tachycardia, chest/back pain.
Chest x ray
No lung sounds on affected side
Intervention: needle decompression/Chest tube

A

pneumothorax

96
Q

Intervention: needle decompression/Chest tube

A

pneumothorax

97
Q

IF BP DROPS, YOU’VE GOT TO DO SOMETHING QUICK FAST

PUT ON A NONREBREATHER AT THE HIGHEST RATE OF OXYGEN POSSIBLE

YOU CAN DO A NEEDLE DECOMPRESSION THAT IS A NURSING INTERVENTION MHMMMM

A

pneumothorax

98
Q

Most often occurs in children who have not been immunized
Lasts 6-10 weeks

A

pertussis (whooping cough)

99
Q

Persistent cough with a characteristic whooping sound
Antibiotics-limits the spread of other infections

A

pertussis (whooping cough)

100
Q

Prevention: DTaP
Booster: TDaP
Highly contagious

A

pertussis

101
Q

lasts a very long time 6-10 weeks

usually in very small kids (younger than age four) who haven’t got the chance to get their vaccines, or on kids who aren’t vaccinated

persistent cough, whooping sound, will be placed on antibiotics to prevent pneumonia etc

the prevention is : DTAP and the booster is TDaP

A

pertussis (whooping cough)

102
Q

Choking, gagging, coughing
Cyanosis
Stridor, wheezing
Sternal retractions
Inability to speak: choking (Back/Abd thrusts <1year)

A

foreign body ingestion

103
Q

Priority: assess the airway
Batteries: immediate surgical intervention
Chest x ray won’t reveal plastic/vegetable matter
Chest x ray will reveal opaque images
Bronchoscopy
Most of the time the child will pass in their stool

A

foreign body ingestion

104
Q

Prevention: toys that fit in a toilet paper tube can be swallowed, keep small batteries (hearing aid) away from children

A

foreign body ingestion

105
Q

what is this and what is it used for?

A

katz extractor used to get a bead or other object out of the nose

106
Q

TEST QUESTIONS ON THIS ONE: WHAT IS A SIGN THAT A CHILD IS TRULY CHOKING? ON PAGE 918 –

A

IS THE INABILITY TO SPEAK

107
Q

______ ARE AN IMMEDIATE SURGICAL INTERVETION, WILL KILL THEM

A

BATTERIES

108
Q

ASSESS AIRWAY, IF THEYRE CHOKING THEY CANT TALK
BATTERIES –GOING IMMEDIATELY TO SURGERY
ASPIRATION -

A

foreign body ingestion

109
Q

Shortness of breath/dyspnea, nasal flaring, retractions, grunting, cyanosis

A

aspiration

110
Q

Could lead to ______ pneumonia (coughing/vomiting immediately after ingestion)
-_______ risk is why nurses provide education prior to surgery about when to stop eating/drinking

A

aspiration

111
Q

Dullness, wheezes and crackles

A

aspiration

112
Q

Use activated charcoal for accidental/purposeful ingestions to decrease the risk of ______. Inducing vomiting increased the risk of aspiration

A

aspiration

113
Q

High humidity
Supplemental oxygen
Hydration
Treat secondary infections
Intubation: if child develops respiratory failure

A

aspiration

114
Q

SOB and dyspnea, GRUNTING, cyanocis and nasal flaring

A

aspiration

115
Q

watch for resp over 60

can ______ hydrocarbons, and petroleum disolates, antifreeze

antidote to antifreeze is ethanol

use activated charcoal for accieental/purposeful ingestions to decrease the risk of ______. inducing vomiting increased the risk of aspiration

high humidity oxygen

if patient develops respiratory failure –if on 15 liters with a non rebreather and its not working, theyre probably going to intubate

A

aspiration

116
Q

Constant and consistent sneezing
No fever
Seasonal
Itchy eyes/nose

A

allergies s/s

117
Q

Weekly: wash bed sheets in hot water

A

allergies prevention

118
Q

for ______ there is no fever, is usually pretty seasonal

prevention is weekly washing of bed sheets in hot water

WBC the lymphocytes go up, but the rest of the cells are in normal range

monitor for drowsiness with drug used for this

there are ______ shots

A

allergies, allergy

119
Q

breathing is good
no cough or wheeze
can work and play

A

green -go

120
Q

use preventive medicine for this color

A

green

121
Q

cough
wheeze
tight chest
wake up at night

A

yellow -caution

122
Q

What do you do for yellow color?

A

take quick relief medicine to keep an asthma attack from getting bad

if symptoms do not return to green zone after 1 hour take short acting beta agonist and an oral steroid -call doc if symptoms dont improve within __ hours after taking the oral steroid or if they progress to the red zone

123
Q

medicine is not helping
breathing is hard an fast
nose opens wide
cant walk
ribs show
cant talk well

A

red zone, stop -danger

124
Q

what do you do if youre in the red zone

A

get help from a doctor now GO TO THE ER
take ___ meds untill you talk with the doctor

125
Q

difficulty walking or breathing
mental confusion
fingernails or lips are blue

A

these signs signal DANGER in an asthma attack CALL THE AMBULANCE

126
Q

_______ is happening with asthma : IMMEDIATE NURSING INTERVETION IS REQUIRED

A

intercostal retractions

127
Q

Limited airflow or obstruction that reverses spontaneously or with treatment
Occurs frequently during the night/early morning
Dyspnea
Wheeze
Cough
Intercostal retractions require immediate interventions (Need more oxygen for body functions)

