Pediatrics Respiratory Flashcards
____ is inflammation of the epiglottis.
epiglottittis
The 4 d’s of epiglottitis?
- Dysphagia
- Dysphonia (difficulty speaking)
- Drooling
- Distress
Epiglottittis is caused by an infection and _____ _____ type b.
haemophilus influenza
What are 3 key assessments you will see in a patient with epiglottis?
- drooling
- stridor (high pitch)
- cheery red epiglottis
A key nursing intervention with epiglottis is to keep ____ ____ ____.
keep the child calm
What are the 3 NO’s of epiglottitis?
- NO tongue depressor
- NO oral thermometer
- NO assessing the throat
Some interventions of epiglottitis are IV _____, _____ O2, _____ & ______ ventilation.
IV antibiotics
Humidified O2
Intubation & mechanical ventilation
With epiglottitis you should have ____ _____ until the airway is secure.
no interventions
Clients with epiglottitis should avoid being in ____ position. They should be in ____ position.
supine position / tripod position
______ - thick mucus clogs up the bronchioles.
Bronchiolitis
_____ vaccine has reduced the incidence of epiglottitis.
Hib
Bronchiolitis is most common in children under ___ years old.
2 years old
Bronchiolitis leads to _____ gas exchange in the alveoli.
decreased air exchange
bronchiolitis is very _____.
contagious (worst days are 4-6)
The causative agent of bronchiolitis is usually viral such as ______.
RSV
What are 3 changes in behavior you will see in a client with bronchiolitis.
- irritability
- lethargy
- poor feeding
Some hypoxia signs in patients with bronchiolitis are _____ , ____ cyanosis, _____ SpO2.
mottling, circumoral cyanosis, and decreased SpO2.
Name 4 tx’s of bronchiolitis.
- Oxygenation
- Fluid & nutrition
- Antipyretics
- Analgesics
______ results in inflammation & edema of the larynx and / or trachea.
Croup
_____ is also known as laryngotracheobronchitis (LTB)
Croup
Patients with croup have a ___ - ___ cough.
bark-like cough
Name 3 assessments you will see in a croup patient.
- stridor
- runny nose, fever
- symptoms worsen at night
What are the two medical treatments of croup.
- corticosteroids
- epinephrine via nebulizer “racemic epi”
_____ can lead to respiratory distress so you want to keep the patient calm.
agitation
____ ____ is an autosomal recessive disorder. It leads to an excessive mucus in the airways.
Cystic Fibrosis
CF leads to ____ obstruction.
airway obstruction
Patients with CF have ____ & very ____ mucus.
excessive & very thick mucus
Patients with CF also have obstruction in their ___ / ___ ducts.
pancreatic / bile ducts
How is CF diagnosed?
meconium ileum (meconium not passing)
Sweat chloride test (sweat taste salty & increased levels of chloride)
______ is large, bulky, frothy, smelling stool. Its seen in CF patients.
steattohrea
patients with CF have a ___ ____ deficiency.
fat soluble
A patient with CF should have high ___ & ___ diet.
high calorie & protein diet
patients with CF can have a normal ____ diet.
normal fat diet
You should give CF patients pancreatic enzymes within ____ min of eating every meal and snack.
30 minutes
Sprinkle ____ on food.
capsules
