Flashcards in Respiratory System Deck (22):
With regards to 'signs' of respiratory distress, which three components can they be broken down into?
Name five signs related to 'Effort' within respiratory distress?
Use of accessory muscles - (intercostal and subcostal recession)
Increased respiratory rate
Name four signs related to 'Efficacy' within respiratory distress?
Name four signs related to 'Effect' within respiratory distress?
Skin colour (initially pale - late stage = cyanosed)
What is the typical range of respiratory rate for an infant 0-2 months?
40 - 60
What is the typical range of respiratory rate for an infant 2 months - 1 year?
What is the typical range of respiratory rate for a pre school child?
What is the typical range of respiratory rate for an adult?
12 - 20
Name five signs of severe respiratory distress in an infant?
Increased respiratory effort (marked use of accessory muscles)
Auscultation = SILENT chest
A 9 month old baby presents with a four day history of a dry cough with poor feeding, wheeze and breathlessness after initially having a runny nose. What is the most likely diagnosis?
What is the most common causative agent for bronchiolitis?
RSV - 80% (endemic in winter months)
On examination of a baby with bronchiolitis, what are the most common findings?
FINE inspiratory crackles
Intercostal and subcostal recession
In bronchiolitis, what finding may be more apparent to baby's under 4 months old?
Apnoea (temporary cessation of breathing - particularly in sleep)
How is bronchiolitis managed?
Supportive treatment - feed little and often
Name three indications for hospital admittance?
1. Poor feeding
2. Apnoea and signs of increased respiratory distress
3. Decreased O2 saturation
Name the most likely causative agent of pneumonia in newborns?
Group B strep
Name the three most likely causative agents of pneumonia in infants and toddlers?
Strep. pneumoniae (C)
(staph aureus - rare but serious)
Name the four most likely causative agents of pneumonia in children 5+?
Which two agents are more commonly seen in children with underlying respiratory conditions (i.e. CF)?
Name a sign that may possibly indicate a bacterial pneumonia over a viral?
Localised chest pain = pleuritic irritation = more likely bacterial cause
Describe three signs consistent with consolidation in children with pneumonia?
Dullness to percussion
Increased vocal resonance
COURSE crackles on auscultation