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Peds Exam II > Oxygenation > Flashcards

Flashcards in Oxygenation Deck (79):
1

at what age does the child start to form their own immunity (lose mother's)

3-6 months

2

what part of the airway is stridor heard

upper

3

in what illness do you hear stridor

croup

4

what part of the airway is ronchi heard

upper airway but the illness is in the lower airway

5

in what illness do you commonly hear ronchi

RSV

6

when do you hear wheezing

asthma

7

when do you hear crackles

pneumonia

8

is it worse if retractions are up high or down low

high

9

signs of respiratory distress

increased work of breathing, decreased O2 exchange

10

signs of respiratory failure

inadequate blood oxygenation and/or ventilation to meet demands of tissues

11

signs of respiratory arrest

absence of breathing

12

are grunting and retractions seen in mild, moderate or severe resp distress

severe

13

why is a lot of nasal suctioning contraindicated

nares are already narrow and it can cause swelling

14

O2 administered through a nasal cannula must be:

humidified

15

how many liters of O2 can be given thru NC

0.1-4 L

16

how much O2 thru simple face mask

4-10 L, not humidified

17

how much O2 thru non-rebreather

6-15 L

18

you must put this in the nares before suctioning

saline

19

at what age might a child start to have a productive cough

9 years

20

antiviral used to shorten/treat sxs of RSV

Ribavirin

21

these 2 types of meds should be used together

bronchodilators and steroids

22

T or F: expectorants are good to treat respiratory sxs in children

F, they should be avoided

23

most frequent age group for pharyngitis

5-15 years

24

most frequent age group for tonsillitis

4-7 years

25

most common bacterial form of pharyngitis/tonsillitis

group A strep (GABHS)

26

strep can cause these 2 serious complications

acute rheumatic fever and acute glomerular nephritis

27

out of ARF and AGN, which is the more serious complication of strep

acute rheumatic fever (ARF)

28

what parts of the body does ARF affect

CNS, joints, heart

29

where on the body is the rash from scarlet fever seen

trunk, axilla, groin, elbows

30

what infection causes impetigo

streptococcus

31

signs of impetigo

purulent, honey colored, crusted lesions

32

type of isolation for impetigo

contact

33

ARF can lead to what

valvular heart disease

34

important nursing dx for strep

risk for aspiration

35

amount of time you should wait to give 3 and under a drink after tonsillectomy

24 hours (risk for aspiration)

36

avoid this after tonsillectomy

dairy

37

this is good to eat after tonsillectomy

sherbert

38

signs of hemorrhage post-tonsillectomy

tachycardia, frequent clearing of throat, vomiting, pallor, restless, decreased BP

39

diet post-tonsillectomy

force fluids-no citrus/acid

40

stridor after tonsillectomy is a sign of this

POPE type II: tell provider immediately

41

sign of upper airway obstruction and edema after tonsillectomy

POPE

42

biggest risk factor for otitis media

exposure to smoke

43

what immunization protects against some bacteria that can cause OM

pneumococcal

44

2 common types of croup syndromes

epiglottitis and LTB

45

low grade fever, inspiratory stridor, and increased RR

signs of LTB

46

management of LTB

humidify cool mist

47

what prevents epiglottitis

HIB vaccine

48

sore throat, fever, tripod positioning, and drooling

signs of epiglottitis

49

is epiglottitis or LTB more serious

epiglottitis

50

management of epiglottitis

nasotracheal intubation

51

priority intervention for LTB and epiglottitis

ABC

52

types of retractions in LTB

supraclavicular/sternal

53

medication to treat LTB

steroids: dexamethasone

54

purpose of racemic epinephrine

tx of LTB, opens up airway thru nebulizer tx

55

sxs of epiglottitis

drooling, high fever, tripod position, sore throat

56

tx of bronchiolitis, RSV, and flu

humidified O2, saline drops in nares, elevation of head and chest, proper handwashing

57

antiviral that treats RSV

ribaviran

58

antiviral that is used to treat RSV in infants only due to the risk of testicular cancer

virazole (rarely used)

59

what is given prophylactically every month for the duration of RSV season to preterm infants

Respigam

60

sxs of abrupt stop of steroids in children

decreased appetite, anorexia, wt loss, low BP/sugar

61

short acting beta 2 agonist (rescue med)

albuterol and levalbuterol (no increase in HR/RR)

62

inhaled corticosteroid

beclomethasone (qvar) and flovent (fluticasone)

63

long acting beta 2 agonist

salmeterol

64

leukotriene modifier

montelukast (singulair)

65

side effects of inhaled steroids

thrush, dysphonia

66

how do school nurses determine the severity of a child's asthma

peak flow

67

what should school nurse do if child's peak flow is in emergent zone

use MDI and call 911

68

classic dx test for CF

sweat chloride test

69

sweat chloride level in CF

40-60

70

besides sweat chloride test, 2 other tests for CF

chest/abdominal x-ray and stool fat and/or enzyme analysis

71

1st sxs of CF

malnutrition/failure to thrive
meconium ileus

72

important part of nursing management for CF

support groups

73

common way CF is managed at home

flutter device

74

ideal outcome for CF pts

normal G and D, no pulm infection, adequate nutrition

75

cause of cor pulmonae

pulm HTN

76

condition caused by pulm HTN that has R sided HF and failure of the R ventricle

cor pulmonae

77

in what condition is cor pulmonae seen in

CF

78

what is the most common cause of death in CF pts

lung complications

79

it is important for nurses to encourage teens with CF to do what

be in support groups