Respiratory Management Flashcards

1
Q

Work of breathing symptoms

A

Accessory muscles use, nasal flaring, tracheal tugging,

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2
Q

Neurological assessment

A

Check LOC for restlessness, confusion, combative behaviour

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3
Q

How do you give Dexamthasone

A

Orally

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4
Q

Exam neck for

A

JVD, tracheal deviation

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5
Q

Examine chest for

A

Accessory muscle use, indrawing, auscultation

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6
Q

Examine extremities for

A

Edema, skin tempurature

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7
Q

What meds can you give for bronchoconstriction

A

Salbutamol, epi and Dexamthasone

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8
Q

What meds can you give for Croup

A

Epi and Dexamthasone

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9
Q

How can you give salbutamol for bronchoconstriction

A

MDI or NEB

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10
Q

How do you give EPI for bronchoconstriction

A

IM

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11
Q

Route of Dexamthasone for bronchoconstriction

A

PO/IM/IV

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12
Q

Dose of Salbutamol for <25kg

A

MDI - 600mcg
NEB - 2.5mg

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13
Q

Dose of Salbutamol for >25mg

A

MDI - 800mcg
NEB - 5mg

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14
Q

Max number of doses of Salbutamol for bronchoconstriction

A

3

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15
Q

Does of EPI for bronchoconstriction and Max dose

A

0.01mg/kg
Max 0.5mg

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16
Q

Dose of Dexamthasone for bronchoconstriction and Max

A

0.5mg/kg
Max of 8mg

17
Q

How to estimate child’s age in kg

A

2 x age + 10

18
Q

If patient is apneic what medication do you give first

A

EPI

19
Q

When is nebulization contraindicated

A

When patient has fever because there is another option available for salbutamol, MDI

20
Q

What meds can you give for Croup

A

Epi and Dexamthasone

21
Q

What age are the meds for in the croup medical directive

A

> 6 months to <8 years

22
Q

Conditions to give Epi for Croup

A

HR less than 200bpm and stridor at rest

23
Q

How do you give Epi for Croup

A

NEB

24
Q

Dose of EPI for Croup if the pt is <10kg

A

2.5mg

25
Q

Dose of EPI for Croup if the pt is >10kg

A

5mg

26
Q

Dose of Dexamethasone for Croup and MAX dose

A

0.5mg/kg up to 8mg

27
Q

11 year old Patient is presenting with bronchoconstriction, what is their dose of meds

A

Salbutamol - 800mcg MDI or 5mg NEB
EPI - 0.30mg
Dex - 8mg

28
Q

3 year old patient is presenting with bronchoconstriction what dose and what meds would you give

A

salbutamol - 600mcg MDI or 2.5mg NEB
EPi - 0.15mg
Dex - 8mg

29
Q

You have a 9kg patient presenting with Croup, what meds and doses would you give

A

Epi NEB - 2.5mg
Dex - 4.5mg

30
Q

What is a anticholinergic

A

Works to prevent PSNS, most common is atrovent