Asthma
What are common symptoms of asthma?
Coughing at night
Wheezing
Bronchoconstriction
common cold/allergies
labored breathing
chest pain
What should you check first before taking a step up in asthma treatment?
Check Adherence
Inhaler technique
Environmental Control
Comorbid conditions
When giving steroids what should you watch for?
Decrease in blood sugar
What are the different Nebulizers for CF?
Domase Alfa
Aztreonam
Tobramycin
Hypertonic Saline
How long does RSV last?
10-21 days
What causes intrinsic Asthma?
Respiratory illness (Flu)
What should you check first before taking a step down in asthma treatment?
Asthma is well controlled for at least three months
When should you not to give a monoclonal antibody?
If they have had a vaccine within two weeks
If they are sick or have an illness
What months does RSV most commonly happen?
October- March
If a baby who has RSV has respirations over 60 should you feed them?
No, They may aspirate
What causes extrinsic asthma?
Allergens
What are alpha drugs for
Heart
Pulmonary
Digestive
Reproductive
When is RSV most critical?
In babies under a year
What are you worried about with a child who just had a tonsillectomy?
Post-op Bleeding
What is an asthma medical emergency?
Status asthmaticus
What are beta drugs used for?
Lungs
What nursing interventions can you do for a patient with Cystic Fibrosis?
Chest PT vest
Nebulizers
Educate on compliance
Digestions (Creon) before meals and snacks
Why is RSV most critical in babies under a year?
Nose breathers
Thick mucus in their nose
What do you want to educate the parent on whose child just had a tonsillectomy
No straws
No oral temps
Look for signs of bleeding
In what order do you treat an asthma exacerbation
1. Allbuterol
2. Steroids'
3.Theophyiline
4.Hydration
5.O2
6.Anticholinergics
What are the side effects of albuterol?
Tachy
Restlessness
Tremor/Jittery
What assessments can a nurse do for a patient with CF?
O2 stat/vitals
Respiratory effort/lung sounds
Sputum/mucus- for signs of infection
GI assessment
What is the treatment of RSV?
Hydration
Oxygen if needed
Rest
Suction every 4 hour or PRN
What are signs of bleeding after a tonsillectomy?
Blood tinged mucus
Restlessness
Tachycardia
Swallowing excessively
Hypotension