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29 Cards in this Set

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True or False:

Small anatomy predisposes your peds patients to asthma
true
A nice thing about asthma is that you - blank - it over time.

What phase of life does this? why?
outgrow

puberty

due to hormones of puberty
What are some of the main triggers for asthma?
biochemical
infectious
immunologic
stress
what is #1 biochemical trigger for asthma?
smoking
what is a main immunologic trigger of asthma?
allergies
What are the top 3 allergens for kids of so cal?
1. Dust mite feces
2. Cockroach feces
3. Mold
What do the bronchioles do during an asthma attack?
swell up, which
Does the disease process of asthma produce mucus?

What are 2 examples of infectious process's that do?
No, but the swelling makes it hard to cough up

Cystic fibrosis and R S V does
2 year old is now 5 years old and complaining of sob and chest pain, what is RN's first priority?
1st thing auscultate lung sounds to find out how much air movement they have (wheezing is good)

If you dont here anything that is called silent chest and is VERY bad and be ready to call rapid response

Assess HR
Assess RR
Hook up to pulse ox
HR 124, RR 38, SA 02 88%, Temp 98.8* of a 5 year old, what do these vital signs mean to you?

Also wheezing, abdominal breathing retractions. What should be the next nursing action while waiting for doctors order?
GIVE O2 mask at 6 - 8 liters! nurse doesn't need order to give this

Call for RT stat
What is the first med you give for a respiratory attack?

What do you give after it? Why
Albuterol, the fastest bronchodiolator

Pulmacort, anti-inflammation
What is the #1 trigger to asthma? (Huh? not sure what she meant since she covered triggers earlier, 23:00)
Upper airway infection / a cold
What is the sister drug to albuterol?
Level albuterol aka Xopinex

This doesn't have the same severe reaction for someone that is sensitive to albuterol. Doesn't raise HR as much
What do we call peak flow meters for children?
"Asthma thermometers"
How many times should a child use a peak flow meter?
When they wake up
Before they go to school
Do it before exercise
Before they go to sleep
How do you use a peak flow meter?
Blow 3 times into peak flow meter as fast / hard as possible and we take their best reading.
How many minutes before would an asthma person take medication before they exercise?
At least 15 minutes before
Classic manifestations of asthma?
Wheezing, lower airway constrictions

Auscultate lung sounds

Know your drugs you give
What are the resp meds?
Bronchodilators - abulterol

Mast cell inhibitor via HHN or MDI (cromolyn sodium = intal) decreases inflammation in the lungs

Corticosteriod IV or PO (solu-medrol or prelone)

Antibiotics if attack precipitated from a respiratory infecction
How often can you give corticosteriods? (19:20)
Find this out at 19:20
What is the first med you give for a respiratory attack?

What do you give after it? Why
Albuterol, the fastest bronchodiolator

Pulmacort, anti-inflammation
What is the #1 trigger to asthma? (Huh? not sure what she meant since she covered triggers earlier, 23:00)
Upper airway infection / a cold
What is the sister drug to albuterol?
Level albuterol aka Xopinex

This doesn't have the same severe reaction for someone that is sensitive to albuterol. Doesn't raise HR as much
What do we call peak flow meters for children?
"Asthma thermometers"
How many times should a child use a peak flow meter?
When they wake up
Before they go to school
Do it before exercise
Before they go to sleep
How do you use a peak flow meter?
Blow 3 times into peak flow meter as fast / hard as possible and we take their best reading.
How many minutes before would an asthma person take medication before they exercise?
At least 15 minutes before
Classic manifestations of asthma?
Wheezing, lower airway constrictions

Auscultate lung sounds

Know your drugs you give
What are the resp meds?
Bronchodilators - abulterol

Mast cell inhibitor via HHN or MDI (cromolyn sodium = intal) decreases inflammation in the lungs

Corticosteriod IV or PO (solu-medrol or prelone)

Antibiotics if attack precipitated from a respiratory infecction