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NCLEX-RN (8) Pediatrics > Respiratory > Flashcards

Flashcards in Respiratory Deck (17)
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1
Describe:

Epiglottitis

Immediate complication

Epiglottitis is an infection of the epiglottis which can be caused by Influenza type B or Strept.

There is a high risk of airway obstruction.

2

What are the characteristic signs and symptoms of epiglottitis?

  • sore, red, and inflamed throat, pain with swallowing
  • muffled voice, dysphagia, dyspnea, and drooling
  • tripod positioning to attempt to widen airway

3

What are the priority interventions for epiglottitis?

  • maintain patent airway
  • possible intubation with ventilator

4

How is epiglottitis prevented?

Get vaccinated for influenza type B (Hib).

5

Should anything be placed in the mouth with a child suspected of epiglottitis?

Never place anything in the mouth with epiglottitis. That includes tongue depressors, culture swabs, or taking an oral temperature.

6
Describe:

Croup (laryngotracheobronchitis)

Croup is inflammation of the larynx, trachea, and bronchi caused by an infection.

7

What are the precautions If a child (or any client) has respiratory symptoms such as coughing?

Place in isolation or have them wear a mask if isolation isn't possible.

8

What are the general interventions for a client that has a respiratory infection?

  • maintain a patent airway
  • give oxygen if needed
  • encourage fluid intake or IV fluids​ to prevent dehydration
  • administer antibiotics and steroids
  • isolation precautions

9
Describe:

Status asthmaticus

Immediate complication

Status asthmaticus is a severe asthma attack that doesn't respond to inhalers.

Intubation and ventilator may be needed.

10
Describe:

Cystic fibrosis

Cystic fibrosis is a genetic disorder that affects the lungs and digestive system. The body produces thick and sticky mucus that can clog the lungs and obstruct the pancreas. 

Life span is early 40's.

11

What are the respiratory symptoms of cystic fibrosis?

The respiratory symptoms from cystic fibrosis are from increased mucus in the lungs:

  • dyspnea
  • cyanosis
  • wheezing and cough

Symptoms are similar to COPD.

12

What are the gastrointestinal symptoms of cystic fibrosis?

The gastrointestinal symptoms of cystic fibrosis are due to mucus clogging up the ducts and enzymes aren't able to break down foods:

  • meconium ileus (in newborns)
  • intestinal obstruction
  • frothy and foul-smelling stools

13

What are the interventions for respiratory symptoms with cystic fibrosis?

Respiratory interventions of cystic fibrosis focus on removing thick secretions and improving oxygenation:

  • chest physiotherapy
  • special vest that oscillates to remove secretions
  • nebulizers, steroids, and oxygen

14

What is the last resort treatment for cystic fibrosis?

lung transplant

15

What are the interventions for gastrointestinal symptoms of cystic fibrosis?

Gastrointestinal interventions for cystic fibrosis focus on replacing pancreatic enzymes to digest food:

  • high calorie and high protein diet for meet energy needs
  • administer pancreatic enzymes before meals: pancrelipase, pancreatin

16

What position are infants placed in for sleeping in order to prevent sudden infant death syndrome (SIDS)?

Place in a supine position (on back) when sleeping.

17

What are the risk factors for sudden infant death syndrome (SIDS)?

  • soft bedding
  • overheating
  • cosleeping
  • mother who smokes
  • tobacco smoke