Respiratory Dysfunction In Children

Front 1

The RR for newborns is expected to be between ___.

Back 1

30-60

Front 2

By the time a child is about 10 years old, the RR is ___.

Back 2

18-20

Front 3

The amount of air that can be forcibly expelled from the lungs after breathing in as deeply as possible is called?

Back 3

vital capacity

Front 4

Maximum gas volume which can be expired as quickly and forcibly as possible, after a maximum inspiration is called?

Back 4

forced vital capacity

Front 5

The volume of air inspired or expired with each normal breath is called?

Back 5

tidal volume

Front 6

Measures the maximum flow of air that can be forcefully exhaled in one second is called?

Back 6

peak expiratory flow rate

Front 7

This test is used to assess the severity of asthma.

Back 7

peak expiratory flow rate

Front 8

In infant should be NPO for ___ hours before a bronchoscopy.

Back 8

4

Front 9

Atropine a sedative used in bronchoscopy is sprayed in to the mouth. What are 3 side effects of atropine?

Back 9

1. Increases the HR
2. Inhibition of secretions (dry mouth)
3. Relaxation of the smooth muscles (Prevents laryngospasm)

Front 10

Check these three labs for biopsy.

Back 10

1. PT
2. PTT
3. CBC

Front 11

4 contraindications for postural drainage?

Back 11

1. ICP
2. osteogenesis imperfecta (fragile bones)
3. PE
4. pulmonary hemorrhage

Front 12

Perform postural drainage ___ hours after meals.

Back 12

1-2

Front 13

Apnea occurs when breathing stops for more than ___ seconds.

Back 13

20

Front 14

Example of restrictive lung disease?

Back 14

scoliosis (reduces lung volume)

Front 15

3 examples of inefficient gas exchange?

Back 15

1. anemia
2. pulmonary edema
3. asphyxia

Front 16

3 examples of obstructive lung disease?

Back 16

1. asthma
2. CF
3. foreign body obstruction

Front 17

4 initial signs of respiratory failure?

Back 17

1. restlessness
2. tachycardia
3. tachypnea
4. diaphoresis

Front 18

If there is impending respiratory failure, confirm by ____.

Back 18

ABGs

Front 19

When suctioning a tracheostomy for a child, suction for ____ seconds.

Back 19

3-5

Front 20

Vacuum pressure when suctioning a tracheostomy should range from ____ mmHg.

Back 20

60-100

Front 21

Use ____ ccs of saline to loosen up secretions.

Back 21

0.5-2.0

Front 22

First line drug in cardiac arrest.

Back 22

epinephrine

Front 23

IV epinephrine concentration

Back 23

0.01 mg/kg 1:10,000

Front 24

Endotracheal tube ephinephrine concentration

Back 24

0.1 mg/kg 1:1000

Front 25

IV sodium bicarbonate concentration

Back 25

1 mEq/kg

Front 26

Sodium bicarbonate is incompatible with ____ and ____.

Back 26

epinephrine, calcium (i.e calcium gluconate)

Front 27

atropine sulfate: ___ mg for children

Back 27

0.5

Front 28

atropine sulfate: ____ mg for adolescents

Back 28

1.0

Front 29

4 common S/E of bronchodilators used in asthma?

Back 29

1. tremors
2. anxiety
3. N/V
4. throat irritation

Front 30

2 serious S/E of bronchodilators used in asthma?

Back 30

1. bronchspasm
2. dyspnea

Front 31

2 examples of oral corticosteroids used in asthma?

Back 31

Prednisone, Solumedrol

Front 32

2 examples of inhaled corticosteroids used in asthma?

Back 32

Beconase, Vancenace

Front 33

Two examples of long-acting beta-agonists?

Back 33

Salmeterol (Serevent); Foradil

Front 34

NSAID for asthma?

Back 34

cromolyn sodium (mast cell inhibitor) such as Intal

Front 35

A methylxanthine used for asthma?

Back 35

theophylline

Front 36

3 examples of leukotriene modifiers used in asthma.

Back 36

Accolate, Zyflo, Singulair

Front 37

4 examples of short-acting beta agonists?

Back 37

albuterol, allupent, terbutaline, xopenex

Front 38

2 anticholinergics used for asthma?

Back 38

atropine, atrovent

Front 39

Antibiotic used prophylactically for asthma?

Back 39

Zithromax

Front 40

Interactions of Xopenex used to treat asthma.

Back 40

BB, digoxin, loop and thiazide diuretics

Front 41

7 S/E of Xopenex?

Back 41

tremors, dizziness, rhinitis, tachycardia, leg cramps, increased cough, flu syndrome

Front 42

Is theophylline a quick-relief medication or long-term control medication?

Back 42

quick-relief medication

Front 43

If you are administering theophylline IV you need a ____?

Back 43

cardiac monitor

Front 44

If you are administering theophylline PO, what do you need to do?

Back 44

Administer with food to decrease gastric discomfort.

Front 45

Therapeutic serum concentrations of theophylline is between ____.

Back 45

10-20

Front 46

Theophylline serum concentrations greater than 20 results in these 4 S/E.

Back 46

nausea, tachycardia, irritability, headache

Front 47

Theophylline serum concentrations greater than 30 results in this S/E.

Back 47

seizure

Front 48

Exercise induced bronchospasm occurs due to?

Back 48

Loss of water from the respiratory tract

Front 49

Use these three types of asthma meds. for status asthmaticus.

Back 49

short-acting beta agonists, corticosteroids, anticholinergics

Front 50

If you are administering theophylline PO, what do you need to do?

Back 50

Administer with food to decrease gastric discomfort.

Front 51

Therapeutic serum concentrations of theophylline is between ____.

Back 51

10-20

Front 52

Theophylline serum concentrations greater than 20 results in these 4 S/E.

Back 52

nausea, tachycardia, irritability, headache

Front 53

Theophylline serum concentrations greater than 30 results in this S/E.

Back 53

seizure

Front 54

Exercise induced bronchospasm occurs due to?

Back 54

Loss of water from the respiratory tract

Front 55

Use these three types of asthma meds. for status asthmaticus.

Back 55

short-acting beta agonists, corticosteroids, anticholinergics