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18 Cards in this Set
- Front
- Back
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What are GENERAL nursing interventions (a k a no medication) when it comes to respiratory?
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1. Assess LUNG SOUNDS, Work of breathing, Respiratory rate, and SaO2
2. Comfort child 3. Suction nares, trach 4. Head of bed elevated 5. Apply cool mist or humidified O2 |
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What are signs & symptoms of tonsillitis
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1. Sore throat
2. Tonsils swollen (may be covered in white exudate) 3. Mouth breathing 4. Sleep apnea 5. Difficulty swallowing 6. Fever |
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What is the pre-operative nursing care you will preform for tonsillectomy?
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1. Monitor labs (CBC, PT, PTT)
2. Age appropriate teaching 3. Surgical consent |
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What is the post-operative nursing care you will preform for tonsillectomy?
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1. IMMEDIATELY assess bleeding and ability to swallow secretions
2. Pain management 3. Clear liquid diet |
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What is bronchiolitis / RSV?
What precautions must you take? |
Infection of the bronchioles causing inflammation and obstruction via mucus which prevents expiration of air and over inflation of lungs.
Must have contact isolation. |
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Case study:
Pt has R S V. While lying in crib the SaO2 drops to 88% and the infant starts grunting. What should you do? |
1. Raise head of bed
2. Suction airway 3. Assess lung sounds |
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Case study:
Infant above now has improved work of breathing, the RN bulb suctioned him, and SaO2 is now reading 90%. What should you do? |
Apply nasal cannula prn
Wrong answers: - Administer respiratory meds - Suction patient again |
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Case study:
Mom wants to feed the infant above. What should your response be? |
No. Don't feed your baby yet since they are having to work hard to breath at the moment.
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What are the signs and symptoms of Bronchiolitis?
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1. Runny nose, congestion
2. Cough 3. Rhonchi, crackles, wheezes 4. Increased resp rate and work of breathing 5. Fever 6. Poor feeding |
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What are your nursing implementations for Bronchiolitis?
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1. IMPORTANT raise the head of bed
2. IMPORTANT suction mucus 3. Chest percussion therapy 4. Promote fluids 5. Supplemental Oxygen 6. Handwashing |
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What is croup?
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Upper respiratory infection traveling downward which affects the larynx, trachea, epiglottis, and bronchi
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What is signs and symptoms of croup?
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1. Hoarseness
2. Fever 3. Inspiratory stridor 4. Barky cough |
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Case study:
Kid comes in with croup. What should the RN's FIRST actions be? |
1. Conserve childs energy
2. Raise head of bed 3. Assess lung sounds 4. Obtain SaO2 reading |
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What is acute epiglottitis?
What should you NOT examine? |
Bacterial form of croup affecting epiglottis. LIFE THREATENING EMERGENCY.
Do NOT examine throat (can cause spasm) |
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What are the 4 signs and symptoms of acute epiglottitis? (a k a 4 D's)
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Drooling
Dysphagia Dysphonia Distressed inspiratory |
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What are the meds types you would give for croup / epiglottitis?
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Cortico = PO Prednisone IM Dexamethasone, IV Methylprednisone
Hand held nebulizer = Epinephrine (P R N stridor) Antibiotic for epiglottitis |
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Case Study:
A kid comes in with chest tightness and shortness of breath (asthma). What are your first actions you should take? |
1. Assess lung sounds (listen for silent chest)
2. Assess vital signs 3. Assess SaO2 saturation |
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What are interventions of Cystic Fibrosis?
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1.
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