week 2: peds respiratory

Question 1

what is laryngobronchitis

Answer 1

croup

Question 2

what are the early signs of croup

Answer 2

low grade fever, hoarseness, croup cough, strider

Question 3

what are some later stages of croup

Answer 3

retractions, accessory muscle use, crackles, wheezing, cyanosis, anpea

Question 4

what are the main interventions for croup

Answer 4

maintain airway, monitor respiratory status/cyanosis, raise the head of the bed, add warm humidified oxygen, administer corticosteroids

Question 5

what is bronchiolotis

Answer 5

an inflammation of the bronchioles that causes production of thick mucous

Question 6

what is RSV

Answer 6

an acute, viral infection and a common cause of bronchiolotis

Question 7

what are the signs of RSV

Answer 7

rhinorrhea, eye/ear drainage, pharyngitis, coughing, sneezing, intermittent fever

Question 8

why shouldn’t you give cough suppressants with bronchiolitis

Answer 8

because it could interfere with clearance of secretions

Question 9

what drug should you avoid administering with LABA

Answer 9

corticosteroids

Question 10

is it a good sign if a child stops wheezing in the middle of an asthma exacerbation

Answer 10

NO it could be silent chest which is VERY BAD

Question 11

when treating a child with bronchiolitis, which type of air should you use

Answer 11

warm, humidified aur

Question 12

what is the main test done to assess for asthma

Answer 12

pulmonary function tests

Question 13

what is the worst case scenario for a child with asthma

Answer 13

their airway becomes so inflamed it becomes obstructed

Question 14

what are signs that an asthma attack is about to begin

Answer 14

restlessness, agitation, itching on front of neck and chest

Question 15

which peds respiratory illness causes Darth Vader inhalation (stridor)

Answer 15

croup

Question 16

do you give antibiotics for RSV

Answer 16

no

Question 17

what is the main intervention for RSV

Answer 17

hydration! check skin turgor and urinary output

Question 18

what years can you not do bulb suction for a child

Answer 18

under 6 years

Question 19

how is RSV transmitter

Answer 19

exposure to contaminated secretion

Question 20

whats the incubation period for RSV

Answer 20

5-8 days

Question 21

what is otitis media

Answer 21

fluid/inflammation in the middle ear

Question 22

which illness usually causes Otitis Media

Answer 22

RSV

Question 23

what are the results of chronic OM

Answer 23

hearing impairment and difficulty communicating

Question 24

what are the signs and symptoms of Otitis Media

Answer 24

abrupt onset, earache, fever, purulent discharge.

Question 25

how would you treat OM

Answer 25

amoxicillin will be given in severe cases, but they try not to give it because it can promote resistance - analgesics/antipyretics - facilitate drainage with cotton balls

Question 26

what are surgical ways to decrease drainage with OM

Answer 26

- myringotomy (surgical incision of the ear drum) - pressure equaliser tubes (allows for continuous drainage)

Question 27

which vaccine prevents OM

Answer 27

pneumococcal vaccine

Question 28

what are the signs of status asthmaticus

Answer 28

severe SOB, sats below 94, lots of sweat, sitting upright and refusing to lie down, changes in LOC, silent chest