Chapter 30 PEDS Pulmonary Flashcards

1
Q

Viral Croup

A
  • Common in children 6 months to 5 years
  • Commonly caused by parainfluenza
  • Subglottic inflammation and edema
  • Usually occurs after an episode of rhinorrhea, sore throat, low-grade fever
  • Barking cough
  • Most resolve within 24-48 hours
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2
Q

Tonsillar infections

A
  • Incidence of tonsillitis secondary to GABH and MRSA has risen in the past 15 years
  • Complication of viral infection
  • Can lead to upper airway obstruction
  • Tonsillar and peritonsillar abscess
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3
Q

OSA (2)

A
  • Partial or intermittent

- Airway narrowing, increased upper airway collapsibility, and airway inflammation

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4
Q

OSA Treatment

A
  • -Tonsillectomy
  • Adenoidectomy
  • CPAP
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5
Q

Surfactant Deficiency Disorder

A
  • Lack of adequate surfactant
  • Primarily a disease of preterm infants
  • Caused by surfactant deficiency
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6
Q

When is surfactant produced?

A

At the end of pregnancy

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7
Q

Surfactant deficiency disorder causes….(2)

A
  • Widespread atelectasis

- Causes hypoxemia

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8
Q

Symptoms of Surfactant Deficiency Disorder (4)

A
  • Tachypnea
  • Expiratory grunting
  • Nasal flaring and retractions
  • Cyanosis]
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9
Q

Cystic Fibrosis inheritance type?

A

-Autosomal recessive

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10
Q

Cystic fibrosis characteristics

A
  • Mucus plugging
  • Chronic inflammation
  • Chronic infection of small airways
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11
Q

What cells does cystic fibrosis affect

A

Mucus producing cells

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12
Q

Causes of cystic fibrosis

A

-Defective gene alters a protein that regulates the normal movement of salt in and out of cells

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13
Q

Diagnostics for Cystic Fibrosis

A
  • Sweat test (chloride >60mEq/L)
  • PFT
  • Genetic testing
  • CXR
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14
Q

Cystic fibrosis treatment (4)

A
  • Antibiotics
  • Mucus-thinning drugs
  • Bronchodilators
  • Bronchial airway drainage
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15
Q

Cystic fibrosis prevention (4)

A
  • Immunizations
  • Pneumovac
  • Good hand washing
  • Prevent infection
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16
Q

Sudden Infant Death Syndrome (SIDS)

A
  • Under 1 year old

- Unexplained

17
Q

SIDS prevention (5)

A
  • Back-to-Sleep campaign
  • Bedding (firm flat mattress, empty crib)
  • Head Covering
  • No smoking
  • Room temperature