Assessment
This auscultation finding is the hallmark of airway obstruction
What is wheezing?
What is a non-invasive diagnostic tool you would use first on a patient admitted for a pulmonary exacerbation?
What is pulse oximetry?
This medication is a rescue medication for acute asthma exacerbation
What is albuterol?
Name three nursing interventions to assist the patient in maintaining a patent airway?
What is positioning patient in sniffing position, elevating the head of the bed, ensuring adequate fluid intake to help liquify secretions, suctioning with bulb suction,
True or false: Children consume oxygen at the same rate as adults
What is false? (Adult O2 consumption is 3 - 4L/min; infants consume 6 - 8L of O2/min)
The three most common symptoms of asthma
What are coughing, wheezing, and dyspnea?
Name two tests used to diagnose and/or assist in asthma treatment
What are allergy tests, chest x-rays, peak expiratory flow tests, pulmonary function tests, and RAST (radioallergosorbent test, for food allergies)?
Name three maintenance medications for pediatric asthma
What are montekulast (Singulair - leukotriene modifier), fluticasone (Flovent diskus - inhaled corticosteroid), budesonide (Pulmicort - inhaled corticosteroid), salmeterol (Serevent - long-acting bronchodilator)
A client experiencing an asthma attack is prescribed methylprednisolone IV. The nurse should _______.
What is assess fasting blood glucose levels?
True or false: it is possible to reverse airway obstruction resulting from asthma
What is true?
Name three indicators of an asthma visible during the inspection phase of assessment?
What are cyanosis, clubbing, use of accessory muscles for breathing, retractions, nasal flaring, barrel chest, and head bobbing?
This test can help confirm a cystic fibrosis diagnosis
What is a sweat chloride test?
In patient's with cystic fibrosis, pancreatic enzymes are administered at these times
What is at the beginning of meals/snacks?
Name three nursing interventions used to promote adequate gas exchange
What is monitor oxygen saturation via pulse oximetry; administer oxygen as ordered; encourage clearance of secretions via coughing, expectoration, chest physiotherapy, and suctioning; administer bronchodilators as ordered; provide frequent contact between child and family; assess and monitor mental status? (Ch 40 Maternity and Pediatric Nursing, p 1414)
Name the ABCS of safe sleep for infants
What is A - Alone (baby sleeps alone), B - Back (baby sleeps on its back), C - Crib (baby sleeps in a crib) , and S - Smoke Free (baby sleeps in a smoke-free home)?
This can be a very early sign of respiratory distress in a child, especially if accompanied by tachypnea
What is anxiety and restlessness?
This is a typical finding of a chest x-ray of an asthmatic patient
What is hyperinflation of the lungs?
This mucolytic is used to relieve the buildup of secretions in cystic fibrosis
What is Pulmozyme (dornase alfa)?
This oxygen delivery method provides the lowest oxygen concentration out of all methods (i.e. simple mask, nasal cannula, non-rebreather mask, Venturi mask, etc.)
What is nasal cannula? (Provides 22 - 44% oxygen; max recommended liter flow is 4L with this method) (Ch 40 Maternity and Pediatric Nursing, p 1420, Table 40.1)
Peak expiratory flow rate measures this
What is the point of highest flow during forced expiration?
Name a palpation finding that might indicate a respiratory problem/illness
What is enlarged/tender lymph nodes, increased tactile fremitus, absent fremitus, and/or weak peripheral pulses?
Name a test that is used to identify RSV
What is an enzyme-linked immunosorbent assay (ELISA) or immunoflourescent antibody (IFA) testing? (Ch 40, Maternity and Pediatric Nursing, p 1429)
The effect of a Synagis (palivizumab) immunization on a patient with RSV
What is reducing severity of an RSV infection but not preventing it?
Describe the sniffing position
What is 1) the forehead and the chin are horizontally aligned; 2) the neck is wide and open; and 3) the external auditory meatus is horizontally aligned with the suprasternal notch (the notch between the two clavicles)?
The term for lungs expanding beyond their usual size due to air getting trapped in them when exhaling
What is hyperinflation?