Peds Week 6 Respiratory Flashcards Preview

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Flashcards in Peds Week 6 Respiratory Deck (30):
1

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

2

What work of breathing characteristics should be assessed?

- head bobbing
- nasal flaring
- grunting
- intercostal retractions

3

What are 4 causes of common upper RTIs?

1. Otits media
2. tonsilitis
3. viral and bacterial causes
4. croup syndromes

4

What are 2 causes of lower RTIs?

1. Bronchiolitis
2. Pneumonia

5

What are 4 chronic respiratory disorders?

1. Asthma
2. allergies
3. BPD
4. CF

6

What causes Otitis media? why?

HIB and S. pneumoniae
short/horizontal eustachian tubes doen't allow proper fluid drainage

7

what are contributing factors for OM?

URI
allergy
second hand smoke
supine feeding

8

what decreases incidence of OM?

Breast feeding

9

What assessment findings indicate OM?

earache
irritability
fever
head rolling
anorexia

10

What treatment is indicated for OM?

- Broad spectrum antibiotics
- analgesics (Acetaminophen)
- Surgery (myringotomy, tympanostomy)

11

What nursing care is indicated for OM?

- pain
- knowledge deficit re: Ab therapy and care for tympanostomy tubes
- Sensory-perception alteration: decreased conductive hearing, speech therapy

12

What are the S/s of otitis externa?

pain
itching
edema
redness

13

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

14

How is OE diagnosed and what is treatment?

Dx- physical exam
Tx- topical Ab/ steroids, acetaminophen, keep ears dry, no foreign bodies

15

Tonsillitis is often assoicated with _____. Causative agents include ___ and ____.

Pharyngitis
Viral and Group A beta hemolytic streptocci

16

What S/s are seen with tonsillitis?

fever
sore throat, hoarseness
dysphagia
mouth breathing
pharyngeal/ tonsillar exudate
anterior cervical lymphadenopathy

17

what causes strep pharyngitis/tonsillitis?

inflammation of the tonsils and pharynx due to GABHS infection

18

What is the nursing care for viral tonsillits?
Bacterial?

warm gargles, fluids, cool moist air, bedrest and analgesics
Penicillin

19

What is the priority post-operative care following tonsillectomy?

positioning: abdomen or side lying to promote clear airway.
Avoid red fluids.
Suction away secretions.

20

What are common concerns following tonsillectomy?

mouth odor
ear pain
fever
muffled voice

21

What are the 3 Croup syndromes?

Acute spasmodic croup (laryngitis)
Laryngotracheobronchitis (LTB)
Acute epiglottitis

22

What is the classic symptom of spasmodic croup?
What is the applicable nursing care?

Barking cough
Home care, warm mist, humidify air (warmth decreases inflammation in airway)

23

What causes acute laryngotracheobronchitis?

Parainfluenza virus
RSV
influenza
mycoplasma pneumoniae

24

What is the Ns care for Acute LTB?

Resp assessment
Misted air/ O2
Racemic Epi
Corticosteroids
Fluid support
Rest and calm

25

What is the most common cause of Epiglottis?
Cardinal S/s?

HIB
Drooling, Dysphagia, Dysphonia, Distressed respiratory efforts

26

What must be avoided with epiglottis?

leaving child alone
examination or culture attempts may trigger complete airway obstruction

27

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

28

Compare for age group:
1. Spasmodic Croup
2. Acute LTB
3. Epiglottis

1. 1-3 years old
2. < 5
3. 2-5

29

Compare for cause:
1. Spasmodic Croup
2. Acute LTB
3. Epiglottis

1. Viral
2. Viral
3. Bacterial

30

Compare for specific Clinical signs:
1. Spasmodic Croup
2. Acute LTB
3. Epiglottis

1. Abrupt, nighttime, stridor, cough
2. Slow onset, stridor, dyspnea, retractions
3. Abrupt, rapid, drooling, tripod, fever