Pulmonary

Question 1

what do retractions indicate?

Answer 1

increased work of breathing

Question 2

s/s of pharyngitis

Answer 2

quick onset fever, headache, sore throat, swollen lymph nodes

Question 3

pharyngitis treatment

Answer 3

antibiotics if bacterial, treat symptoms if viral

Question 4

post-tonsillectomy risks

Answer 4

infection, obstruction, hemorrhage

Question 5

s/s of post-tonsillectomy hemorrhage

Answer 5

frequent swallowing, bloody vomit/stool, coughing up blood, tachycardic

Question 6

s/s of LTB croup

Answer 6

barking cough, crowing sounds, inspiratory stridor, tachypnea, retractions, hypoxia

Question 7

medications for croup

Answer 7

dexamethasone, albuterol cool mist & racemic epi treatments

Question 8

when should a child not take anything PO?

Answer 8

tachypneic

Question 9

mgmt of LTB croup

Answer 9

keep hydrated, elevate HOB, monitor vitals closely, resp reassessments

Question 10

s/s of epiglottitis

Answer 10

excessive drooling, stridor, sore throat, tripod, cyanotic

Question 11

mgmt of epiglottitis

Answer 11

CXR, intubation kit in room, meds, let physician inspect & swab throat - may need to intubate

Question 12

medications for epiglottitis

Answer 12

abx, sedation, steroids, cool mist neb

Question 13

bronchiolitis cause

Answer 13

recent h/o RSV, LTB croup, other URI

Question 14

palivizumab

Answer 14

RSV vaccine for immunocompromised

Question 15

s/s of bronchiolitis

Answer 15

crackles, wheezing, coughing, over inflated lungs on x-ray

Question 16

mgmt of bronchiolitis

Answer 16

antipyretics, nasal suction, hydration, do NOT encourage to cough or do chest PT

Question 17

sweat chloride testing

Answer 17

indicator of CF

Question 18

resp CF meds ORDER

Answer 18

albuterol, dornase alfa, abx

Question 19

purpose of dornase alfa

Answer 19

thins secretions so they can be expelled

Question 20

resp mgmt of CF

Answer 20

chest PT, encourage exercise, adherence to meds, resp infection prophylaxis

Question 21

what kind of diet should a CF kid be on?

Answer 21

high protein, high calorie

Question 22

when should pancrealipase be given

Answer 22

30 min before meals & snacks

Question 23

what indicates a higher dose of pancrealipase is needed

Answer 23

steatorrhea

Question 24

GI meds for CF

Answer 24

laxatives/stool softeners, pancrealipase, vit ADEK, iron, B12

Question 25

why is hydration during exercise important for CF kids

Answer 25

can’t sweat to cool off - high r:o heat exhaustion

Question 26

who are most at risk for otitis media

Answer 26

nonbreastfed, daycares, preschools, unvaxxed

Question 27

s/s of otitis media

Answer 27

tugging @ ears, thrashing/rolling side to side, crying, sit closer to TV - can’t hear

Question 28

treatment for otitis media

Answer 28

abx, tympanostomy drainage tubes

Question 29

eardrops med admin

Answer 29

pull down & back