109: U4: Peds assessment & NI's Flashcards Preview

109: U4: Chronic Resp Disorders > 109: U4: Peds assessment & NI's > Flashcards

Flashcards in 109: U4: Peds assessment & NI's Deck (12):
1

Surfactant lacking in premature infants (born before 34 weeks). NI's:

Increased risk for respiratory distress syndrome as the alveoli collapse and stick together.

2

Infants have smaller lower airways. NI's:

Increased risk for obstruction by mucus, edema, and foreign bodies.

3

Infants are obligatory nose breathers. NI's:

Difficulty breathing if nose becomes congested (lasts until about 4 months). Suction before feeding. Risk for fluid volume deficit (can't breath = can't eat).

4

Normal variations

Apnea for 10-15 seconds. Irregular Breathing pattern.

5

Normal variations NI's

Increased O2 needs. Count resps for one full minute. An increased resp rate = increased insensible loss.

6

Normal Newborn Resp Rate

30-60

7

Normal Infant Resp Rate

20-40

8

Intercostal muscles not well developed. NI's:

Increased risk for retractions. Suprasternal, Substernal, Subcostal, and Intercostal retractions.

9

S/S of difficulty breathing:

Nasal flaring, grunting, irritability, restlessness.

10

Eustacian tubes are positioned more horizontal than adults. NI's:

Increased risk for bacteria entering the middle ear. At age 2, the risk for infections decrease as the tubes begin draining better.

11

Abdominal muscles used to inhale until age 5 or 6. NI's:

Belly breathers (adults are diaphragm breathers).

12

Child's larynx is more flexible. NI's:

Increased susceptibility to spasm (Croop).