Peds Pulm Flashcards
What is wheezing?
Continuous muscial sound heard throughout chest
What are the requirements to form the wheezing sound
narrowing of the airway and sufficient airflow
MCC of wheezing less than 3 mos
Viral URI
MCC of weezing greater than 3 mos
Asthma
What is bronchiolitis
clinical syndrome that occurs in children
What is the MCC of bronciollitis
RSV
SSX of bronchiolitis
profuse rhinorrhea, peak of lower resp sx at day 5 with diffuse crackles and wheezing, cough, tachypnea, resp distress
what are complications of bronchiolitis
apnea, resp failure, secondary bacterial infection
What is the med to prevent bronchiolitis
Synagis (palivizumab) - monthly doses from november to march
What is asthma
chronic disorder of the airway, reversible airflow obstruction, bronchial hyperresponsiveness, inflammation
SSx of asthma
cough, wheeze, SOB, chest tightness,
What are medication induced triggers of asthma
aspirin, NSAIDs, ACEi
If nasal polyps are found on PE, what disease should be forefront in DDx
Cystic fibrosis
FEV1/FVC less than 85% indicates
obstruction
What is the short term agonists for the tx of asthma
albuterol
what is the inhaled anticholinergics in the tx of asthma
atrovent
What is the predictive index for infants with asthma
1 major or 2 minor
What are the major predictive factors for asthma in an infant
eczema or parent with asthma
what are the minor predictive factors for asthma in an infant
allergic rhinitis, eosinophilia, wheezing without URI
What is the MC location of boreign body aspiriation
right lung
What are the common ssx of foreign body aspiriation
coughing, stridor, localized wheezing, decreased aeration unilaterally
what is the treatment for an incomplet obstruction
rigid bronchoscopy with general anesthesia
what is the treatment for a complete obstruction
Heimlich maneuver
What are the indications for hx in a patient with wheezing?
SaO2 of 92% or less, RR >70, 2 mos with risk factors, dehydration
