Respiratory Video

Question 1

If we can fix a child respiratory issue
We can help with everyone else

Small child don’t have sinus
So they don’t have sinus infections

Question 2

We don’t test strep in children under 2 years old

Question 3

Cystic fibrosis
Thick secretions
We need to move them!! Mobility

Question 4

Restless is hypoxia !!
A common sign

Question 5

Acute streptococcal pharyngitis
Rapid antigen testing - 5mins test

Though it can be tricky since strep can not come positive

So we have back up culture test

Question 6

Pen G can not be IV!!

Question 7

Post operative tonsillectomy
Bleeding is a medical emergency!!!!

Frequent swallowing is the most common sign, may mean they have a slow leak

Don’t suction back of throat !!

Question 8

Mono
- FATIGUE AND LETHARGIC

DONT use contact sport
Cause you have large spleen

They can cause splenic rupture

6 weeks from diagnosis

It can cause hemorrhage cause spleen takes care of our RBCS

Question 9

Epuglottitis is hot potato voice!!! And drooling!!

Question 10

Since children are not good for sputum samples so normally we treat with Augmentin for pneumonia

Question 11

Mantoux test is like a risk factor
It’s a PPD

Question 12

aspiration pneumonia
Takes a while because the sugar takes a min to build up in the lungs

So x rag usually is waited for a couple of days

Question 13

Congenital diaphragmatic hernia
You will hear bowel sounds in the chest

Question 14

Shiner in the eyes
Nasal salute- line on the nose cause they keep rubbing it from itching

Flonase every day!!!
3 days max!

Allergic rhinitis

Question 15

Allergies are fever
Sneezing!!!!
Ear and eye problems !!!

Question 16

Wheezing is expiratory
Musical and whimsical sounding

Question 17

If you aren’t hearing wheezing
They are gonna go into respiratory distress

Question 18

Bronchoconstriction is treated with
Beta2 Adrenergic agonists

Increase heart kidney
Increase renin
Beta 2 lungs!!

Don’t use for mucus !!

Question 19

Nighttime awakening is a sign of a step up in asthma !!

Question 20

Really sick asthma patients we will give
Prednisolone

Question 21

Oral is for severe asthma
!! - short term

Steroids help with
- obesity
- osteroporiesus
- growth declined

Inhaled is topically
- cream on a rash type of mentality

Question 22

Dexnaethasone
1-2 days
( PO,IM,IV)

Question 23

Give steroids with food
Cause they can cause ulcers

Question 24

Steroids suppress the immune system!!!!!
- cushion syndrome!

The way the immune system starts is the histamines reaction

Question 25

Ask patient to show the inhaler education!!

Wash mouth afterwards