Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
32 Cards in this Set
- Front
- Back
|
sx of increased work of breathing
|
tachypnea
retractions flaring |
|
|
developmental differences in breathing
|
diaphragmatic abdominal breathing
longer diaphgragm rib angle soft trachea - risk of obstruction small amount of smooth muscle decreased # of alveoli decreased lung expansion with thoracic inhalation |
|
|
difference in level of bifurcation of trachea
|
higher in an infant so increased risk of aspiration
|
|
|
CO2 narcosis
|
too much 02 if not used to it
|
|
|
tonsillitis sx
|
difficulty swallowing
dyspnea mouth breathing altered taste/smell |
|
|
post-op tonsilectomy care
|
clear liquid to soft diet
cool mist vaporizer ice pops (not red/brown) no milk |
|
|
tonsillitis assessments
|
ear pain
swallowing tachycardia *hemorrhage as possible complication* |
|
|
infectious mononucleosis
|
epstein barr virus
mildly contagious -oral secretions transmit 4-6 wks incubation |
|
|
mono sx
|
malaise
sore throat (5=7 days) fever lymphadenopathy splenomegaly enlarged tonsils skin rash on trunk headache epitaxis jaundice - liver |
|
|
mono dx
|
monospot
|
|
|
sx of increased work of breathing
|
tachypnea
retractions flaring |
|
|
developmental differences in breathing
|
diaphragmatic abdominal breathing
longer diaphgragm rib angle soft trachea - risk of obstruction small amount of smooth muscle decreased # of alveoli decreased lung expansion with thoracic inhalation |
|
|
difference in level of bifurcation of trachea
|
higher in an infant so increased risk of aspiration
|
|
|
CO2 narcosis
|
too much 02 if not used to it
|
|
|
tonsillitis sx
|
difficulty swallowing
dyspnea mouth breathing altered taste/smell |
|
|
croup tx
|
cool mist
hydration racemic epi steroids vigilant observation rest - distraction |
|
|
pertussis
|
bordetella pertussis causes
|
|
|
pertussis sx
|
catarrhal stage - URI, dry cough
paroxysmal stage - whoop, flushed cheeks, eyes bulge, tongue protrudes, vomit mucus plug, lasts 4-6 weeks |
|
|
pertussis tx
|
abx - 5 days before considered not contagious
pertussis immunoglobin bedrest o2 and humidity intubation distract fluids isolation may intubate |
|
|
diptheria sx
|
cold
rapid pulse smooth white membrane in pharynx "bulls neck" hoarseness potential airway obstruction |
|
|
diptheria ttx
|
antitoxin
bedrest tracheostomy abx isolation suction |
|
|
asthma
|
hyperreactivity of airways
recurrent inflammatory changes |
|
|
asthma sx
|
wheezing
breathlessness retractions feeling tired chest tightening cough prolonged expiration itching hyperressonance |
|
|
chronic changes from asthma
|
mucosal thickening
hypertrophy of bronchial muscles barrel chest elevated shoulders deterioration of pulmonary function test |
|
|
long term asthma control
|
steroids
cromolyn sodium long acting beta agonists (albuterol, metaproternol, terbutaline) to relax smooth muscles leukotrine modifiers (block bronchospasm) accolate, zyflo |
|
|
short term control
|
short acting beta agonists
anticholinergics corticosteroids |
|
|
status asthmaticus
|
continued respiratory distress despite epi
give o2 correct acidosis (there is CO2 build-up) IV fluids intubate |
|
|
cystic fibrosis etiology
|
autosomal recessive
exocrine dysfunction life expectancy of 31 years |
|
|
CF pathophys
|
thick mucus (pancreas obstructed)
poor absorption of fats/proteins bronciole obstruction bacterial growth (Elevated sweat electrolytes) abnormalities in autonomic nervous system |
|
|
sx of CF
|
respiratory obstructive sx
meconium ileus intestinal obstruction prolapse of rectum delayed puberty sterility abnormal salt loss - dehydration |
|
|
dx of CF
|
sweat chloride test
steatorrhea azotorrhea increased incidence of DM |
|
|
management of CF
|
CP
treat pulomonary infx parent education lung transplant pancreatic enzymes high protein/high calorie diet vitamin ADEK supplements genetic counseling family support |
