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29 Cards in this Set
- Front
- Back
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what is the etiology and characteristics of an upper respiratory infection (viral sources) |
RSV (respiratory syncytial virus) enteroviruses (cocksackie types A&B) adenoviruses parainfluenza viruses pnemoviruses |
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what is the etiology and characteristics of an upper respiratory infection (bacterial sources) |
group B-hemolytic streptococci staphylococci haemophilus influenzae chlamydia trachomatis mycoplasma (walking pneumonia) pneumococci |
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which upper respiratory infection source is the most common |
viral sources |
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what is nasopharyngitis also called |
common cold |
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nasopharyngitis is more severe in who |
infants |
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what are the treatments for nasopharyngitis |
rest until fever free for at least 1 day decongestants if older than 6 mos cough syrup free from alcohol hydration infection control |
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what are the s&s for pharyngitis |
headache fever abdominal pain pharyngeal inflammation & exudate difficulty swallowing (white spots at the back of throat) |
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what are some complications of pharyngitis |
group A beta-hemolytic streptococci may lead to acute rheumatic fever sinusitis abcess nephritis acute rheumatic fever |
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what is the medical treatment for pharyngitis |
oral penicillian for 10 days * rifampin added if child is a strep carrier oral erythromycin if allergic to penicillin IM benzathine penicillin G *painful *not first choice * atraumatic care |
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what will the nurse do for confirmation of pharyngitis |
culture pharnyx |
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what is some education for pharyngitis |
new tooth brush after 24 hours on antibiotic may return to school after 24 hours on antibiotics GIVE FULL COURSE OF ANTIBIOTIC Tx and if a dose is missed give as soon as remembered oral pain relievers cold/warm compresses to the neck warm saline gargle cool liquids |
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what is tonsilitis |
inflammation of lymphoid tissue |
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the pharyngeal is also called what |
adenoids (which causes mouth breathing) |
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what happens if your palatine (faucil) is `kissing' |
they might obstruct food or air |
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what is the treatment of tonsillitis |
if bacterial (antibiotics) if viral (no antibiotic, symtomatictreatment only |
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when will a tonsilectomy be needed |
if malignant airway obstructed 3 or more infections /yr |
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what are the contraindications for tonsillectomy |
cleft palate (tonsils needed for speech) infected tonsil (surgey done after infection treated. infecected palate blood dyscrasias systemic disease |
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what are some nursing patient teachings |
soft or liquid diet cool mist vaporizer warm saline gargle throat lozenges acetaminophen or Ibuprofen cool mist humidifier |
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what do you do post-op of a tonsilectomy |
*place pt. on side or prone (facilitates drainage) *assess for frequent swallowing, tachycardia greater than 120, and pallor (signs of possible hemorrhage) *assess respiratory status *assess for restlessness *suction prn *ice collar *pain meds *phenergan patch |
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what do you have the child do when they are AAOx4 |
sit up avoid (coughing, clearing throat, blowing nose, milk products or products that are red or brown in color) tetracaine lollipops |
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what do you teach at discharge |
hemorrhage may occur up to 10 days after notify physcian |
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what is the best way to prevent influenza |
vaccination |
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Influenza is more severe in who especially if complictions arise |
infants |
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what type of complications can arise if an infant has influenza |
sub glottal croup viral hemorrhagic pneumonia encephalitis bacterial infections (common while recovering- child is immunocompromised) -otitis media -sinusitis - pneumonia |
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who is a main source of transmission |
school age children |
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how long before and after is a pt. infectious |
24 hours before and after |
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who can not receive the mist influenza vaccination |
children under 2yrs and anyone with respiratory problems |
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what are signs and symptoms of influenza |
it can be mild, moderate, or severe dry nasal mucosa, dry cough hoarseness flushed face hyperesthesia photophobia fever, chills, malaise myalgia |
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what is the treatment of influenza |
symptomatic: acetaminophen ibuprofen fluids medications: reduce severity/ length of illness, but do not cure the disease, drug resistance is becoming prevalant |
