Respiratory Flashcards

1
Q

You are conducting a respiratory assessment on a 4 year old child who has a chest infection. You hear crackles in the lung bases. What does this sound like?

A

Fine short high pitched sound

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2
Q

Which of the following is a sign of a compromised airway in the A-G assessment?

A

Stridor

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3
Q

What are the steps of an A-G assessment?

A

A-airway
B- Breathing
C- Circulation
D- Disability
E - Exposure
F - Fluids
G - Glucose

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4
Q

What rate is ‘normal breathing’, and what are its characteristics?

A

12-20, symmetrical bilateral chest expansion with no use of accessory muscles, no ‘strange’ breath sounds and no excessive sputum.

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5
Q

What is a URTI?

A

Upper respiratory tract infection

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6
Q

When is medical intervention usually needed for a URTI?

A

if bacterial infection occurs

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7
Q

What are the three URTI’s most commonly seen in children?

A

Croup, epiglottis and Pertussis

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8
Q

Is Croup viral or bacterial

A

Viral

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9
Q

What does/can Croup cause to happen to the airways?

A

odema, inflamation of the upper airway and laryngeal mucosa causing narrowing in subglottic region

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10
Q

What is the most common pathogen causing croup called?

A

Parainfluenza

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11
Q

What signs and symptoms characterise Croup?

A

inspiratory stridor, hoarseness, fever and a barking cough, nasal flaring and intercostal recession

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12
Q

What is a sign suggesting that Croup is life-threatening?

A

Hypoxia is a late sign

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13
Q

What is Epiglottitis?

A

inflammation of the epiglottis

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14
Q

.

A

.

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15
Q

How does Epiglottitis threaten a patients airway?

A

Swelling and odema of the epiglottis and surrounding tissue pushes the epiglottis posteriorly. - can cause complete obstruction can occur within hours and result in death.

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16
Q

What are some clinical manifestations of a child with epiglottitis /

A

Inspiratory and expiratory Stridor
pallor, lethargy, drooling, fever and extreme anxiety, Full fowlers with mouth open and chin thrust forward, difficulty swallowing, muffled voice.

17
Q

What are some general signs of increased WOB?

A

Nasal flaring, use of accessory muscles.

18
Q

What are some signs and symptoms that a person is experiencing respiratory distress?

A

supraclavicular and intercostal recession

19
Q

What should an assessment for a person experiencing an acute asthma attack be?

A

Focused and timely

20
Q

How often do you Assess respiratory status on a Asthma patient?

A

every 5-10 minutes initially, and as condition improves, 1-2 hourly

21
Q

What advice would a RN give to a patient around using their inhaler?

A

4 puffs (AD)
Use with a spacer, up to 4x more effective.
Always keep an inhaler on hand (in case of an attack)

22
Q

A whistling sound heard on auscultation

A

WHEEZE

23
Q

What is the word for Difficulty in breathing?

A

DYSPNOEA

24
Q

What intervention can help patients to maximise their lung function while the patient is in bed?

A

POSITIONING

25
Q

What is a chronic inflammatory disease due to hyperresponsivenss of the airway?

A

ASTHMA

26
Q

What is an infection of the lungs involving an acute inflammatory response that impairs the alveoli and interferes with ventilation

A

PNEUMONIA

27
Q

What are abnormal lung sounds heard on auscultation when air passes through secretions or collapsed alveoli pop open

A

CRACKLES

28
Q

What is a condition in which partial pressure oxygen in arterial blood is below the normal range

A

HYPOXAEMIA

29
Q

What is a device used to vaporise liquid medications for inhalation

A

NEBULISER