Grayson Pals Chapter 3 Resp Mgt

Front 1

Use ____ on the child with swelling of the soft tissue of the upper airway due to infection or inflammation

Back 1

CPAP

Front 2

Occasional barking cough, limited to no stridor at rest.

Back 2

Mild croup

Front 3

Frequent barking cough, easily audible stridor at rest, little to no agitation.

Back 3

moderate croup

Front 4

Frequent barking cough, prominent inspiratory and occasionally expiratory stridor, marked retractions. significant agitation

Back 4

Severe croup

Front 5

Barking cough, audible stridor at rest, declining respiratory effort, retractions, decreased level of consciousness

Back 5

inpending respiratory failure

Front 6

For mild croup give?

Back 6

cool mist, a single dose of dexamethasone (corticosteroid) 0.6 mg/kg

Front 7

For moderate to severe croup give?

Back 7

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

Front 8

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 ____?

Back 8

neuromuscular blockers.

Front 9

Drug management of anaphylaxis consists of?

Back 9

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)

Front 10

With assisted ventilations on a child provide o2 at a slow rate to reduce the risk of _____?

Back 10

air trapping

Front 11

If a diagnosis between Broncholitis and acute asthma is unclear, consider a trial of _____?

Back 11

Bronchodilators ie:Albuterol

Front 12

Treat mild to moderate asthma with?

Back 12

O2
Albuterol (bronchodilator)2.5 mg inhaler
Dexamethasone(corticosteroid) 0.6 mg/kg (max 16mg) Solu-medrol

Front 13

Treat moderate to severe asthma with?

Back 13

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

Front 14

Treat impending respiratory failure from asthma with?

Back 14

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)

Front 15

General management of lung tissue disease?

Back 15

CPAP, BiPAP, or mechanical ventilation with PEEP.
Use a bronchodilator it wheezing is present, or an airway obstruction.

Front 16

Inflammation of the lung tissue caused by inhalation or aspiration of toxins.

Back 16

chemical pnumonitis

Front 17

Aspiration of hydrocarbons or inhalation of irritant gases can produce?

Back 17

noncardiogenic pulmonary edema

Front 18

Management of chemical pneumonitis?

Back 18

CPAP or BiPAP
Albuterol (bronchodilator) 2.5mg

Front 19

Management of aspiration pneumonitis?

Back 19

BiPAP or CPAP

Front 20

Drugs that can cause cardiogenic pulmonary edema?

Back 20

Beta blockers, tricyclic antidepressants, verapamil

Front 21

Start the PEEP in cardiogenic pulmonary edema at?

Back 21

6 to 10 cmH2O

Front 22

The goals of medical therapy in cardiogenic pulmonary edema is?

Back 22

Reduction of pulmonary venous return (preload reduction)
Reduction of systemic vascular resistance (afterload reduction)
reduction of myocardial metabolic demand

Front 23

(ARDS) may follow a _____ or _____ insult

Back 23

pulmonary or systemic insult

Front 24

ARDS is defined as?

Back 24

acute onset
PaO2/FiO2 <300
Bilateral infiltrates on chest x-ray
no evidence for a cardiogenic cause of pulmonary edema.

Front 25

Cushing's triad typically signals inpending _____?

Back 25

brain herniation

Front 26

Administer pharmacologic therapy such as _______ for management of ICP

Back 26

hypertonic saline

Front 27

Avoid hyperthermia in the pt who has ____?

Back 27

increased ICP

Front 28

One of the most common causes of respiratory distress or failure following a poisoning or drug overdose is depression of the ___?

Back 28

central respiratory drive

Front 29

Children with complications such as atelectasis, restrictive lung disease, pneumonia, chronic respiratory insufficiency and respiratory failure are usually affected with _______?

Back 29

Chronic neuromuscular disease

Front 30

Children with chronic neuromuscular disease may have a severe reaction to the use of ____?

Back 30

succinylcholine