1 - Paeds - Resp - DDx Upper Airway Obstruction Flashcards Preview

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Flashcards in 1 - Paeds - Resp - DDx Upper Airway Obstruction Deck (12):
1

what could it be?

croup
epiglottitis
inhaled FB
trauma
smoke inhalation
bact tracheitis
congenital

2

clinical thought process - inhaled foreign body (effective cough)

assess severity > effective cough? > encourage cough, check for deterioration

3

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

4

bact tracheitis - other name? rare but?

rare but dangerous
pseudomembranous croup

5

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

6

bact tracheitis - cause? treatment?

s aureus
IV ABx, intubation and ventilation if required

7

smoke inhalation ->

resp defences overcome, coughing ineffective, gas exchange surfaces coated in particles, impairing gas exchange

8

heat of smoke ->

burns to airway, > swelling, occlusion

9

chemicals in smoke eg CO ->

desaturation of Hb and Loss of consciousness

10

clinical features of smoke inhalation

cough, sob, sore throat, headache, confusion

mucosal oedema due to throat burns

RR increased

blue/cyanosed - from asphyxia due to smoke in lower lungs

11

mgmt of smoke inhalation

fresh air
high flow humidified O2
100% O2 helps remove CO from blood

12

smoke inhalation - 50% need what? CO - leading cause of?

leading cause of cardiac arrest/death pre hospital

50% need intubation and PEEP to maintain airway

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