Peds Respiratory Flashcards
If a child aspirates on a foreign body, its it more likely to find it in the left or right bronchus?
Right Bronchus, more vertical
Name some pulmonary assessments?
Birth History Hx of present illness Respiratory Status Chest pain Clubbing Type of Cough
What are 4 causes of cyanosis?
Alveolar Hypoventilation
Uneven Gas Distribution
R to L shunt
Diffusion disturbances
What are the 4 stages of progression of deterioration?
Begins with Respiratory Distress
Respiratory Insufficiency
Respiratory Failure
Respiratory Arrest
Name 3 apneic disorders?
Apnea of Prematurity
Apnea & Acute or Apparent Life Threatening Event
SIDS
Most important pt teaching about SIDS?
Teach parents to position babies supine when sleeping
What is Lryngomalacia? What is a sign?
Weak musculature of the airway
Inspiratory stridor that worsens with crying or respiratory illness
What is the life threatening condition of Epiglottitis? #1 nursing priority?
Inflammation of the Epiglottis causing swelling switch obstructs the airway.
Need to maintain open/patent airway
Cardinal signs of Epiglottitis?
Drooling, dysphagia, dysphonia, distress, tripod position
A child presents to the ER respiratory distress does not improve with O2 and has to lie flat, what you suspect?
Bacterial Tracheitis
What type of precautions will you be in when treating a RSV pt?
contact and droplet isolation
What is the prophylaxis medication for RSV?
Synagis
Signs of Respiratory Distress?
Tachypnea Retractions Nasal flaring Inspiratory stridor Diminished BS Adventitious BS Tachycardia Pallor to mottled Delayed cap refill Restless/irritable
A pt presents at the ER and has tachypnea and tachycardia, is the pt in early or late respiratory distress?
Early
A pt is cyanotic, has bradycardia and has occasional apnea. Is it late or early respiratory failure?
Late
Nursing Management for Croup Syndromes?
Maintaining and improving respiratory effort c humidification, steroid medications, fluids, O2, and respiratory treatments
If severe ► intubation to prevent complete airway obstruction
If bacterial in origin give antibiotics!
Family and child support
Signs and Symptoms:RSV Bronchiolitis
Begins with cold Poor feeding Harsh cough Low grade fever Tachycardia Tachypnea Nasal flaring Other retractions
Children at Highest Risk for RSV Bronchiolitis
Premature birth Chronic Lung Disease Congenital Heart Disease Neuromuscular Disease Immune Deficiency
A parent of a pt says their child tasted like salt, what you suspect it is?
Cystic Fibrosis
What are the fat soluble vitamins?
A D E K
What vaccine may prevent Epiglottits?
Hib vaccine
3 components of Asthma?
Bronchospasm, Inflammation, Mucus Plugging
5 T’s of trouble breathing?
Too hard Too fast Too noisy Too tight Too tired
Gold standard diagnostic test for CF?
Sweat chloride test