T3 - Respiratory Disorders PPT (Josh)

Question 1

In pediatrics, the focus is on —

In adults, the focus is on —

Answer 1

airways

cardiovascular

Question 2

In peds, the primary cause of cardiopulmonary arrest is — —

In adults, the primary cause of cardiopulmonary arrest is — —

Answer 2

respiratory failure

cardiac failure

Question 3

The further down the substernal retraction pulls, —

Answer 3

the less distress they’re in

Question 4

Which is more severe, substernal or suprasternal retractions?

Answer 4

suprasternal

• higher up, the more severe

Question 5

Tachycardia may indicate —

Answer 5

hypoxia

• they’re breathing faster to get the O2 in

Question 6

Cyanosis is a — sign of cardiac arrest.

Answer 6

late

Question 7

LOC is a — sign of respiratory distress.

Answer 7

early

Question 8

Why does dehydration happen during respiratory distress?

Answer 8

they’re breathing so fast and losing water via insensible loss

Question 9

Vomiting w/ respiratory problems is likely due to —

Answer 9

swallowing so much plegm

Question 10

The increased metabolic activity creates an increased need for –

Answer 10

calories/nutrition

fluid

Question 11

What is the most common form of croup?

Answer 11

Laryngotracheobronchitis (LTB)

• age 1-3
• caused by viruses

Question 12

– is moderate to severe airway obstruction caused by inflammation of larynx, trachea, and large bronchi.

Answer 12

Larygotracheabronchitis (LTB)

• most common form of croup

Question 13

Croup is a general term applied to a complex of symptoms characterized by —

Answer 13

a barking cough

Question 14

Croup is described according to —

Answer 14

anatomical area involved

Question 15

— begins w/ a simple URI for 1-2 days

Answer 15

LTB

• ie: slow onset

Question 16

— is a classic symptom of LTB

Answer 16

Inspiratory stridor

Question 17

Other than Inspiratory Stridor, what are other manifestations of LTB?

Answer 17

• Hoarseness
• Mild Fever
• Restlessness
• Flaring
• Retractions
• Increased WOB
• Resp. Fatigue
• Hypoxia

Question 18

In – –, there is no stridor

In – –, there is continuous stridor

Answer 18

mild croup

severe croup

Question 19

LTB can be usually be managed at home if –

Answer 19

there is no stridor at rest

Question 20

With LTB, oral fluids are encouraged if RR is __

Answer 20

60, don’t give oral fluids

Question 21

Home treatments for LTB:

Answer 21

Oral fluids if RR

Question 22

Why don’t we see Epiglottitis as much any more?

Answer 22

Hib vaccine treats it

Question 23

– – is severe, sudden onset of inflammation of the epiglottis.

Answer 23

Epiglottitis

• EMERGENCY

Question 24

— is a hallmark sign of epiglottitis

Answer 24

Drooling

Question 25

An x-ray of the client with epiglottitis will reveal –

Answer 25

thumb’s sign (enlarged, rounded epiglottis)

Question 26

With a foreign body obstruction, what age gets back blows?

Answer 26

Back blows and chest thrusts if under age 1

Abdominal thrusts if over 1 year old

Question 27

Total obstruction can cause death if object is not removed within –

Answer 27

4 mins

Question 28

– is a lower respiratory tract disorder.

Answer 28

Bronchiolitis

Question 29

RSV is the most common form of –

Answer 29

Bronchiolitis

• lower RTI

Question 30

Bronchiolitis is most common in –

Answer 30

winter and early spring

children less than 2 yrs

common (95% of kids have had it by age 3)

Question 31

Slide 58

Answer 31

Slide 58