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24 Cards in this Set
- Front
- Back
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Stridor
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high-pitched noisy respirations - Always indicates edema/obstruction
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respiratory symptoms
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retractions, head bobbing, grunting, wheezing, clubbing, stridor
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respiratory tract defenses
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lymphoid tissues (tonsils)
Mucous blanket ciliary action epiglottis humoral defenses (phagocytes, enzymes, immunoglobulins) |
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location of retractions
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suprasternal
clavicular substernal subcostal intercostal |
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Aerosol therapy
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Nebulizers
MDI (metered dose inhaler) Spacer device (prolongs suspension) |
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URTI
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Oronasopharynx
pharynz larynz trachea |
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LRT
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Bronchi
Bronchioles Alveoli |
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child immunity
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<3 months = maternal antibodies
3-6 mo = infx rate increases toddler - preschool = viral infx >5 yrs = mycoplamsa pneumonia & B-strep infxs |
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short Eustachian tubes
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increase risk of infx
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seasonal infx
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[more common in spring/winter]
mycoplasmal infx - fall/winter asthmatic bronchitis - cold weather RSV - winter/spring |
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respiratory nursing dx
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1. ineffective breathing patterns
2. ineffective airway clearance 3. impaired gas exchange |
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tylenol fever mgmt
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1-15 mg Tylenol of body weight
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nasopharyngitis
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common cold
caused by: RSV, rhinovirus, adenovirus, influenza, parainfluenza viruses |
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fever symptoms in babies
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appears suddenly, irritability, decreased appetite and fluid intake
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pharmacological txs for URIs
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NO!: OTCs, antihistamines
antipyretics for comfort cough suppressants for dry cough decongestant to shrink nasal passages (nasal drops more effective) |
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how influenza spreads
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direct contact
droplet articles contaminated by secretions |
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influenza tx
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acetaminophen/ibuprofen for fever
fluids to maintain hydration |
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when to start antivirals
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within 48 hours of symptom onset
(avoid asprin) |
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reye's syndrome can lead to
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liver failure and cerebral edema
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influenza vaccines
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for children > 6 mo
new vac annually |
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croup symptoms
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hoarseness
barking cough inspiratory stridor |
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actue epiglottitis
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serious obstructive, inflammatory process - bacterial
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clinical manifestions of acute epiglottitis
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sore throat
pain with swallowing tripod positioning drooling of secretions muffled voice croaking with inspiration retractions cherry red epiglottis |
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prevention of actue epiglottitis
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Hib vaccine
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