Flashcards in 109: U4: Peds assessment & NI's Deck (12):
Surfactant lacking in premature infants (born before 34 weeks). NI's:
Increased risk for respiratory distress syndrome as the alveoli collapse and stick together.
Infants have smaller lower airways. NI's:
Increased risk for obstruction by mucus, edema, and foreign bodies.
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).
Apnea for 10-15 seconds. Irregular Breathing pattern.
Normal variations NI's
Increased O2 needs. Count resps for one full minute. An increased resp rate = increased insensible loss.
Normal Newborn Resp Rate
Normal Infant Resp Rate
Intercostal muscles not well developed. NI's:
Increased risk for retractions. Suprasternal, Substernal, Subcostal, and Intercostal retractions.
S/S of difficulty breathing:
Nasal flaring, grunting, irritability, restlessness.
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.
Abdominal muscles used to inhale until age 5 or 6. NI's:
Belly breathers (adults are diaphragm breathers).