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50 Cards in this Set

  • Front
  • Back
Manifestations of Lower Respiratory Disorders are:
Excess Mucous production
Dyspnea
Hemoptysis
Chest Pain
Spitting up blood or bloody mucous
Hemoptysis
_______ effects of L.R.D are:
Fever
Malaise
Anorexia
Clubbing of nails
Cyanosis
Systemic
Chronic respiratory disorder begininng in infancy where an acute lung injury has happened. Most children recover, some die
Bronchopulmonary Dysplasia
________ ventaliation leads to barotruamas, oxygen toxicity, inflammation, cellular damage, and death.
Mechanical
S&S of bronchopulmory dysplasia include:
Tachycardia, Tachpynea
Increased effort for breathing
Air trapping causes ______ chest
Activity intolerance
pallor, cyanosis
Barrel
Dx of BPD is by:
Chest X-ray
Physical Exam
If child needs to be on mechanical ventalition longer than 28 days
Treatment for BPD include:
_________
Chest PT
Medications
OXYGEN
Tissue damage due to changes in pressure
Barotraumas
______ are used to treat pulmonary edema
Diuretics
_______ decrease airway resisitance
Bronchodilators
Oral or Inhaled _________ decrease inflammation of the airway
Cortisteriods
Always monitor the infants weight and ______ calorie damand and give ____-calorie formula
Increase
High
________ is caused by a virus or acteria and it causes inflammation and obstruction of the bronchioles. MOST COMMON in toddlers and preschoolers.
Bronchiolitis
The most common cause of bronchiolitis is ________
RSV: respiratory syncytial virus
Bronchiolitis is most seen from month _____ to March
October
You get this dx from _____ contact
Direct
Most children have a _______ before developing bronchiolitis
URI
Symptoms for the ______ ______ days include:
Serous Nasal Drainage
Low grade fever
Anorexia
Child not interested in playing
First Several Days
After several days there is an onset of ____ ________ _____ manifested by:
Tachypnea- RR of 60-80 breaths/min
Wheezing,crackles, rhonchi
Deep, frequent cough
Rapid, shallow respitations
nasal flaring and retractions
Cyanosis
Acute Respiratory Distress
DX of broncholitis is by:
H&P
Chest X-ray (shows hyperinflation)
Viral Cultures
Treatment for Broncholitis is:
____________!!!!
Hydration
Humidification of air
Ventilation support
ISOLATION
____ prevention is of the utmost importance
RSV
______ is an antiviral respiratory drug that is resevered for hospitalizied children with severe RSV and are high risk
Ribavarin
You do not want to hear _____ breath sounds
Decreased
Decreased o2 sats are the best indicator for the severity of the disease and you should adminster ____ as ordered
O2
REMEBER!!!
Stranger _____ and seperation _____ are common in this age group
Anxiety
The parent and infant cannot go home until they have correctly demonstrated how to use a _____ _______
Bulb syringe
The parents have to know that it will take ______ for the child to be completely well. Need to know to ______ fluids and to limit activities
Weeks
Incease
Bronchitis is most commonly misdiagnosied with _________
Asthma
Main difference between between asthma and bronchitis is ______
coughing
____ is a coarse, hacking cough that is worse at night. Cough may begin as non-productive then change with increased mucus production. Crackles and Rhonchi heard, and lowgrade fever and malaise are symptoms
Bronchitis
No ________ needed for bronchitis unless secondary infection occurs
Antibotics
Cough Suppresants are not ________ and Antihystimines should not be used due to their drying effects on secretions
Recommended
Inflammation of the bronchi which can be acute or chronic.
Acute Bronchitis in Adults
Impaired immune defense following a viral URI, a cold or an infection
Acute
Predominately caused by smoking or COPD
Chronic
Bronchitis can be caused by virus or bacteria, _______ of toxic gases or chemicals
Inhalations
S&S are a non-productive _______ that becomes productive by a sudden severe attack which can be aggravated by dry or cold air or dust.
Cough
Patients with ______ complain of:
Substernal Chest Pain
Moderate Fever
Malaise
Dyspnea
Bronchitis
Dx tests include:
H&P
Chest X-ray to r/o pneamonia
Pulmonary Function Test
ABG
ABG test will show an ____ in CO2 in the blood, with a decrease in 02
Increase
50% of bronchitis is _______ so broad spectrum antibotics are prescribed such as erythromycin or penicillin
bacterial
Asthma symptoms are worse at _____ and are often brought on by exercise, especially in cold weather.
Night
People with long standing severe asthma may have a ______ chest
Barrel
Symptoms of an asthma ______:
Audible wheezing
Increased respiratory rate
Tachycardia
Retractions
Dyspnea: unable to complete sentence between breaths
Cyanosis
Changes in level of consciousness
Pulse ox show poor 02 saturation
Attack
Asthma can be medically induced by which meds?
Aspirin
NSAIDS
Sulfites
Beta-Blockers
Occurs at time of expousure to the trigger; mast cells cause inflammation which cause bronchoconstriction, mucosal edema and mucus production
Early Response
4-12 hours after exposure; inflammatory cells are triggered causing prolonged inflammation and bronchoconstriction, mucosal edema and mucus production
Late Response
Respiratory _____ can be confused with resolution of attack
Failure