Flashcards in Peds Week 6 Respiratory Deck (30):
How is the child's respiratory system different from the adult's?
1. chest diameter is smaller
2. abdominal breathing
3. increased rib pliability
4. shorter/narrower pharynx and airways
5. increased compliance
6. fewer alveoli
7. short and open eustachian tube
What work of breathing characteristics should be assessed?
- head bobbing
- nasal flaring
- intercostal retractions
What are 4 causes of common upper RTIs?
1. Otits media
3. viral and bacterial causes
4. croup syndromes
What are 2 causes of lower RTIs?
What are 4 chronic respiratory disorders?
What causes Otitis media? why?
HIB and S. pneumoniae
short/horizontal eustachian tubes doen't allow proper fluid drainage
what are contributing factors for OM?
second hand smoke
what decreases incidence of OM?
What assessment findings indicate OM?
What treatment is indicated for OM?
- Broad spectrum antibiotics
- analgesics (Acetaminophen)
- Surgery (myringotomy, tympanostomy)
What nursing care is indicated for OM?
- knowledge deficit re: Ab therapy and care for tympanostomy tubes
- Sensory-perception alteration: decreased conductive hearing, speech therapy
What are the S/s of otitis externa?
What is the purpose of cerumen? what causes loss of cerumen?
- protects the ear canal
- repels water
- maintains acidic ear canal to protect from bacterial growth
- moisture causes significant loss of cerumen
How is OE diagnosed and what is treatment?
Dx- physical exam
Tx- topical Ab/ steroids, acetaminophen, keep ears dry, no foreign bodies
Tonsillitis is often assoicated with _____. Causative agents include ___ and ____.
Viral and Group A beta hemolytic streptocci
What S/s are seen with tonsillitis?
sore throat, hoarseness
pharyngeal/ tonsillar exudate
anterior cervical lymphadenopathy
what causes strep pharyngitis/tonsillitis?
inflammation of the tonsils and pharynx due to GABHS infection
What is the nursing care for viral tonsillits?
warm gargles, fluids, cool moist air, bedrest and analgesics
What is the priority post-operative care following tonsillectomy?
positioning: abdomen or side lying to promote clear airway.
Avoid red fluids.
Suction away secretions.
What are common concerns following tonsillectomy?
What are the 3 Croup syndromes?
Acute spasmodic croup (laryngitis)
What is the classic symptom of spasmodic croup?
What is the applicable nursing care?
Home care, warm mist, humidify air (warmth decreases inflammation in airway)
What causes acute laryngotracheobronchitis?
What is the Ns care for Acute LTB?
Misted air/ O2
Rest and calm
What is the most common cause of Epiglottis?
Drooling, Dysphagia, Dysphonia, Distressed respiratory efforts
What must be avoided with epiglottis?
leaving child alone
examination or culture attempts may trigger complete airway obstruction
What is the priority nursing care for epiglottis?
1. No cultures or inspection
2. maintain airway
3. Keep intubation and trach equipment available
4. IV antibiotics and steroids
Compare for age group:
1. Spasmodic Croup
2. Acute LTB
1. 1-3 years old
2. < 5
Compare for cause:
1. Spasmodic Croup
2. Acute LTB