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30 Cards in this Set

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Use ____ on the child with swelling of the soft tissue of the upper airway due to infection or inflammation
CPAP
Occasional barking cough, limited to no stridor at rest.
Mild croup
Frequent barking cough, easily audible stridor at rest, little to no agitation.
moderate croup
Frequent barking cough, prominent inspiratory and occasionally expiratory stridor, marked retractions. significant agitation
Severe croup
Barking cough, audible stridor at rest, declining respiratory effort, retractions, decreased level of consciousness
inpending respiratory failure
For mild croup give?
cool mist, a single dose of dexamethasone (corticosteroid) 0.6 mg/kg
For moderate to severe croup give?
02, cool mist,
nebulized racemic epinepherine: 0.25 mL IN 3 mL/NS
a single dose of dexamethasone (corticosteroid) 0.6 mg/kg
consider use of heliox
When intubating a child with severe subglottic edema, be sure you can visualise the airway. If you can not it is best to avoid using ____?
neuromuscular blockers.
Drug management of anaphylaxis consists of?
epinephrine: 0.01 mg/kg of 1 : 10,000
Albuterol metered dose inhaler: 2.5 mg (0.5 mg/kg per hour if severe bronchospasms)
Diphenhydramine: 1 to 2 mg/kg (benydril)
methylprednisolone: 2 mg/kg (max 80)
With assisted ventilations on a child provide o2 at a slow rate to reduce the risk of _____?
air trapping
If a diagnosis between Broncholitis and acute asthma is unclear, consider a trial of _____?
Bronchodilators ie:Albuterol
Treat mild to moderate asthma with?
O2
Albuterol (bronchodilator)2.5 mg inhaler
Dexamethasone(corticosteroid) 0.6 mg/kg (max 16mg) Solu-medrol
Treat moderate to severe asthma with?
O2 (use non rebreather mask)
albuterol (bronchodilator) 2.5mg inhaler
ipratropium bromide (anticholinergic, bronchodilator) 250 - 500 mcg nebulized.
Dexamethasone (corticosteroid) 0.6 mk/kg (max 16mg)
Magnesium sulfate (electrolyte, bronchodilator) 25 - 50 mg/kg slow max 2 g
Treat impending respiratory failure from asthma with?
Albuterol (bronchodilator) 2.5mg nebulized.
Ipratropium bromide (anticholenergic, bronchodilator) 250 - 500 mcg
BiPAP
methylprednisolone: (solu-medrol) (corticosteroid) 2mg/kg
Terbutaline (B2 agonist, bronchodilator) 0.01 - 10 mcg/kg/min
Magnesium sulfate: 25 to 50 mg/kg (slow)
General management of lung tissue disease?
CPAP, BiPAP, or mechanical ventilation with PEEP.
Use a bronchodilator it wheezing is present, or an airway obstruction.
Inflammation of the lung tissue caused by inhalation or aspiration of toxins.
chemical pnumonitis
Aspiration of hydrocarbons or inhalation of irritant gases can produce?
noncardiogenic pulmonary edema
Management of chemical pneumonitis?
CPAP or BiPAP
Albuterol (bronchodilator) 2.5mg
Management of aspiration pneumonitis?
BiPAP or CPAP
Drugs that can cause cardiogenic pulmonary edema?
Beta blockers, tricyclic antidepressants, verapamil
Start the PEEP in cardiogenic pulmonary edema at?
6 to 10 cmH2O
The goals of medical therapy in cardiogenic pulmonary edema is?
Reduction of pulmonary venous return (preload reduction)
Reduction of systemic vascular resistance (afterload reduction)
reduction of myocardial metabolic demand
(ARDS) may follow a _____ or _____ insult
pulmonary or systemic insult
ARDS is defined as?
acute onset
PaO2/FiO2 <300
Bilateral infiltrates on chest x-ray
no evidence for a cardiogenic cause of pulmonary edema.
Cushing's triad typically signals inpending _____?
brain herniation
Administer pharmacologic therapy such as _______ for management of ICP
hypertonic saline
Avoid hyperthermia in the pt who has ____?
increased ICP
One of the most common causes of respiratory distress or failure following a poisoning or drug overdose is depression of the ___?
central respiratory drive
Children with complications such as atelectasis, restrictive lung disease, pneumonia, chronic respiratory insufficiency and respiratory failure are usually affected with _______?
Chronic neuromuscular disease
Children with chronic neuromuscular disease may have a severe reaction to the use of ____?
succinylcholine