Respiratory Distress
Name 3 signs/symptoms of respiratory distress?
color changes, increased RR, increased HR, retractions, grunting, nose flaring, clammy skin, change in alertness, wheezing, stridor, change in body position, accessory muscle use
What is the brand name of the COVID vaccine we are offering this year?
Moderna/spikevax
Neb kits are in the crash pack. T/F
True
Based on the oxygen standing order-A patient's pulse ox is 78%, what oxygen delivery device do you use and at what rate?
Simple Mask 6L
If an inhaler is new or has not been used in over 2 weeks, what needs to happen?
Prime the inhaler by releasing four sprays into the air
What supplies would you need for a patient in respiratory distress?
pulse oximeter, O2 tank, Oxygen administration device, crash pack, suction machine, neb machine
It is a 7 month old's first RSV season. She weighs 11kg. What dose should she get of Beyfortus?
100mg
What are the 3 "sizes" of oxygen devices?
Infant, Pediatric, Adult
Each oxygen tank has 3 (infant, pediatric, and adult) sizes of which 3 devices?
NC, simple mask, non-rebreather
When using a spacer WITHOUT a mask, what do you instruct the patient to do once they press the inhaler down?
Take a slow, deep breath and breathe in as much air as possible. Hold for 10 seconds.
Name 3 things that can cause respiratory distress.
infections, asthma, aspiration, near drowning, chest trauma, inhaling harmful fumes or smoke, blocked airway, premature birth or hospitalization for respiratory problems.
A 13-month-old had two doses of the Pzifer COVID vaccine earlier in 2025. What COVID dosing should they receive today?
0.25ml today and then again in 4 weeks
There is not a glucometer in the crash pack. T/F?
False
What should you do on the oxygen tank BEFORE connecting oxygen tubing?
Turn it on
What are 2 ways to administer a nebulizer?
Mask or mouthpiece
What color changes present in a child who is in respiratory distress?
Pale, grey, or bluish coloring around the mouth or fingernails.
A 7-year-old has had one influenza vaccine in 2021. How many doses do they get this season?
2 doses at least 4 weeks a part
Where is the crash pack located?
Aurora-Lab
Thornton, Denver, and Lakewood- Nurse desk
APS-varies
What is the reason for using blow by oxygen?
When patients cannot tolerate the simple mask or NC
Can you give oxygen while getting a nebulizer?
yes
What are retractions?
A patient is coming in for their 4 year catch up vaccines and flumist. Which questionnaire should they complete?
Flumist AND All Other Vaccines Questionnaire
What medications are in the crash pack?
Midazolam, Epinephrine, Racemic Epi, Narcan, frosting
When is a bag mask valve used?
during rescue breathing or during CPR
When using a spacer WITH a mask, what do you instruct the patient to do once they press the inhaler down?
Keep the mask in place while the child takes six breaths (it's ok if they are crying)