Respiratory 101
grunting
respiratory distress
how does a child acquire CF?
autosomal recessive trait
a condition characterized by exocrine gland dysfunction that produces multi-system involvement
Cystic Fibrosis
A 5yr old girl is brought to the pediatric emergency room displaying drooling, strident cough, and lethargy. the healthcare provide suspects epiglottitis. what is a priority intervention? take vital signs, prepare for intubation, visualize child's throat with tongue depressor, obtain throat culutres
prepare for intubation
this is usually proceeded by viral infections or blockage of eustachian tubes
otitis media
normal toddler RR rate
20-35
when newborns have this, they are typically diagnosed with CF
meconium ileus
chronic inflammatory disorder of the airways resulting in obstruction
asthma
a 7r old is 1 day post op tonsillectomy. when the child vomits coffee-ground like material, what is the most appropriate action by the nurse? notify HCP immediately, maintain NPO status for 24 hour, maintain NPO for 30 min and then try clear liquids, place child supine
NPO for 30 minutes then try clear liquids
these syndromes are characterizes by "barking cough"
croup syndromes
number 1 way to reduce spread of infection
hand washing
CF patients are at a high risk of ______ because of _____
infection; stagnent secretions/mucous
RSV
a 7yr old in the ED is experiencing an asthma attack. which medication should the nurse prepare to administer? terbutaline, beclomethasone dipropionate, prednisone, albuterol
albuterol
the nursing student in the family clinic is learning about respiratory infections in children. The student nurse knows that infants less than 3 months have better resistance to respiratory infections due to: frequent check ups, maternal antibodies, inability to breathe through their nose, lack of exposure
maternal antibodies
anorexia is a sign of
respiratory distress
most important intervention to help prevent pulmonary infection
CPT
obstructive inflammatory process caused by H. influenzae; considered a medical emergency
acute epiglottitis
nurse is taking care of a 12yo CF female and notices pancreatic enzymes on her EMAR. When should the nurse administer the pancreatic enzymes? with breakfast, after breakfast, with antibiotics, 2 hours before breakfast
with breakfast
an acute asthma attack
status asthmaticus
caregiver smokes, this increases the risk of
infection (decreased resistance)
can patients with CF have children?
>95% males are sterile, females have fertility issues
severe cough
pertussis
the mother of a 3 year old boy calls the nurse into the hospital room and says her son is chocking. which is a priority action? open child's mouth and sweep for foreign material, give 5 back blows with the child over the nurse's arm, assess whether the child can make vocal sounds, perform 5 abdominal thrusts with the child supine
assess whether the child can make vocal sounds
the mother of a newborn tells the nurse the infant has been having trouble feeding. the nurse knows that newborns can have difficulty breathing while nursing if: they have developed colic, the mother is obese, the environment is too warm, the nares are not patent
the nares are not patent