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Peds Test #1
Respiratory
25
Nursing
Graduate
10/28/2011

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Cards

Term
Nasopharyngitis
Definition
-"common cold"
-caused by rhinovirus, RSV, adenovirus, influenza, parainfluenza
-fever is common
-managed at home with rest, decongestant, cough suppressant
Term
pharyngitis
Definition
-sore throat
-can be GABHS (strep throat)
Term
People with strep thoart are at risk for developing?
Definition
rheumatic fever, inflammatory disease of joints/heart/central nervous system, and acute glomerulonephritis
Term
S/S of GABHS
Definition
pharyngitis
headache
fever
abdominal pain
tonsils and pharynx may be inflamed and covered with exudate
Term
When are children considered noninfectious?
Definition
24 hours after initiation of abx
Term
function of tonsils
Definition
filter and protect the respiratory and alimentary tracts from invasion by pathogenic organism and play a role in antibody formation.
Term
palatine/faucial
Definition
-located on either side of the oropharynx behind and below the pillar of the fauces
-what swells with tonsillitis
Term
pharyngeal tonsils
Definition
-also known as the adenoids
-located above the palatine tonsils on the posterior wall of the nasopharynx
Term
lingual tonsils
Definition
located at the base of the tongue
Term
tubal tonsils
Definition
-found near the posterior nasopharyngeal opening of the eustachian tubes
-not part of waldeyer tonsillar ring
Term
criteria for tonsillectomy
Definition
3 or more infections of the tonsils or adenoids per year despite adequate medical therapy
Term
clinical manifestations of influenza
Definition
dry throat/nasal mucosa, dry cough, hoarseness, flushed face, photophobia, myalagia, hyperesthesua, exhaustion, fever, chills.
Term
Rimantadine
Definition
effective only for type A
started within 48 hours of symptoms
Term
Medications to treat flu
Definition
Zanamivir, rimantadine, tamiflu, symmetrel
Term
Otitis Media
Definition
-result of malfunctioning eustachian tubes causing accumulation of secretions in the middle ear
-negative middle ear pressure
-can cause an effusion
Term
eustachian tubes functions
Definition
1. protection of the middle ear from nasopharyngeal secretions
2. drainage of secretions produced in the middle ear into the nasopharynx
3. ventilation of the middle ear to equalize air pressure within the middle ear and atmosphere pressure in the external ear canal and replenish O2 that has been absorbed
Term
What are the nursing objectives for a child with OM?
Definition
1. relieving pain
2. facilitating drainage
3. preventing complications and recurrence
4. educating family in care of child
5. providing emotional support the family.
Term
Croup
Definition
generalized term applied to hoarseness,resonant cough, inspiratory stridor. respiratory distress resulting from swelling or obstruction in the region of the larynx
Term
Laryngotracheobronchitis (LTB)
Definition
-most common croup syndrome
-caused by parainfluenza type 2&3, RSV, flu a&B, and M
-usually preceded by URI
-respiratory distress
-Tx high humidity, nebulized epi, oral steroids
-
Term
bronchitis
Definition
-inflammation of the large airway (trachea, bronchi)
-CM: dry hacking cough that worsens at night and turns into hacking cough in 2-3 days
-tx symptomatic
Term
respiratory syncytial Virus
Definition
-causes the ciliated cells of the epithelial cells in respiratory tract to swell and protrude into the lumen where they lose their cilia causing them to fuse together making a giant cell within the nuclei
Term
lobar pneumonia
Definition
all or large segment of one or more pulmonary lobes is involved
Term
Bronchopneumonia
Definition
begins in the terminal bronchioles which become clogged with mucopurulent exudate to form consolidated patches in nearby lobules
Term
Interstitial pneumonia
Definition
inflammatory processis more or less confined within the alveolar walls and peribronchial and interlobular tissues
Term
pneumonitis
Definition
localized acute inflammation of the lungs without the toxemia associated with lobar pneumonia
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