Oxygenation

Question 1

what are some risk factors r/t the upper airway

6

Answer 1

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

Question 2

what are some risk factors r/t the lower airway

4

Answer 2

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

Question 3

what are the 3 most common causes of oxygenation disorders

Answer 3

infection
congenital disorders
FB obstruction

Question 4

what are 2 examples of congenital disorders

Answer 4

asthma

CF

Question 5

when does the number of alveoli reach it’s max

Answer 5

8 years

Question 6

when do the tonsils and adenoids reach actual size

Answer 6

12 years

Question 7

where should you listen for lung sounds

Answer 7

side & back

Question 8

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

Answer 8

head bobbing

Question 9

which 2 types of retractions come first

Answer 9

substernal

subcostal

Question 10

which 2 types of retractions come last

Answer 10

intercostal

supracostal

Question 11

what is an increased work of breathing

Answer 11

respiratory distress

Question 12

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

Answer 12

respiratory failure

Question 13

what is the absence of breathing

Answer 13

respiratory arrest

Question 14

what are 6 indications of respiratory distress

Answer 14

restlessness
nasal flaring
circumoral cyanosis
expiratory grunting
retractions
tachypnea

Question 15

what is the earliest sign of hypoxia

Answer 15

restlessness

Question 16

what occurs prior to respiratory arrest

Answer 16

bradycardia

Question 17

what are 5 s/s of severe respiratory distress

Answer 17

grunting
severe retractions
diminished breath sounds
hypotonia
decreased O2 sats

Question 18

what are 6 s/s of respiratory arrest

Answer 18

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

Question 19

for which disease is a sweat chloride test done

Answer 19

CF

Question 20

what does a cxr show

Answer 20

location of illness

Question 21

what does an mri/ct show

Answer 21

FB

obstruction

Question 22

why are cultures not immediately done

Answer 22

can cause further irritation

Question 23

what are 5 ways to manage oxygenation problems

Answer 23

oxygen
humidity
suctioning
chest PT
meds

Question 24

what position should the pt be in

Answer 24

fowlers/semi-fowlers

Question 25

what should be given for oral hydration

Answer 25

pedialyte

Question 26

what is the O2% delivery with a pediatric face mask

Answer 26

35-60

Question 27

what is the O2% delivery with a nasal cannula

Answer 27

22-44

Question 28

what is the L/min with an oxygen hood

Answer 28

10-15

Question 29

what is the L/min with a nasal cannula

Answer 29

4

Question 30

what is the L/min with a pediatric face mask

Answer 30

6-10

Question 31

what is the O2% delivery with a non-rebreather mask

Answer 31

95

Question 32

what are the 4 bronchodilators

Answer 32

albuterol
epinephrine
racemic epinephrine
alupent

Question 33

which bronchodilator is given via neb

Answer 33

racemic epinephrine

Question 34

what are the 4 anti-inflammatory meds

Answer 34

corticosteroids
solumedrol
prednisone
prednisolone

Question 35

what are the 2 mucolytic agents

Answer 35

mucomyst

pulmozyme

Question 36

which antibiotic is usually given

Answer 36

cephalosporins

Question 37

which antiviral is usually given

Answer 37

ribavirn

Question 38

when is chest PT done

Answer 38

first thing in the morning

before meals or 1 hour after