Respiratory Flashcards
How do you evaluate the effectiveness of a cool mist tent for a child with laryngotracheobronchitis?
Strider (high-pitched whistling) and Croup (barky cough) will begin to subside
This indicates improvement in the child’s respiratory condition.
Which findings are associated with bronchiolitis?
Thick, copious mucus production
Possible ear/eye infection
Rhinorrhea, Sneezing, Coughing, Wheezing, Fever
Severe: tachypnea, apneic spells, cyanosis
These symptoms reflect the respiratory distress and infection severity.
Recognizing Manifestations of RSV
Sore Throat
Decreased appetite
Mild Headache
Lack of Energy
Rhinorrhea, Sneezing, Coughing, Fever
What is the priority action for suspected epiglottitis?
Maintain patent airway
Droplet isolation (until 24 hr of ABx is complete)
Nebulized corticosteroids and ABx
NPO
Cool mist humidified oxygen
Do not leave child unattended
These actions are critical to manage the airway and prevent further complications.
What medication is used for an acute asthma attack?
Short-acting beta agonists; rescue inhaler
albuterol (Proventil, Ventolin)
Albuterol is commonly used for treating acute asthma attacks.
What equipment is needed for proper delivery of medication with an MDI in a child?
A spacer is used to deliver the medication more evenly and deeper into the child’s lungs
This prevents popping in the back of the throat and ensures effective medication delivery.
What treatment should be provided prior to providing chest physiotherapy for a child with cystic fibrosis?
Administer aerosol treatment (bronchodilators)
This is to prevent discomfort and complications during therapy.
What should be avoided before chest physiotherapy?
Avoid meals
What precautions should be taken to prevent the transmission of streptococcal pharyngitis?
Droplet precautions
Administer ABx (usually 10 days)
Discard toothbrush after 24 hrs of starting ABx
Hand washing
These measures help to reduce the spread of infection.
When should pancreatic enzymes be administered for cystic fibrosis?
Within 30 min of eating a meal or snack
Timely administration optimizes nutrient absorption.
What management should be followed post tonsillectomy?
Avoid red-colored foods/drinks (assess for bleeding)
Avoid citrus and milk-based foods initially
Provide ice collar/chips
Avoid coughing, throat clearing, nose blowing using or using straws (protect surgical site!)
Elevate HOB, position to facilitate drainage
Notify provider of bright red bleeding, dehydration, infection
Encourage rest, full recovery 14 days