Pulmonary Flashcards
Location of larynx for infants
2-3 veterbrae higher than in adults
What are we assessing for in peds resp
affect
color
resp rate
accessory muscle use
peds assesment O2
pulse ox
room air or O2
changes in feeding or sleeping
listen to breath sounds
Sinusitis
infection/inflammation of the sinus cavities
ages 6+
tx: antipyretics, analgesics, nasal sprays
Laryngitis
caused by virus
common in kids and teens
tx with fluids and pain relievers
CROUP
swelling/obstruction of the larynx
barking cough
caused by virus
ages 6month-5yr
CROUP info
common in boys
preceded by a URI
low grade fever
barking cough, worse at night
CROUP TX
treat with mist, humidification
maintin an airway
give fluids
use a nebulizer
Epiglottitis
requires immediate attention abrupt onset symptoms: fever tripod position drooling abscence of cough
Epiglottitis Diagnosis & Tx
lateral neck XRAY
tx with antibiotics, corticosteroids
Pneumonia
bacterial or viral
inflammation of pulmonary bodies
viral is more common
bacterial is bad, with high fever, difficulty breathing
Pneumonia Nursing Considerations
O2 PRN
maintain chest tube care if present
reduce anxiety
prolong activity as tolerated
Otitis Media
ear infection
OM: intact membrane that is bright red
OME: dull grey membrane
Otitis Media Tx
careful use of antibiotics
Motrin for fever control
Tonsilitis
antibody formation
protect respiratory tract from organisms
Tonsilitis Tx
viral: symptomatic treatment
bacterial: antibiotics
removal is usually after 3 years of age
Nursing Care Post OP Tonsillectomy
pain relief for 24hrs ice collar ice chips until cleared for soft food low grade fever is normal avoid coughing and gargling
Nursing Considerations for Drug Therapy
Beta Adrenergic Agonist: assess HR
Corticosteroid inhaler: use a spacer
Leukotriene: assess for jaundice
Bronchodilators: do not give with rapid HR
Cystic Fibrosis
Autosomal Recessive Gene
Multi system disease
Cystic Fibrosis Clinical Manifestation
resp: viscous mucus cough wheezing clubbing
GI:
weight loss
malabsorption of fat
skin:
^^ sodium in sweat
Reproductive: delayed puberty
Mechanical Chest PT
airway clearance vest
contraindications to CPT
after eating
PE
osteogenesis imperfecta
Pancreatic Enzyme Replacement
needed to digest fat protein and sugar
taken with meals and snacks
Lung Transplant
both lungs must be transplanted in order to avoid bacterial colonization
