Flashcards in 1 - Paeds - Resp - DDx Upper Airway Obstruction Deck (12):
what could it be?
clinical thought process - inhaled foreign body (effective cough)
assess severity > effective cough? > encourage cough, check for deterioration
clinical thought process - inhaled foreign body (ineffective cough)
assess severity > ineffective cough? > conscious? (5 back blows, 5 thrusts - infant: chest, child >1: abdo)
unconscious? - open airway, 5 breaths, start CPR
bact tracheitis - other name? rare but?
rare but dangerous
bact tracheitis - similar to? but different how?
similar to severe viral croup but child has high fever, appears toxic, and has rapidly progressive airway obstruction without copious thick secretions
bact tracheitis - cause? treatment?
IV ABx, intubation and ventilation if required
smoke inhalation ->
resp defences overcome, coughing ineffective, gas exchange surfaces coated in particles, impairing gas exchange
heat of smoke ->
burns to airway, > swelling, occlusion
chemicals in smoke eg CO ->
desaturation of Hb and Loss of consciousness
clinical features of smoke inhalation
cough, sob, sore throat, headache, confusion
mucosal oedema due to throat burns
blue/cyanosed - from asphyxia due to smoke in lower lungs
mgmt of smoke inhalation
high flow humidified O2
100% O2 helps remove CO from blood