gen peds

Question 1

What is hypercapnea?

Answer 1

increase in CO2 and decrease in PH
-C02 retention, which is normally expelled via lungs but accumulates in hypoventilation =decreased alveolar vent and inability for lungs to clear CO2, which leads to resp acidosis
eventual compensation of kidney retaining alkali

Question 2

symptoms of hypercapnea?

Answer 2

drowsiness, confusion, headache, increased HR and BP, tremor, SOB

Question 3

What occurs in resp failure as complication of bronchiolitis?

Answer 3

hypoxemia associated with mucous plugging and atelectasis

Question 4

RSV Bronchiolitis features

Answer 4

usually <12m of age
URTI proceeding to LRTI
URTI= rhinorrhea, ear infection
LRTI=wheezing, crackles and rales
winter months with know RSV circulation
RSV incubation 4-6 days
RSV range 2-8 days

Question 5

which population at risk for apnea as complication of bronchiolitis?

Answer 5

preterm infants </36 weeks
infants <2m of age
<8 weeks of age corrected
RR<30 OR >70
sats <90% RA on presentation
those with underlying Med conditions

Question 6

RSV needs CXR and blood work?

Answer 6

No, clinical diagnosis UNLESS being evaluated for complications such as resp decompensation, distress, increased O2 requirements

Question 7

CRX findings with RSV?

Answer 7

variable and non-specific
atelectasis=hyperinflation, peri-bronchial thickening

Question 8

CXR findings CAP

Answer 8

consolidation and alveolar infiltrates