Pediatrics Respiratory

Question 1

____ is inflammation of the epiglottis.

Answer 1

epiglottittis

Question 2

The 4 d’s of epiglottitis?

Answer 2

1. Dysphagia
2. Dysphonia (difficulty speaking)
3. Drooling
4. Distress

Question 2

Epiglottittis is caused by an infection and _____ _____ type b.

Answer 2

haemophilus influenza

Question 3

What are 3 key assessments you will see in a patient with epiglottis?

Answer 3

1. drooling
2. stridor (high pitch)
3. cheery red epiglottis

Question 4

A key nursing intervention with epiglottis is to keep ____ ____ ____.

Answer 4

keep the child calm

Question 5

What are the 3 NO’s of epiglottitis?

Answer 5

1. NO tongue depressor
2. NO oral thermometer
3. NO assessing the throat

Question 6

Some interventions of epiglottitis are IV _____, _____ O2, _____ & ______ ventilation.

Answer 6

IV antibiotics
Humidified O2
Intubation & mechanical ventilation

Question 7

With epiglottitis you should have ____ _____ until the airway is secure.

Answer 7

no interventions

Question 8

Clients with epiglottitis should avoid being in ____ position. They should be in ____ position.

Answer 8

supine position / tripod position

Question 9

______ - thick mucus clogs up the bronchioles.

Answer 9

Bronchiolitis

Question 10

_____ vaccine has reduced the incidence of epiglottitis.

Answer 10

Hib

Question 11

Bronchiolitis is most common in children under ___ years old.

Answer 11

2 years old

Question 11

Bronchiolitis leads to _____ gas exchange in the alveoli.

Answer 11

decreased air exchange

Question 12

bronchiolitis is very _____.

Answer 12

contagious (worst days are 4-6)

Question 12

The causative agent of bronchiolitis is usually viral such as ______.

Answer 12

RSV

Question 13

What are 3 changes in behavior you will see in a client with bronchiolitis.

Answer 13

1. irritability
2. lethargy
3. poor feeding

Question 14

Some hypoxia signs in patients with bronchiolitis are _____ , ____ cyanosis, _____ SpO2.

Answer 14

mottling, circumoral cyanosis, and decreased SpO2.

Question 15

Name 4 tx’s of bronchiolitis.

Answer 15

1. Oxygenation
2. Fluid & nutrition
3. Antipyretics
4. Analgesics

Question 16

______ results in inflammation & edema of the larynx and / or trachea.

Answer 16

Croup

Question 17

_____ is also known as laryngotracheobronchitis (LTB)

Answer 17

Croup

Question 18

Patients with croup have a ___ - ___ cough.

Answer 18

bark-like cough

Question 19

Name 3 assessments you will see in a croup patient.

Answer 19

1. stridor
2. runny nose, fever
3. symptoms worsen at night

Question 20

What are the two medical treatments of croup.

Answer 20

1. corticosteroids
2. epinephrine via nebulizer “racemic epi”

Question 21

_____ can lead to respiratory distress so you want to keep the patient calm.

Answer 21

agitation

Question 22

____ ____ is an autosomal recessive disorder. It leads to an excessive mucus in the airways.

Answer 22

Cystic Fibrosis

Question 23

CF leads to ____ obstruction.

Answer 23

airway obstruction

Question 24

Patients with CF have ____ & very ____ mucus.

Answer 24

excessive & very thick mucus

Question 25

Patients with CF also have obstruction in their ___ / ___ ducts.

Answer 25

pancreatic / bile ducts

Question 26

How is CF diagnosed?

Answer 26

meconium ileum (meconium not passing) Sweat chloride test (sweat taste salty & increased levels of chloride)

Question 27

______ is large, bulky, frothy, smelling stool. Its seen in CF patients.

Answer 27

steattohrea

Question 28

patients with CF have a ___ ____ deficiency.

Answer 28

fat soluble

Question 29

A patient with CF should have high ___ & ___ diet.

Answer 29

high calorie & protein diet

Question 30

patients with CF can have a normal ____ diet.

Answer 30

normal fat diet

Question 31

You should give CF patients pancreatic enzymes within ____ min of eating every meal and snack.

Answer 31

30 minutes

Question 32

Sprinkle ____ on food.

Answer 32

capsules