Test 5 c&c Flashcards
After being hospitalized for Acute LTB 18 month Eric now has thick purulent secretions. His stridor has returned and he has a fever of 104, croup cough but no droolling. Although recently removed the docotors are considering to trach him again what does Eric have?
Bacterial Trachetis
How can bacterial trachitis be treated
need humidifed o2, anibiotics, intubation(sometimes) antipyretics
This very common pathogen is the highest of respiratory infectious agents it causes fever, anorexia, vomiting, diarrhea, abd. pain
cough, sore throat, nasal blockage and discharge and resp sounds
RSV: respiratory syncytial virus
THis is characterized by horseness, barking cough and inspiratory stridor with varying degrees of resp distress. It can affect the larynx, trachea and bronich resulting in obstruction and sweling esp in larynx
Croup syndromes
Hydration is key in this resp infection that causes horseness, a dry hacking cough(possibly white sptum), flushed skin, high fever, pale color to cynaosis, retractions and nasal flaring and abd. pain photophobia and exhaustation.
Influneza (photoboia is light sensitive)
can have many pathogens
if bacterial it may have occurred after a viral infections
Emma is four months old and has just come home to her foster parents from the hospital after a bout with this resp infection. She received IV fluids and riboviran and was in isolation precautios. She has a sore throat, runny nose and fever and cough with wheeizing. Her foster family is sure not to use the same hand towel as her what does she have, What could have prevented it, what caused it? What is she more prone to untill age ________.
She has bronchiolitis,
caused by RSV,
neumax could have prevented it (given nov-march because it’s a winter spring disease).
can become severe
Emma is under 1-common. she is more prone for asthma development up to 13
This has an increased incidence when entering school but rare after seven. Children ofter recover in 72 hrs and this infection is often preceded by RSV or FLU?
Ottitis Media
Gepetto is taking pinnochio to the blue fairy for a sore throat AkA ________ just to be safe. The fairy tells him that If his sore throat is caused by this pathogen _____it may result in rehmatic fever. Throat cultures are done for__________ and antibiotics may be given however it can be viral(enlarged tonsils)
Pharyngitis is Sore throat, Group A beta hemolytic streptococci. AKA GABHS
GABHS
Two year old Henry is awakening at night with sudden attacks of croups( barking cough, inspiratory stridor, retractions, low grade fever and restlessness). Regina looks in his throat and there is minimal inflammation. Blaming herself for not having magic she restorts to calling the the mad sceintist aka the doctor. he tells her a cool mist will help and it shouldn’t last more than ____ days. If it becomes server bring him in b/c it may be
Acute spasmoidc laryngitis aka spasmoidc croup/midnight croup
May or may not have inflammation. lasts up to 5 days, if severe it might be acute LTB
3 yr old John darling is your patient in the London clinic he has a sore throat, high fever and inspirtory stidor. He has now taken on a tripod postion and is showing mild hypoxia and distress. what does he have? what is the pathogen? Give 3 treatments?
Common ages 2-5 is Acute Epiglottis “emergent situation”
Haemophuilus. Infunezae Epligotlitis type B: pathogen
Needs
Trach intubation (by skilled physicain)
Corticosteriods
antibiotics
while waiting on the doctor one of the nurses suggest you take a throat culture on John darling and start some o2 what is wrong with this?
Don’t visualize or get culture dangers and , no o2 b/c not beneficial.
This decreases incidence of Acute epiglottistis and is is given beginning at age____
Age 2 HIB
Annoyed with the way once upon a time portrays him Peter pan can’t speak out b/c he has this virally caused self limiting resp infection whose common symptoms is hoarseness.
Acute Laryngitis-more common in adolescents
5 year old odette has a dry hacking non productive cough that results in inflammation it has gotten worse at night. Her father notices that day 2 to 3 it becomes productive but is resolved between days 5-10. What is it? what is the pathogen?
Bronchitis
pathogen: m. pnemonia
common in kids under 6 assoc with urinfections
Young Gaston is allergic to the game on the wall of his grandfathers house. He is taken to the town physician who finds inflammation, edema, increased mucous and broncho-spasm. His grandfather is worried. what does he have and how should he be reassured?
RAD reactive airway disease caused by
allergen, irritants, virus or bacteria-it is reversible,
self limiting to suppotive therapy.
Those with croup , asthma and brocholits may have it.
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