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Flashcards in respiratory distress and failure Deck (12)
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1
Q

what is respiratory failure ?

A

failure of the lungs to provide enough oxygen ( hypoxic respiratory failure )
or remove carbon dioxide ( ventilator failure) to meet metabolic demands

2
Q

what are the ABG findings indicating respiratory failure ?

A

Pao2 < 60 mmhg

Pa Co2 > 50 mmhg resulting in acidosis

3
Q

why is there an increased chance of respiratory failure in infants and children ?

A
  1. increased chest wall compliance

2. less developed respiratory muscles

4
Q

what are the risk factors for respiratory failure ?

A
  1. underlying respiratory disease
  2. congenital heart disease
  3. muscle weakness
  4. immunodeficiency
5
Q

what are the types of respiratory failure ?

A

Type 1 hypoxic

Type 2 hypercapnic

6
Q

what is the presentation of apparent life threatening events ?

A

brief resolved and unexplained events where :
there is a change in
color: cyanosis
breathing
tone
responsiveness
and previously a normal physical examination

7
Q

what factors decrease the incidence of SIDS ?

A

sudden infant death syndrome is decreased with sleeping position on the back

8
Q

what is anaphylaxis mediated by ?

A

hypersensitivity reaction mediated by IgE

9
Q

what skin manifestations are associated with anaphylaxis ?

A

urticaria/ angioedema

10
Q

what is the most common cause of anaphylaxis in children ?

A

food allergy

11
Q

what is the acute management of anaphylaxis ?

A

epinephrine administration intramuscular
followed by long term allergen avoidance
immunotherapy
epipen

12
Q

what risk factors are associated with a fatal outcome in anaphylaxis ?

A

nut allergy
coexisting asthma
adolescent age group