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Maternity > Pulmonary > Flashcards

Pulmonary Flashcards

1
Q

Location of larynx for infants

A

2-3 veterbrae higher than in adults

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2
Q

What are we assessing for in peds resp

A

affect
color
resp rate
accessory muscle use

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3
Q

peds assesment O2

A

pulse ox
room air or O2
changes in feeding or sleeping
listen to breath sounds

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4
Q

Sinusitis

A

infection/inflammation of the sinus cavities
ages 6+
tx: antipyretics, analgesics, nasal sprays

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5
Q

Laryngitis

A

caused by virus
common in kids and teens
tx with fluids and pain relievers

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6
Q

CROUP

A

swelling/obstruction of the larynx
barking cough
caused by virus
ages 6month-5yr

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7
Q

CROUP info

A

common in boys
preceded by a URI
low grade fever
barking cough, worse at night

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8
Q

CROUP TX

A

treat with mist, humidification
maintin an airway
give fluids
use a nebulizer

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9
Q

Epiglottitis

A 
requires immediate attention
abrupt onset
symptoms:
fever
tripod position
drooling
abscence of cough
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10
Q

Epiglottitis Diagnosis & Tx

A

lateral neck XRAY

tx with antibiotics, corticosteroids

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11
Q

Pneumonia

A

bacterial or viral
inflammation of pulmonary bodies
viral is more common
bacterial is bad, with high fever, difficulty breathing

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12
Q

Pneumonia Nursing Considerations

A

O2 PRN
maintain chest tube care if present
reduce anxiety
prolong activity as tolerated

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13
Q

Otitis Media

A

ear infection
OM: intact membrane that is bright red
OME: dull grey membrane

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14
Q

Otitis Media Tx

A

careful use of antibiotics

Motrin for fever control

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15
Q

Tonsilitis

A

antibody formation

protect respiratory tract from organisms

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16
Q

Tonsilitis Tx

A

viral: symptomatic treatment
bacterial: antibiotics

removal is usually after 3 years of age

17
Q

Nursing Care Post OP Tonsillectomy

A 
pain relief for 24hrs
ice collar
ice chips until cleared for soft food
low grade fever is normal 
avoid coughing and gargling
18
Q

Nursing Considerations for Drug Therapy

A

Beta Adrenergic Agonist: assess HR
Corticosteroid inhaler: use a spacer
Leukotriene: assess for jaundice
Bronchodilators: do not give with rapid HR

19
Q

Cystic Fibrosis

A

Autosomal Recessive Gene

Multi system disease

20
Q

Cystic Fibrosis Clinical Manifestation

A 
resp:
viscous mucus
cough
wheezing
clubbing

GI:
weight loss
malabsorption of fat

skin:
^^ sodium in sweat

Reproductive: delayed puberty

21
Q

Mechanical Chest PT

A

airway clearance vest

22
Q

contraindications to CPT

A

after eating
PE
osteogenesis imperfecta

23
Q

Pancreatic Enzyme Replacement

A

needed to digest fat protein and sugar

taken with meals and snacks

24
Q

Lung Transplant

A

both lungs must be transplanted in order to avoid bacterial colonization

25
Q

Cystic Fibrosis Nutritional Requirements

A

150% more calories

high protein, high cal diet

Maternity (11 decks)

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