wheezing in children (not asthma) Flashcards
Heimlich maneuver
stand behind pt and place thumb side of one fist btwn navel and xiphoid process and do upward abd thrusts
stridor
wheezing coming from obstruction of large airway that has a constant pitch and intensity throughout entire inspiratory effort
most common causes of wheezing in children
asthma, viral infec
wheezing in children-what to ask?
age of onset exposure to cig smoke allergies frequency of wheezing assoc w vomiting or feeding
most common acute cause of wheezing in children younger than 2 yo
bronchiolitis (esp in 1-3 mo old)
symptoms of bronchiolitis
rhinorrhea and wheezing initially followed by low grade fever
later, may have cough, irritability and varying deg of dyspnea. may have poor oral intake
profuse coryza, congestion, pharyngitis, nasal discharge, fever
PE for bronchiolitis may reveal
wheezing, fine crackles, prolonged expiratory phase, tachypnea, and increased work of breathing seen by nasal flaring/intercostal retraction/apnea
a CBC for bronchiolitis is usually
normal
what is recommended tx for bronchiolitis
supplemental O2 if SpO2 under 90 and supportive care
what does supportive care for bronchiolitis consist of
supplemental humidified oxygen
fluids
suctioning of nasal and pharyngeal secretions
RSV bronchiolitis can be safely managed in an outpt setting if there’s no issues (like respiratory distress, younger than 3 mo, comobrbid conditions, etc)-true or false?
true
most common cause of airway obstruc in children 6 mo to 6 yrs
croup
croup syndrome encompasses
laryngotracheitis
laryngotracheobronchitis
laryngotracheobronchopneumonitis
spasmodic croup
what causes croup
parainfluenza viruses (80%) adenovirus RSV measles coxsackievirus rhinovirus echovirus reovirus metapneumovirus varicella HSV coronavirus influenza A, B
mild croup-tx?
does not require specific therapy, but single dose of corticosteroid may help
