Pedatric Respiratory Distress - EXAM 3 Flashcards Preview

SEMESTER FOUR!! Nursing 214 > Pedatric Respiratory Distress - EXAM 3 > Flashcards

Flashcards in Pedatric Respiratory Distress - EXAM 3 Deck (9)
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1

What should be done if a child appears to be in respiratory distress?

  1. Ask pertinent questions about the child's behavior
  2. Assess LOC/interaction with environment
  3. Check: BP, HR, RR, SpO2
  4. Place child on cardiopulmonary monitor
  5. Respiratory Assessment:
    1. Inspects for nasal flaring
    2. Assesses for expiratory grunting, coughing, drooling
    3. Inspects, palpates, and auscultates chest
    4. Palpates CRT, skin temp, diaphoresis, color, and peripheral pulses

2

Cardinal Signs of a child in respiratory failure

  1. Restlessness
  2. Tachypnea
  3. Tachycardia
  4. Diaphoresis
  5. Flaring nares
  6. Chest wall retractions
  7. Expiratory grunt
  8. Wheezing or prolonged expiration

3

Early but less obvious signs of a child in respiratory failure

  1. Mood changes (euphoria or depression)
  2. Headache
  3. Altered depth and pattern of respirations
  4. Hypertension
  5. Exertional dyspnea
  6. Anorexia
  7. Increased cardiac output
  8. Increased renal output
  9. Central nervous system symptoms
    1. decreased efficiency
    2. impaired judgement
    3. anxiety
    4. confusion
    5. restlessness
    6. irritability
    7. depressed level of consciousness

4

Severe signs of a child in respiratory failure

  1. Hypotension or hypertension
  2. Dimness of vision
  3. Somnolence
  4. Stupor
  5. Coma
  6. Dysnpea
  7. Depressed respirations
  8. Bradycardia
  9. Cyanosis, peripheral or central

5

Procedures for Maintaining Respiratory Function

  1. Inhalation
  2. Bronchial (Postural) Drainage
  3. Chest Physical Therapy
  4. Artificial Ventilation

6

Inhalation

  1. Oxygen therapy VIA plastic hood, NC, mask, O2 tent
    1. careful consideration of oxygen toxicity: retina in the preterm infant or lung damage, carbon dixoide narcosis
  2. Monitor Oxygen therapy VIA pulse oximetry
  3. Aerosol Therapy VIA nebs, MDIs

7

Bronchial Postural Drainage

Positioning to take advantage of gravity to facilitate removal of secretions

8

Chest Physical Therapy

Manual percussion, vibration, coughing and breathing exercises

9

Artificial Ventilation

  1. Intubation VIA endotracheal, orotracheal, tracheostomy
  2. Suctioning
  3. Routine Care
  4. Practice emergency care should tube become occluded or accidental decannulation

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