week 2: peds respiratory Flashcards
what is laryngobronchitis
croup
what are the early signs of croup
low grade fever, hoarseness, croup cough, strider
what are some later stages of croup
retractions, accessory muscle use, crackles, wheezing, cyanosis, anpea
what are the main interventions for croup
maintain airway, monitor respiratory status/cyanosis, raise the head of the bed, add warm humidified oxygen, administer corticosteroids
what is bronchiolotis
an inflammation of the bronchioles that causes production of thick mucous
what is RSV
an acute, viral infection and a common cause of bronchiolotis
what are the signs of RSV
rhinorrhea, eye/ear drainage, pharyngitis, coughing, sneezing, intermittent fever
why shouldn’t you give cough suppressants with bronchiolitis
because it could interfere with clearance of secretions
what drug should you avoid administering with LABA
corticosteroids
is it a good sign if a child stops wheezing in the middle of an asthma exacerbation
NO it could be silent chest which is VERY BAD
when treating a child with bronchiolitis, which type of air should you use
warm, humidified aur
what is the main test done to assess for asthma
pulmonary function tests
what is the worst case scenario for a child with asthma
their airway becomes so inflamed it becomes obstructed
what are signs that an asthma attack is about to begin
restlessness, agitation, itching on front of neck and chest
which peds respiratory illness causes Darth Vader inhalation (stridor)
croup
do you give antibiotics for RSV
no
what is the main intervention for RSV
hydration! check skin turgor and urinary output
what years can you not do bulb suction for a child
under 6 years
how is RSV transmitter
exposure to contaminated secretion
whats the incubation period for RSV
5-8 days
what is otitis media
fluid/inflammation in the middle ear
which illness usually causes Otitis Media
RSV
what are the results of chronic OM
hearing impairment and difficulty communicating
what are the signs and symptoms of Otitis Media
abrupt onset, earache, fever, purulent discharge.
how would you treat OM
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
what are surgical ways to decrease drainage with OM
- myringotomy (surgical incision of the ear drum)
- pressure equaliser tubes (allows for continuous drainage)
which vaccine prevents OM
pneumococcal vaccine
what are the signs of status asthmaticus
severe SOB, sats below 94, lots of sweat, sitting upright and refusing to lie down, changes in LOC, silent chest
