week 2 : gas exchange pediatrics: resp disorders Flashcards
nursing care for any respiratory disorder:
easing respiratory efforts: what undergoes this
can usually be managed at home
running a steamy shower ( 10-15 mins )
true or false. hot steam or cool mist vaporizers are recommended for easing respiratory efforts
false, it is not.
true or false. encourage quiet play, rest is something to do.
yes this is true
what undergoes promoting cofort for a ped pt who happens to have a resp disorder ?
clear nasal secretions with saline drops, bulb suction
bulb suction
medicated drops not if < 6 years
if >6 years no more that 2-3 days
reducing temperature is also a must, what undergoes this category?
monitor temp
acetaminophen or ibuprofen as directed ( do not ever give aspirin )
cool liquids to prevent dehydration ( losing a lot due to diaphoresis )
what undergoes dehydration
asses s & s
observe frequency and color of voids
count diapers ( home, ) weigh diapers ( hospital )
continue breastfeeding if pssible
oral rehydration fluids- pedialyte
true or false. it is important to not force food , only give what they can eat. ( popsicles, pudding, soup )
true
what are signs of a dehydrated baby
rapid breathing
increased heart rate
restlessness and or irritability
lethargy/weakness
poor skin turgor ( pinching a fold of skin at the abdomen results in it returning slowly to normal )
define if these are a sign of a dehydrated baby
sunken fontanelle
sunken eyes
lack of tears when crying
wants to drink a lot of water ( but may vomit )
excessive thrist
decreased urine output
all
infants/babies- indicated by no wet diapers in 6-8 hrs eriof or diapers with a little dark - yellow urine
toddlers/older children very little-dark yellow urine
is typically what we see in a dehydrated baby.
true
what is a bronciolitis
a common vital illness most often caused by respiratory synctial virus
how are broncholiotis transmitted ?
by exposure to contaminated secretions. can live on fomitesseveral hrs and hands for 30 mins
where does broncholiotis start?
starts with upper airway and moves to lower airway
how are bronchiolitis characterized by
acute inflammation of airways, bronchospasm, and increased mucus production
when does bronchiolitis usually occurs?
typically occurs during late fall and winter months ( rsv season )
when does incubation occur for bronchiolitis infant pts?
5-8 days after contact
what is a fomite?
a surface that carries bacteria
what causes destruction?
the mucous is causing some destruction,preventing from normal breathing, this is contagious by contaminated excretion
what are some initial signs and symptoms of bronchiolitis
rhinorrhea
pharyngitis
coughing/sneezing
wheezing
possible ear or eye drainage
intermittent fever
what is rhinorrhea
runny nose
what is pharyngitis
inflammation of the pharynx ( throat )
true or false. the more coughing and more wheezing the more complex it gets
true
with progression of illness of bronchiliotis what happens?
increased coughing and wheezing
tatchypnea and restractions
cyanosis
what happens during severe illness of broncholiotis
tatchypnea greater tan 70/min
listlessnes ( lethargic & lazy ) not wanting to participate
apneic cells –> periods of not breathing
poor air exchange, decreased breath sounds
what are the ped resp rate that are considered normals
premature
0-3 months
3-6 months
6-12 months
1) 40-70
2)30-60
3)30-45
4)25-40
what are the ped resp rate that are considered normals
1-3 year
3-6 year
6-12 year
12+ year
1) 20-30
2)20-25
3)14-22
4)12-18
how do they distinguish that a baby has a rsv
they swab nasal secretion- thats how they distinguish that a baby has rsv
rsv - nursing care
what undergoes this
- If resp distress or poor hydration will be hospitalized
- Assign to separate rooms or grouped with other RSV patients
- Droplet, contact and routine precautions (gloves, mask, gown)
true or false. these are important when it comes to rsv- nursing care
* O2 to keep sats >90 (Humidified via N/C, mask, hood)
* Clear secretions
* Superficial suctioning in (hosp)
* Bulb suction (at home)
Oxygen
true
true or false. a lot of nasal secretion may benefit from this
- superficially into the nare to get rid of some of that secretion
before feeding is best
true
rsv- nursing care, what type of medications are we giving?
medication
◦ Nebulized Epinepherine ?
◦ Tylenol
◦ No abx - viral
◦ No OTC decongestants, cough/cold meds, etc. ◦ nosteroids
is it important for an rsv to be hydrated? if so what do we check or do ?
yes Hydration
◦ Hydration!!!
Check skin turgor, U/O
◦ Encourage Breastfeeding if tolerated
◦ Suction before feedings
◦ Small frequent as tolerated
◦ IV fluids or NG feeds
signs of dehydration what do we do?
always encourage feeding ( may go iv or ng tube )
prevention of rsv
monoclonal antibody : palivizumab