Flashcards in exam 2: resp Deck (42):
Equivalent of the “common cold”
rhinovirus, RSV, adenovirus, influenza virus, & parainfluenza virus
Nursing Interventions for nasopharyngitis
elevate HOB, suctioning, vaporization, saline nose drops
80-90% of this disease is viral
what test is done to rule out strep throat in those with pharyngiits?
antibiotic of choice to treat pharyngitis?
penecillin, and if allergic, erythromycin
for tonsillitis, when do you need to get surgery--> tonsillectomy or adenoidectomy?
if three more or cases have occured in the past year
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.
foods to avoid post-op tonsillitis?
Acidic foods or fluids
Rough textured foods
Hot food or drink
is otitis media caused by bacterial or viral agent? and which ones?
bacterial; s. pneumoniae & H influenzae
2 types of otitis media?
acute otitis media (AOM)
otitis media with effusion (OME)
which vaccine has decreased the incidence of otitis media by 50% in some cases>
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
principle cause of infectious mononucleosis
infection control procedure for mono patients
standard, no isolation
incubation period is 30-50 days
S&S of mono
big three: fever, pharyngitis, cervical lymphadenopathy
Croup syndromes symtoms
hoarse cough, insp. stridor, resp. distresss
acute inflammation of the epiglottis. MEDICAL EMERGENCY
which bacteria usually causes epiglottitis?
clinical manifestations of epiglottitis?
distressed breathing efforts
lab diagnostics of epiglottitis?
ABGs: low pH AND PaO2
high co2--> RESP. ACIDOSIS
treatment of epiglottitis?
analgesics and antipyretics
most common croup syndrome
most common cause of bronchiolitis and pneumonia in children less than a year old
resp. syncytial virus
viral infection of bronchioles. characterized by thick secretions
diagnosis of bronchiolitis made by
RSV washings, SaO2
nursing interventios for bronchiolitis pts.
observe for hypoxia
bulb syringe for suctioning
administer neb treatment
diagnostic tests to determine pneumonia:
CXR, CT, Sputum C&S
treatment for pneumonia
cool mist tent
Chest PT/ incentive spirometry
whooping cough, highly contagious "droplet precautions"
diagnosis of pertussis made by
treatment of pertussis is: _____
symptomatic. cool mist with O2 and resp. assessment
reversible "reactive" airway disease
most common chronic condition in children
this is ominous sign of resp arrest in asthmatic pts.
sudden cessation of wheezes
treatment for asthma
short acting beta blockers: albuterol
this asthmatic drug should not be used in children under the age of 12
Leukotreine modifiers: Singulair
autosomal recessive disease causing dysfunction of exocrine glands
responsible mutated gene for cystic fibrosis is located here
when both parents carry the CF gen, then:
-25% with have CF
-50% will be carriers
-25% will not have disease
assessments found in CF pts.:
-steatorrhea (fatty stools)
thin extremities and muscle wasting
diagnostic test for CF:
sweat test: weat chloride greater than 60 on two or more occasions is indicative
-stool for fecal fat