A

asthma

128
Q

Child that refuses to lie down, is quiet, diaphoretic, and pale: ______

A

severe distress

129
Q

RSV can trigger ______
Allergies can trigger ______ (remove clothes/wash sheets)
Household/caregiver smoking

A

asthma,

130
Q

*reduce underlying inflammation
Rescue Medication (bronchospasms): Ventolin HFA (albuterol sulfate), Duoneb (ipratropium-albuterol)
Long term: inhaled corticosteroids (wash mouth after administration)
Oral steroids
Epi-pen (Status Asthmaticus)
Magnesium sulfate: relaxes muscles to decrease inflammation in the bronchioles
Theophylline: monitor serum levels
Chest physiotherapy (CPT)
Heliox: 70% helium 20-30% oxygen (decrease airway resistance)
Breathing exercises

A

nursing care for asthma

131
Q

______ will reverse spontaneously or with treatment
usually occurs at nigh or in early morning –SOB, wheezing, coughing, intercostal retractions

A

asthma

132
Q

child may refuse to lie down. if patient is pale, theyre in severe respiratory distress

main care for ______: anything you can do to reduce inflammation

A

asthma

133
Q

status asthmaticus will usually have an ______ given sub Q at 0.15 mg

A

epi pen

134
Q

magnesium sulfate –given IV and goes in over 2 hours

theophylline –monitor serum levels

chest physiotherapy – a vest that vibrates

Heliox can be given

A

potential drugs given for asthma

135
Q

what is stage I asthma?

A

complete sentences

136
Q

stage II asthma?

A

complete sentences and wheezes

137
Q

stage III asthma?

A

pale and wheezing

138
Q

stage IV asthma?

A

pale and decreased breath sounds

139
Q

Autosomal recessive genetic disease (long arm of chromosome 7)
Respiratory: increased viscosity of mucous gland secretion
Thick secretions: difficult to expel (bacteria and mucus are stagnant)
Decreased O2/CO2 exchange (hypoxia)
Progressive lung dysfunction
Clubbing of fingers/toes, emphysema, wheezing, dry cough

A

cystic fibrosis

140
Q

Why are cystic fibrosis patients so small? (Failure to thrive)

A

GI tract: prevents pancreatic enzymes from reaching duodenum
CF patients need help digesting their food: pancreatic enzymes are provided to help children digest the fat in foods and gain weight

141
Q

Thick, sticky poop: meconium ileus

A

stool of a patient with cystic fibrosis

142
Q

What do you do to test for CF?

A

sweat chloride test

143
Q

when is chest physiotherapy done for patients with CF?

A

in the morning before feeding to prevent aspiration

144
Q

What is the goal for patients with CF?

A

to minimize pulmonary complications, may include a lung transplant

145
Q

Diet: High protein and high calories with pancreatic enzymes
Genetic testing prior to conceiving children
Patient with _____: sterility in males/delayed puberty females
Decreased life expectancy

A

CF

146
Q

PATIENTS HAVE SUPPER THICK SECRETIONS –CONTAIN BACTERIA AND MUCUS THAT ARE STAGNANT, decreased O2 and CO2 but are use to it

A

CF

147
Q

the way to test for CF is through a ______ test

A

sweat chloride

148
Q

CF also prevents _______ from reaching the duodenum, patients need help digesting their food, the diet is to increase protein and calories, the patient comes in and have a cough and wheeze, clubbing on end of fingers, thicker stickier poop.

A

pancreati enzymes

149
Q

______ works really well but needs to be done in the morning before they eat to prevent aspiration

requires a lot of family involvement and therapy

decreased life expectancy

A

chest physiotherapy

150
Q

main complaint from parent is that their child tastes salty –go ahead and do the sweat chloride test

A

CF

151
Q

What are the two core concepts for all respiratory dysfunctions?

A

Pulse ox: all respiratory illnesses
motrin/ibuprofen: have to be older than 6 months (can cause premature close of the ductus arteriosus in less than 6 months of age)

152
Q

WITH MOST RESP ILLNESSES: will all be treated somewhat the same.

A

apply pulse ox
oxygen
suction
motrin and Tylenol
carbon monoxide –house fire or car left on –cherry red in face, tachycardic, confused, apply nonrebreather at 100% oxygen, if its still not working they will go into a hyperbaric chamer

153
Q

____- try to get adequate oxygen but theyre usually septic

A

ARDES

154
Q

________________________ – needs a surgical intervention, their bowler are pushed up into their lung area, can happen from a trauma such as a car accident as well

A

congenital diaphragmatic hernia

155
Q

childhood ______: may remove tonsils or adenoids

A

obesity

156
Q

nasal cannula –up to ___

A

4 liters

157
Q

oxy mask –_____________________________ –can eat and drink with holes, YOU DON’T KNOW HOW MUCH OXYGEN THEYRE ACTUALLY GETTING

A

can put at almost any liter

158
Q

nonrebreather –has to be at at least _______ –the bag has to be _______ before putting them on

A

10 L, inflated

159
Q

simple mask -_______L –rarely used

A

5-8 liters

160
Q
A

nasal canula
up to 4 L

161
Q
A

oxy mask
can put at almost any liter –can eat and drink with holes, YOU DON’T KNOW HOW MUCH OXYGEN THEYRE ACTUALLY GETTING

162
Q
A

way to do a breathing treatment

163
Q
A

way to do breathing treatment for adults

164
Q
A

nonrebreather –has to be at at least 10 L –the bag has to be inflated before putting them on

Child Health Nursing (7 decks)

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