Oxygenation Flashcards

1
Q

what are some risk factors r/t the upper airway

6

A
smaller airway
position of trachea
tonsils and adenoids larger
epiglottis higher in the neck
larger tongue
cartilages easily collapse
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2
Q

what are some risk factors r/t the lower airway

4

A

few alveoli
abdominal breathers
ribs horizontal
higher metabolic rate - > O2 need

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3
Q

what are the 3 most common causes of oxygenation disorders

A

infection
congenital disorders
FB obstruction

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4
Q

what are 2 examples of congenital disorders

A

asthma

CF

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5
Q

when does the number of alveoli reach it’s max

A

8 years

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6
Q

when do the tonsils and adenoids reach actual size

A

12 years

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7
Q

where should you listen for lung sounds

A

side & back

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8
Q

what is a very serious sign when assessing a pt with an oxygenation problem

A

head bobbing

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9
Q

which 2 types of retractions come first

A

substernal

subcostal

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10
Q

which 2 types of retractions come last

A

intercostal

supracostal

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11
Q

what is an increased work of breathing

A

respiratory distress

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12
Q

what is a clinical condition in which there is inadequate blood oxygenation and/or ventilation to meet the metabolic demands of tissues

A

respiratory failure

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13
Q

what is the absence of breathing

A

respiratory arrest

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14
Q

what are 6 indications of respiratory distress

A
restlessness
nasal flaring
circumoral cyanosis
expiratory grunting
retractions
tachypnea
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15
Q

what is the earliest sign of hypoxia

A

restlessness

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16
Q

what occurs prior to respiratory arrest

A

bradycardia

17
Q

what are 5 s/s of severe respiratory distress

A
grunting
severe retractions
diminished breath sounds
hypotonia
decreased O2 sats
18
Q

what are 6 s/s of respiratory arrest

A
mottling
unresponsive
absent chest wall movement
absent respirations
weak/absent pulses
bradycardia
limp
19
Q

for which disease is a sweat chloride test done

20
Q

what does a cxr show

A

location of illness

21
Q

what does an mri/ct show

A

FB

obstruction

22
Q

why are cultures not immediately done

A

can cause further irritation

23
Q

what are 5 ways to manage oxygenation problems

A
oxygen
humidity
suctioning
chest PT
meds
24
Q

what position should the pt be in

A

fowlers/semi-fowlers

25
what should be given for oral hydration
pedialyte
26
what is the O2% delivery with a pediatric face mask
35-60
27
what is the O2% delivery with a nasal cannula
22-44
28
what is the L/min with an oxygen hood
10-15
29
what is the L/min with a nasal cannula
4
30
what is the L/min with a pediatric face mask
6-10
31
what is the O2% delivery with a non-rebreather mask
95
32
what are the 4 bronchodilators
albuterol epinephrine racemic epinephrine alupent
33
which bronchodilator is given via neb
racemic epinephrine
34
what are the 4 anti-inflammatory meds
corticosteroids solumedrol prednisone prednisolone
35
what are the 2 mucolytic agents
mucomyst | pulmozyme
36
which antibiotic is usually given
cephalosporins
37
which antiviral is usually given
ribavirn
38
when is chest PT done
first thing in the morning | before meals or 1 hour after