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Flashcards in exam 2: resp Deck (42):
1

Equivalent of the “common cold”

Causes:
rhinovirus, RSV, adenovirus, influenza virus, & parainfluenza virus

nasopharyngitis

2

Nursing Interventions for nasopharyngitis

elevate HOB, suctioning, vaporization, saline nose drops

3

80-90% of this disease is viral

pharyngitis

4

what test is done to rule out strep throat in those with pharyngiits?

GABHS

5

antibiotic of choice to treat pharyngitis?

penecillin, and if allergic, erythromycin

6

for tonsillitis, when do you need to get surgery--> tonsillectomy or adenoidectomy?

if three more or cases have occured in the past year

7

post-op nursing monitoring priorities in those with tonsillitis?

Monitor for bleeding: frequent swallowing, vomiting fresh blood, frequent throat clearing
Highest risk of hemorrhage is first 24hrs. & 5-10 days post-op.

8

foods to avoid post-op tonsillitis?

Straws
Red fluids
Acidic foods or fluids
Rough textured foods
Hot food or drink

9

is otitis media caused by bacterial or viral agent? and which ones?

bacterial; s. pneumoniae & H influenzae

10

2 types of otitis media?

acute otitis media (AOM)
or
otitis media with effusion (OME)

11

which vaccine has decreased the incidence of otitis media by 50% in some cases>

pneumococcal vaccine

12

nursing interventions for otitis media

Position on affected side for comfort & facilitate drainage
Apply heat over the ear (warm compresses)
Cleanse external canal with antibiotic ointment or hydrogen peroxide if ordered

13

principle cause of infectious mononucleosis

epstein-barr virus

14

infection control procedure for mono patients

standard, no isolation
incubation period is 30-50 days

15

S&S of mono

big three: fever, pharyngitis, cervical lymphadenopathy

16

Croup syndromes symtoms

hoarse cough, insp. stridor, resp. distresss

17

epiglottitis

acute inflammation of the epiglottis. MEDICAL EMERGENCY

18

which bacteria usually causes epiglottitis?

H influenzae

19

clinical manifestations of epiglottitis?

4 D's:
drooling
dysphagia
dysphonia
distressed breathing efforts
tripod position

20

lab diagnostics of epiglottitis?

ABGs: low pH AND PaO2
high co2--> RESP. ACIDOSIS

21

treatment of epiglottitis?

analgesics and antipyretics
iv antibiotics
corticosteroids
O2 therapy

22

most common croup syndrome

laryngotracheobronchitis

23

most common cause of bronchiolitis and pneumonia in children less than a year old

resp. syncytial virus

24

viral infection of bronchioles. characterized by thick secretions

bronciolitis

25

diagnosis of bronchiolitis made by

RSV washings, SaO2

26

nursing interventios for bronchiolitis pts.

-DROPLET PRECAUTIONS
observe for hypoxia
bulb syringe for suctioning
administer neb treatment

27

diagnostic tests to determine pneumonia:

CXR, CT, Sputum C&S

28

treatment for pneumonia

resp assessment
cool mist tent
elevate HOB
Chest PT/ incentive spirometry
antibiotics

29

pertussis

whooping cough, highly contagious "droplet precautions"

30

diagnosis of pertussis made by

nasal swab

31

treatment of pertussis is: _____

symptomatic. cool mist with O2 and resp. assessment

32

reversible "reactive" airway disease

asthma

33

most common chronic condition in children

asthma

34

this is ominous sign of resp arrest in asthmatic pts.

sudden cessation of wheezes

35

treatment for asthma

short acting beta blockers: albuterol
anticholintergics: atrovent
steroids
spacers

36

this asthmatic drug should not be used in children under the age of 12

Leukotreine modifiers: Singulair

37

autosomal recessive disease causing dysfunction of exocrine glands

cystic fibrosis

38

responsible mutated gene for cystic fibrosis is located here

chromosome 7

39

when both parents carry the CF gen, then:

-25% with have CF
-50% will be carriers
-25% will not have disease

40

assessments found in CF pts.:

-meconium ileus(infants)
-salty-tasting skin
-frequent infections
-steatorrhea (fatty stools)
thin extremities and muscle wasting

41

diagnostic test for CF:

sweat test: weat chloride greater than 60 on two or more occasions is indicative
-stool for fecal fat
-chest x-ray

42

treatment options for CP pts: meds

bronchodilators
mucolytics
pancreatic enzymes
vitamins
antibiotics
salt replacement
nsaids
flutter valve