Peds Ch 40 Respiratory

Front 1

What does the upper respiratory tract function as?

Back 1

Filter, Warm, and Moisten/Humidify Air

Front 2

Normal Blood Gas Components

Back 2

PO2 - 80-100
PCO2 - 35-45
O2 Sat - 95-100
pH - 7.35-7.45
HCO3 - 22-26

Front 3

What is the most dangerous period in a Tonsillectomy?

Back 3

1st 24 hrs & 5-7 days post-op

Some Danger signs to watch for:
frequent swallowing, clearing the throat, increased restlessness

Front 4

Why should a child with epiglottitis never be examined with a tongue blade?

Back 4

It will cause gagging that may cause complete airway blockage.

Symptoms of Epiglottitis:

Dysphagia, sore throat, excessive drooling, inspiratory stridor, high fever, hoarseness, protruding tongue.

Front 5

What is the first indicator of airway obstruction in a child?

Back 5

Tachypnea

Front 6

Where are the respiratory centers located?

Back 6

Medulla & Pons

Front 7

Hypoxia
Cyanosis
Apnea

Back 7

Hypoxia = Decreased oxygen in body cells.

Cyanosis = Blush tint to skin.

Apnea = Lack of respiration.

Front 8

Hypoventilation
Hyperventilation
Hypoxemia

Back 8

Hypoventilation = Shallow breathing.

Hyperventilation = Rapid deep breathing.

Hypoxemia = Deficit oxygen content in the blood.

Front 9

Anoxia
Tachypnea
Stridor

Back 9

Anoxia = Reduction below adequate levels of oxygen in tissue.

Tachypnea = Rapid respiration.

Stridor = Harsh high-pitched sound heard on inspiration.

Front 10

Bronchopulmonary Dysplasia
Rales
Wheezing

Back 10

Bronchopulmonary Dysplasia = A chronic lung condition seen in infants with acute respiratory distress at birth.

Rales = Harsh high-pitched sound heard on inspiration.

Wheezing = Expiratory whistling sound due to obstruction of lower trachea or bronchioles.

Front 11

Adventitious Sounds
Anoxia

Back 11

Adventitious Sounds = extra or abnormal breathing sounds.

Anoxia =

Front 12

Aspiration
Atelectasis
Clubbing

Back 12

Aspiration = inhalation of a foreign object into the airway.

Atelectasis = collapse of alveoli.

Clubbing = change in the angle between the fingernail & nailbed because of increased capillary growth in the fingertips: response to hypoxia.

Front 13

Expiration
Inspiration
Paroxysmal Coughing

Back 13

Expiration = carbon dioxide-filled air discharged to the outside.

Inspiration = delivery of warmed moistened air via the respiratory system to the alveoli.

Paroxysmal Coughing = series of expiratory coughs after a deep inspiration.

Front 14

Percussion
Pneumothorax
Retraction
Vibration

Back 14

Percussion = a chest physiotherapy technique that uses cupped or curved palm against the chest.

Pneumothorax = the presence of atmospheric air in the pleural space.

Retraction = indentation of intercostal spaces reflecting difficulty breathing.

Vibration = a chest physiotherapy technique that involves pressing a vibrating hand against a child's chest during exhalation to loosen & raise mucus.

Front 15

Steatorrhea
Tracheostomy
Tracheotomy

Back 15

Steatorrhea = large, bulky, greasy stools.

Tracheostomy = an opening into the trachea to create an artificial airway.

Tracheotomy = procedure to create an airway.