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Ped. Respiratory
Ped. Respiratory
9
Nursing
Undergraduate 2
05/08/2010

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Cards

Term
What are the S/S of Epiglottitis?
Definition
4 D's
dysphagia
dysphonia
drooling
distressed
Term
What is Epiglottitis?
Definition
Cork in a bottle
May be caused by H B influenza are strep pnemoniae
abrupt onset
emergency situation
not common but usually occurs in 2-7 y/o children
Term
What is the management of Epiglottitis?
Definition
maintain patent airway
Axillary temo
***DO NOT ATTEMPT TO VISUALIZE POSTERIOR PHARYNX***
IV fluids, abx, analgesics, antipyretics
Cool mist O2 therapy & humidity
Emergency equipment at bedside
Term
What are the S/S of acute otitis media?
Definition
Severe pain
Infant frets, rubs ear, rolls head from side to side
Drum red, bulging, no light reflex
Rhinorrhea
Term
What is Bronchiolitis and the management?
Definition
INflammation of the bronchioles and small bronchi
Usually viral ; RSV
Management: Cool humidified O2
Ribavirin
Steroids
Hydration
Isolation if RSV
HAnd washing
Term
What is Cystic Fibrosis?
Definition
Inherited autosomal recessive Dysfunction of the exocrine glands
Results in physiologic alterations of respiratory, GI, integumentary, musculoskeletal, and reproductive systems
Re
Term
What are the S/S of CF?
Definition
Thick, sticky mucous
Salty taste of skin
Newborn - meconium ileus (no meconium w/in 24 hrs.)
Infants/toddlers- fecal impaction, intussusception
Celiac syndrome --steatorrhea --(4 F's frothy, foul smelling, fatty, floaty)
Fqt. resp. infections
Wheezing
Clubbing
Term
How is CF diagnosed?
Definition
Quantitative sweat chloride test
CXR
Pulmonary functions
Stool/fat/or enzyme analysis
Term
What is tx. for CF?
Definition
Pvt. and tx. pulmonary infection
Flutter Mucous Clearing Device
thAIRapy vests
***NO COUGH SUPPRESSANTS***
Mtr. for hemoptysis; > 300 cc/24 hrs. for older child (less for younger) needs to be treated immediately
Lung transplant for endstage (new lung tissue does not have defective gene that caused mucous to be so thick)
GI:
Replace pancreatic enzymes
Encourage well balanced, high protein, high calorie diet;multivitamins + Vits ADEK
Salt supplement
Mtr. for constipation and intestional obstruction
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