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Peds Test 2
Respiratory Distress
32
Nursing
Graduate
06/18/2013

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Cards

Term
Newborn/18 month airway length
Definition
4 cm/7 cm
Term
Upper Airway Characteristics in Children
Definition
Tonsils, ademoids, epiglottis proportionately larger in children
Cartilaginous rings collapse easily
up to 4-6 weeks, obligate nose breathers
Term
Lower Airway Characteristics in Children
Definition
Lack of firm bones, more prone to retractions, fewer alveoli in neonate, poor alveoli quality until age 8
Term
>5 year common infections
Definition
Mycoplasma pneumonia, B-strep
Term
Toddler and preschool infections
Definition
viral
Term
Type of breathing less than 7 years
Definition
Abdominal breathing. Greater than 7 years indicates a problem
Term
RR
Definition
Inspiratory phase slighlty longer or equal to expiratory phase
Term
Prolonged expiratory phase
Definition
asthma
Term
prolonged inspiratory phase
Definition
upper airway obstruction/croup
Term
Grunting
Definition
Impending respiratory failure
Term
Foreign Body aspiration
Definition
Causes unilateral retractions, usually the right side due to broader bore, more vertical placement
Term
Aerosol Therapy should be performed
Definition
before infant eats
Term
Priority patient
Definition
Patient with potential airway obstruction!
Term
When to do Postural drainage/percussion
Definition
First thing in the morning, before meals or one hour after, after aerosol tx, suction infant after
Term
S/S of severe respiratory distress
Definition
nasal flaring and grunting
Term
Croup Syndromes
Definition
Infections of epiglottis, larynx
Term
Lower respiratory tract
Definition
trachea, bronchi, bronchioles
Term
Season of mycoplasmal infections
Definition
fall and winter
Term
Season of asthmatic bronchitis
Definition
Cold weather
Term
RSV season
Definition
winter and spring
Term
"Common cold"
Definition
nasopharyngitis- caused by numerous viruses
Term
Pharyngitis risks, clinical manifestations
Definition
GABHS: Abrupt onset, headache fever, abd pain
Term
Most common respiratory condition seen in early childhood
Definition
Croup (from 6 mo -3 years)
Term
Croup characteristics
Definition
hoarseness, barking cough, inspiratory stridor, respiratory distress, afebrile
Term
Hospital Care for Croup
Definition
Racemic epi inh, mist tent, dexamethasone, IV fluids
Term
Epiglottitis
Definition
Pt will present with sever drooling, do not examine throat!
Term
Apnea
Definition
Cessation of respirations lasting longer than 20 sec
Term
Common causative agent of bronchiolitis
Definition
respiratory syncytial virus (RSV)
Term
RSV isolation precautions
Definition
contact and respiratory
Term
whooping cough
Definition
highly contagious, caused by bordotella pertussis
Term
Cystic fibrosis medications
Definition
inh antibiotics, mucolytic enzyme, Reglan (enhances GI motility)
Term
Long-term complications of CF
Definition
nasal polyps, sunusitis, rectal polyps/prolapse, hyperglycemia, infterility
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