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14 Cards in this Set
- Front
- Back
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6 risk factors of getting life-threatening RSV & illness
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1.) Born <28 weeks + <12 months old at the start of RSV seaseon (nov)
2.) Born 29-32 weeks + <6 months old at the start of RSV season 3.) Born 32-25 weeks + <3 months old at the start of RSV season AND either attends daycare or has a sibling <5 yo 4.) Born <35 weeks + airway abnormality or neuromuscular disease 5.) Less than 2 yo + congenital heart disease (CHF, pulmonary HTN, cyanotic heart disease) 6.) Less than 2 yo + chronic lung disease (BPD) |
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RSV
a.) cause b.) symptom c.) chest x-ray |
a.) pneumovirus type A
b.) non-descriptive c.) spiderwebs in lungs, atelectasis (alveoli collapse) |
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RSV
a.) main treatment (4) |
a.) supportive care (IV fluid, humidified air, monitor oxygen saturation, possiblemechanical ventilation
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RSV
a.) what to initially give |
a.) bronchodilator. <2yo use racemic epinephrine. older kids use albuterol
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Hypertonic saline solution
a.) indication b.) MOA c.) ADR |
a.) RSV
b.) thins the secretions by drawing it out c.) bronchospasms, so prophylax with albuterol |
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Ribavarin
a.) indication b.) why isnt it used? (3) |
a.) RSV
b.) low efficacy, cumbersome dosing, teratogenic |
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Synagis
a.) generic b.) indication c.) dosing |
a.) palivizumab
b.) PROPHYLAXIS of RSV c.) 15mg/kg IM injection/month for 5 months during RSV season |
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Viral croup
a.) location b.) cause c.) symptoms d.) mild case treatment e.) stridor treatment (3) |
a.) laryngo-trachea
b.) parainfluenza c.) bark-like cough & stridor d.) fluids & rest e.) dexamethasone 0.6mg/kg IM for 1 dose only also use racemic epinephrine & oxygen support |
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Stridor bark
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Viral croup
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Sniffing dog position
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Epiglottis croup
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Epiglottis croup
a.) cause b.) symptoms (3) c.) treatment (2) |
a.) H. influenza type B
b.) sudden fever, can't swallow, sniffing dog, cherry red epiglottis c.) intubation & cefuroxime |
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Bugs
a.) Viral b.) Epiglottis c.) bacterial d.) RSV |
a.) parainfluenza
b.) h. influenza type b c.) staph aureus d.) pneumovirus A |
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Bacterial tracheitis
a.) cause b.) symptom c.) treatment (2) d.) community treatment e.) serious treatment |
a.) staph aureus
b.) high fever, high WBC, risk of respiratory failure c.) intubation and cefuroxime d.) clindamycin e.) vancomycin |
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High WBC with left shift
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bacterial tracheitis
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