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16 Cards in this Set

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Foreign body aspiration can occur at any age but is most common at what age?
1-3 yo
Offending foods in the order of frequency of aspiration are?
hot dog
round candy
peanut or other nut
grape
cookie
biscuit
other meat
carrot
apple
peanut butter (always spread
thinly on cracker
toothpicks
pins
nails

(an uninflated, inflated, or broken-piece latex balloon is esp. hazardous; MYLAR balloons are safe)

other FB offenders include:
aluminum tabs from soft drink
cans
adhesive bandages
plastic tabs from protective
coverings on containers
price tags on containers
Which shape is more likely to occlude an airway?
round, pliable object that does not break apart

(even small objects can produce various changes:
atelectasis
emphysema
inflammation
abscess
A foreign body (FB) in the airway results in?
choking
gagging
wheezing
coughing
LARYNGOTRACHEAL obstruction most commonly causes?
dyspnea
cough
stridor
hoarseness
cyanosis (if obstruction
becomes worse)
BRONCHIAL obstruction usually produces?
cough (frequently paroxysmal)
wheezing
asymmetric breath sounds
decreased airway entry
dyspnea
If an object is lodged in the larynx, the child will not be able to?

livid...and if obstruction becomes total, the child can become?

asphyxiation
breathe or speak....if obstruction progresses, the child's face may become?

unconscious and die of?
If obstruction is partial, hours, days, even weeks may pass without?

the initial episode of coughing and gagging
symptoms after the initial period....often, by the time secondary symptoms appear, the parents have forgotten?
Secondary symptoms are related to?

a persistent respiratory infection distal to the?
the anatomic area in which the object is lodged and are usually caused by?

obstruction
Other times when foreign body (FB) may be suspected is in the presence of acute or chronic?
PULMONARY LESIONS
Radiographic exam reveals opaque FBs but is of limited use in localizing?
vegetable matter
Bronchoscopy is required for definitive diagnosis of objects in?
larynx and trachea
Fluoroscopic exam is valuable in detecting and localizing FBs in the?
bronchi
Emergency treatment for a choking child includes?
abdominal thrusts for children older than 1 year old and back blows and chest thrusts for children younger than 1 year old
A foreign body is rarely coughed up?

endoscopy...the procedure should be done quickly, because?

high humidity atmosphere and any secondary infection is treated with appropriate?
spontaneously...most frequently, it must be removed instrumentally by?

of progressive local inflammatory process hampers removal of foreign body....a chemical pneumonia soon develops, and vegetable matter begins to macerate with a few days, causing more difficult removal....after removal of FB, child is placed in?

antibiotics
Not every child who gags or coughs while eating is truly choking. The 3 signs of TRUE choking are?
CANNOT SPEAK
BECOMES CYANOTIC
COLLAPSES
(the child can die within 4 MINUTES)