Bronchiolitis
Bronchiolitis is the inflammation of ________.
What are bronchioles?
The 4 variables assessed when using the respiratory scoring tool.
What are respiratory rate, retractions, dyspnea, and lung sounds/auscultation?
True or False: Elevate the head of bed for all respiratory patients.
What is false?
Nebulized medication to anticipate if your patient has stridor.
What is racemic epi?
During an apneic event, stimulate your patient after __ seconds if the patient does not self correct.
What is 10 seconds?
4 things that should be set up at bedside per protocol.
What is oxygen mask/cannula, ambu bag with mask, oxygen flow meter, and suction set-up with regulator?
List at least 4 therapies that are not recommended in the MercyOne inpatient bronchiolitis clinical guideline.
What are albuterol, racemic epi, corticosteroids, CPT, montelukast, antibiotics, and hypertonic saline?
If your patient scores >9 on the respiratory scoring guide, feeds are per _____ if ordered.
What is NG?
Prior to PO feeding a patient with a respiratory illness, consider _______ them to prevent distress during feed?
What is suction?
The type of monitoring the patient should have if they are experiencing apneic episodes.
What is pulse ox and 3-lead monitoring (PICU monitor/Phillips monitor)?
_______ is required when using a nasal cannula to prevent nose bleeds and dry mucous membranes.
What is a bubbler/humidification?
You have 3 month old patient with RR 55, subcostal retractions, normal feeding, and end-expiratory wheezes. What would you score your patient?
What is 4?
To protect the patient's skin when using a nasal cannula, place ______ on the skin under the cannula before applying tegaderm.
What is duoderm? (Skin prep is helpful, too!)
When weaning O2, wean by ______ with each decrease attempt.
What is 0.5-1LPM?
Immediate stimulation of a patient during an apneic event would be required if ________ is noted.
What is change in color?
According to the Bronchiolitis Protocol, oxygen should be initiated when the patient is awake and saturating less than ___.
What is 90%?
You have a 1 year old patient with RR 48, subcostal retractions and nasal flaring, drowsy, and expiratory wheeze only. What would you score you patient?
What is 8?
List at least 4 things to assess when troubleshooting a patient's desaturation.
Is the cannula in their nares? Is the O2 tubing plugged into the flow meter? Is there a correct waveform on the pulse ox? Does the patient need suctioned? Is the patient febrile? Would a shoulder roll help them?
Per protocol, what O2 flow rate do you have to wean down to before attempting to wean to room air?
What is 0.5LPM?
Emergency equipment to have at bedside for a patient admitted with apneic spells.
What is suction equipment, ambu bag and mask, and oxygen equipment?
The respiratory score must be less than __ for a minimum of __ hours prior to discharge.
What is 5 and 8 hours?
You have a 1 month old patient with RR 62, intercostal retractions and head bobbing, difficulty feeding, and inspiratory and expiratory wheezes. What would you score your patient?
What is 10?
Your patient scores 9 on the respiratory scoring tool and requires suctioning. What type of suctioning will you perform?
What is nasal and NP suctioning?
Minimum length of time that patient should be off O2 prior to discharging home.
What is 12 hours?
Demonstrate mild to vigorous stimulation.
Facilitatory verified skill was done correctly.