week 2: peds respiratory Flashcards

1
Q

what is laryngobronchitis

A

croup

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2
Q

what are the early signs of croup

A

low grade fever, hoarseness, croup cough, strider

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3
Q

what are some later stages of croup

A

retractions, accessory muscle use, crackles, wheezing, cyanosis, anpea

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4
Q

what are the main interventions for croup

A

maintain airway, monitor respiratory status/cyanosis, raise the head of the bed, add warm humidified oxygen, administer corticosteroids

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5
Q

what is bronchiolotis

A

an inflammation of the bronchioles that causes production of thick mucous

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6
Q

what is RSV

A

an acute, viral infection and a common cause of bronchiolotis

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7
Q

what are the signs of RSV

A

rhinorrhea, eye/ear drainage, pharyngitis, coughing, sneezing, intermittent fever

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8
Q

why shouldn’t you give cough suppressants with bronchiolitis

A

because it could interfere with clearance of secretions

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9
Q

what drug should you avoid administering with LABA

A

corticosteroids

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10
Q

is it a good sign if a child stops wheezing in the middle of an asthma exacerbation

A

NO it could be silent chest which is VERY BAD

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11
Q

when treating a child with bronchiolitis, which type of air should you use

A

warm, humidified aur

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12
Q

what is the main test done to assess for asthma

A

pulmonary function tests

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13
Q

what is the worst case scenario for a child with asthma

A

their airway becomes so inflamed it becomes obstructed

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14
Q

what are signs that an asthma attack is about to begin

A

restlessness, agitation, itching on front of neck and chest

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15
Q

which peds respiratory illness causes Darth Vader inhalation (stridor)

A

croup

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16
Q

do you give antibiotics for RSV

A

no

17
Q

what is the main intervention for RSV

A

hydration! check skin turgor and urinary output

18
Q

what years can you not do bulb suction for a child

A

under 6 years

19
Q

how is RSV transmitter

A

exposure to contaminated secretion

20
Q

whats the incubation period for RSV

A

5-8 days

21
Q

what is otitis media

A

fluid/inflammation in the middle ear

22
Q

which illness usually causes Otitis Media

A

RSV

23
Q

what are the results of chronic OM

A

hearing impairment and difficulty communicating

24
Q

what are the signs and symptoms of Otitis Media

A

abrupt onset, earache, fever, purulent discharge.

25
Q

how would you treat OM

A

amoxicillin will be given in severe cases, but they try not to give it because it can promote resistance
- analgesics/antipyretics
- facilitate drainage with cotton balls

26
Q

what are surgical ways to decrease drainage with OM

A
  • myringotomy (surgical incision of the ear drum)
  • pressure equaliser tubes (allows for continuous drainage)
27
Q

which vaccine prevents OM

A

pneumococcal vaccine

28
Q

what are the signs of status asthmaticus

A

severe SOB, sats below 94, lots of sweat, sitting upright and refusing to lie down, changes in LOC, silent chest