Respiratory CIS high yield handout 1 Flashcards
sudden stridor in a child makes you think of what
foreign body aspiration
what would indicate concern for CF and how would you test for it
poor height and weight clubbing foul smelling stools (evidence of malabsorption) recurrent pneumonia edema failure to thirve
test with sweat chloride
when is the time to intubate an asthmatic
btwn irritable and obtunded
what are common findings on a CXR in a child with astma or reactive airway disease
atelectasis
hyperinflation of both lungs
perihilar thickening
brassy or barking cough
anatomical airway abnormality
bronchoscopy, imaging
what are some examples of common triggers for asthma
virus allergies exercise cold air cigarette smoke exposure
treatment for asthma
albuterol
ICS
oral corticosteroids
oxygen
what is the best way to obtain blood gases in a pediatric pt
what are the caveats of ordering it this way
capillary blood gases fairly common in children
-quicker and less distressing than arterial gas
can’t use Pa)2 from them
useful only for pH and CO2
why don’t you want to intubate asthmatics
they can’t exhale so you force breaths in with vent, they get fuller and fuller until they get bilateral pneumothorax or acute right heart collapse and ide
which population of asthmatics has the highest mortalitiy
adolescents bc they don’t carry their rescue inhaler with them
choking with feeds
recurrent aspiration
modified barium swallow, barium esophagram
options for maintanence IVF in children
whats added to IVF in peds
1/2 NS in >1 yo or 1/4 NS <1
NS is reserved for bolusing
in peds usually potassium is added to IVF
neonatal onset of cough
congential anatomic defect
what is a common cause of wheezing in kids
viral infections
clearing throat, allergic aslute, worse when recumbent
postnasal drip/allergic rhinitis
antibiotics
