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19 Cards in this Set
- Front
- Back
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What is apnea?
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periods of no breathing that last < 20 seconds
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How does apnea differ fro ALTE?
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ALTE lasts longer than 20 seconds and requires intervention.
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Whar are possible causes of ALTE: Immature ?, cardiac ?s, ?, ?
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CNS(they forget to breathe),
problems, seizures, obstruction |
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What medications may be used to help the infant remember to breathe ? and ?
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theophyline(turns into caffeine in the body)
and caffeine |
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What are guidelines for home apnea monitoring:
Teach use of ? monitor, the parents should have ? training, avoid ? stimulation(no rectal temps), neutral thermal ?, give meds as ? |
apnea,
cpr, vagul, environment, prescribed |
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What are theories of etiology for sudden death Syndrome(SIDS)? sleeping on the ?, exposure to second hand ?, mild respiratory ?s, to many things in the infants bed.
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belly,
smoke, infections |
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What are assessment finding in a baby that died from SIDS: clenched ?, expelled ?, pulomonary ?, ? and ?
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fist,
stool, edema, vomit, hemmorhage |
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RED/BOLDED: What parenttal and family support is indicated after the death of an infant?
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bereavement support,
let them know it may not be their fault, b/c many factors contribute to SIDS |
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What are complications during intubation: decreased ? breathing may ?, damage to ? cords, ? and ?
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HR,
stop, vocal infection, bleeding |
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HOw is endotracheal tube (ETT) placement verified?
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by x-ray,
by breath sounds with stethoscope |
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What is your role in maintaining ETT placement: ? the tube in place, monitor the depth with a ? on the tube, move the tube from side to side to prevent ? breakdown.
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tape,
measurement line, skin |
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How should the child be positioned?
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HOB up 30 degress or more
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what needs to be monitored?
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VS, Breath sounds, ABGs, O2 sats
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What medication is generally used before weaning and why?
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Corticosteroids-Dexamethasone,
to decrease inflammation |
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What measures can be implemented to promote oxygenation and to reduce edema: Put the pt under an oxygen ? b/c they can't go directly to room air, use chest-?, and give supplemental ? as needed.
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tent,
physiotherapy, O2 |
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What are signs of tracheostomy occlusion?
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decreased O2 sat,
restlessness, etc... |
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When a tracheostomy is initially placed, what should be at the bedside to ensure pt safety?
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2nd trache tube, One size smaller trache tube,
suction equipment |
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What care is indicated for a child who has a tracheostomy? No ? bibs, No ?s only baths, no ? toys, no ?s due to shedding, monitor during ?s, have a back up ? , notify the ? company.
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plastic,
showers, small, pets, feedings, generator, utility |
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How many caregivers does it take to safely re-tape an endotracheal tube or change a tracheostomy tube?
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2
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