Random
Infants are obligatory ____ breathers
Nose. Be sure to suction mouth then nose during delivery. (m-n) alphabetical.
What are the two most important times to observe for postoperative bleeding post-tonsillectomy?
Within the first 24 hours, then again between days 7-10.
What diagnostic test includes values such as: partial material oxygen pressure (PAO2), partial pressure of carbon dioxide in arterial blood (PACO2), acid-base balance (pH), and bicarbonate (HCO3-).
Blood gases (arterial/venous)
Hairlike processes that move mucus and fluid
Suggested for the treatment of croup
Taking the child out into the cool, humid, night air. Rx- Decadron/racemic epinephrine in severe cases
Give me a nursing diagnosis appropriate for the child undergoing a tonsillectomy.
_____ R/T ______ AEB ________
Anxiety related to surgery AEB...
Risk for injury (hemorrhage) related to surgery AEB...
Ineffective airway clearance related to throat discomfort AEB...
Acute pain related to surgical removal of tonsils AEB...
Diet for the child with acute bronchitis. What should the nurse educate parents?
Frequent, small feedings (liquids). What are some other considerations? Promote humidity, rest, avoid cigarette smoke, avoid cough suppressants. Avoid histamines- dry out the child.
Type of test- important in diagnosing asthma. Assesses ventilatory function (vital capacity/expiratory flow rate).
Pulmonary function tests. Spirometry can be performed by most preschool-aged children. Pulmonary function tests can measure degree of pulmonary disease, response to therapy, presence or absence of restrictive or obstructive airway disease.
These (3) portions of the body include the upper airway
nose, pharynx, larynx
Treatment for allergic rhinitis (give at least three examples)
Eliminate allergen from child's environment, antihistamines (loratadine, cetirizine, fexofenadine), intranasal corticosteroids (fluticasone, mometasone, budesonide), decongestants, immunotherapy (allergy shots), leukotriene inhibitors (Montelukast)
Edematous, cherry-like epiglottis, drooling, dysphagia, distressed inspiratory efforts. Child insists on sitting upright, high fever
Epiglottitis (supraglottitis)
Prone sleeping, soft bedding, bed sharing, cigarette smoke or alcohol
Sudden infant death syndrome (SIDS)
Measures sweat electrolyte concentration for diagnosis of CF
Pilocarpine iontophoresis (sweat test)
________ are relatively horizontal, increases the risk for bacteria entering the middle ear
Sore throat, tonsils enlarged, bright red, covered in exudate, difficultly swallowing is _______. Treatment may include:
Tonsillitis/strep. Symptomatic treatment in the acute phase 7-10 days (tylenol, motrin), warm saline gargle, cool bland liquids. Antibiotics for positive culture. Penicillin-based (amoxicillin 2-3x daily for 10 days).
Pulmonary, noninfectious irritation. Lung injury is not understood, breakdown in alveolar-capillary barrier with fluid accumulation in the interstitial and alveoli. Has acute and chronic stages. Capillary congestion and pulmonary edema. Fibrosis of the lungs for kids who do not recover from acute stage.
Acute respiratory distress syndrome (ARDS)
What are exocrine glands? What disease is associated with over-active exocrine glands?
bronchioles, small intestine, pancreatic and bile ducts- cystic fibrosis. Exocrine glands are glands that secrete substances onto an epithelial surface by way of a duct. Other examples of exocrine glands include sweat, salivary, mammary, ceruminous, lacrimal, sebaceous, prostate and mucous.
Name for skin test for TB... (5 TB units,0.1 mL injected intradermally into solar surface of forearm, wheal 6-10 mm in diameter should appear during injection, site checked 48-72 hours, reading based on induration (hardness) rather than redness).
Mantoux test... does anyone know the name of the blood test you can get instead of a PPD?
The left side of the lung has ____ lobes. The ____ bronchus is wider, shorter, and more vertical.
two, right
Treatment for epiglottitis
Manage airway, intubation potentially, decrease environmental stimuli, IV antibiotics, admission, discharge with oral antibiotics. Humidified oxygen, antipyretics for fever,
Drug treatment for tuberculosis (can give typical treatment and/or treatment for drug-resistant TB
Daily isoniazid (INH) for 9 months, or 6-month course of Rifampin. Other treatments may include ethambutol, pyrazinamide
CF is what kind of genetic disease?
Autosomal recessive
(Two part answer) Bulging, opaque tympanic membrane (TM), usually looks red, could have drainage- yellowish green, purulent, foul smelling ______. what is the treatment?
Acute otitis media. Symptomatic treatment or antibiotics (amoxicillin for 5-10 days).
At which week does surfactant become available? (Infants born before this time have an increased risk for respiratory distress syndrome)
34 weeks
Treatment for the child with complex foreign body aspiration
Removal of object via direct laryngoscopy or bronchoscopy, observation in hospital for laryngeal edema/respiratory distress. Potentially bronchodilators or corticosteroids 24-48 hours after