Pulmonary Flashcards
what do retractions indicate?
increased work of breathing
s/s of pharyngitis
quick onset fever, headache, sore throat, swollen lymph nodes
pharyngitis treatment
antibiotics if bacterial, treat symptoms if viral
post-tonsillectomy risks
infection, obstruction, hemorrhage
s/s of post-tonsillectomy hemorrhage
frequent swallowing, bloody vomit/stool, coughing up blood, tachycardic
s/s of LTB croup
barking cough, crowing sounds, inspiratory stridor, tachypnea, retractions, hypoxia
medications for croup
dexamethasone, albuterol cool mist & racemic epi treatments
when should a child not take anything PO?
tachypneic
mgmt of LTB croup
keep hydrated, elevate HOB, monitor vitals closely, resp reassessments
s/s of epiglottitis
excessive drooling, stridor, sore throat, tripod, cyanotic
mgmt of epiglottitis
CXR, intubation kit in room, meds, let physician inspect & swab throat - may need to intubate
medications for epiglottitis
abx, sedation, steroids, cool mist neb
bronchiolitis cause
recent h/o RSV, LTB croup, other URI
palivizumab
RSV vaccine for immunocompromised
s/s of bronchiolitis
crackles, wheezing, coughing, over inflated lungs on x-ray
mgmt of bronchiolitis
antipyretics, nasal suction, hydration, do NOT encourage to cough or do chest PT
sweat chloride testing
indicator of CF
resp CF meds ORDER
albuterol, dornase alfa, abx
purpose of dornase alfa
thins secretions so they can be expelled
resp mgmt of CF
chest PT, encourage exercise, adherence to meds, resp infection prophylaxis
what kind of diet should a CF kid be on?
high protein, high calorie
when should pancrealipase be given
30 min before meals & snacks
what indicates a higher dose of pancrealipase is needed
steatorrhea
GI meds for CF
laxatives/stool softeners, pancrealipase, vit ADEK, iron, B12
