signs and symptoms
increased respiratory rate, nasal flaring, stridor at rest, cyanosis, retractions, tripod position
do not visualize the airway- edema, do not leave the child unattended, have intubation supplies ready, bronchodilators, corticosteroids, antibiotics (IV then oral)
what is treatment for epiglottitis?
this lung sound can be described as loud, low pitched, large airways, mainly on expiration. can be found with bronchitis, pneumonia, COPD
what is rhonchi?
making sure to do all of these when taking care of a child who is in pre op for a tonsillectomy is critical.
what is making sure there is no active infection, pain when swallowing, hx of bleeding/clotting disorder, check for loose teeth, family and patient teaching
environmental allergens, exposure to occupational chemicals, exercise, cold air, irritants, weather changes
what are asthma attack triggers?
earache, bulging, opaque tympanic membrane that usually looks red, draining, usually yellow/green
what are signs and symptoms of acute otitis media?
acute laryngotracheobronchtitis, aka croup, is normally treated with this list.
what is maintaining airway, bronchodilators, corticosteroids, cool mist and fluids used for treating?
this lung sound often occurs in asthma and COPD patients. It sounds high pitched, continuous, and loudest on expiration.
what are wheezes?
these nursing interventions for pertussis are key in keeping yourself and the child safe
what is isolation, administering antimicrobial meds, avoiding coughing spasm triggers, ensuring proper hydration and making sure suction is always available?
which stage of this illness is a chronic cough that lasts up to ten weeks or longer?
what is the third stage of pertussis?
redness, inflammation of pharynx and tonsils, vesicles or ulcers on tonsils, fever, hoarseness
a child appears in the emergency room with wheezing, shortness of breath, no improvement after bronchodilator use, gray or blue lips and nails, trouble talking
what are the hallmark signs of an emergent asthma attack?
fine cracking noises heard on inspiration
what are rales?
when managing a child with cystic fibrosis, you want to administer these as needed and do not administer these!
what are antibiotics and cough suppressants?
the child should be in this position after a tonsillectomy to prevent this complication
what is the prone position to prevent aspirating on blood?
drooling, dysphagia, dysphonia, distressed respiratory efforts, tachycardia and tachypnea, fever
the nurse is assessing a child for post op bleeding after this common procedure.
what is a tonsillectomy?
this is due to a partially obstructed airway, sounds high pitched, heard on inspiration. can be found in patients with croup, epiglottitis, or an airway obstruction.
what is stridor?
these nursing priorities are recommended for this- promoting rest and comfort, prevent spread of infection, reduce body temp, provide nutrition, educate family and patient
what are your nursing priorities for respiratory infections?
this is very common in the pediatric population due to the positioning of Eustachian tubes.
what is otitis media?
fatigue, chronic cough, recurrent URIs, thick sticky mucus, clubbing, barrel chest, abdominal distention
what are signs and symptoms of cystic fibrosis?
cystic fibrosis causes these problems in the reproductive system
what caused delayed puberty in girls, cervical secretions inhibit fertility, and tenacious seminal fluid inhibit fertility?
pain with deep breathing or cough, inspiration and expiration, low pitched, discontinuous or continuous depending on cause. seen in pleurisy, pneumonia, TB, lung cancer, and PEs.
what is pleural friction rub?
the child "tastes salty" when kissed by parents due to dehydration and electrolyte imbalances
how does cystic fibrosis affect the skin?
these diagnostic tests are commonly ordered for respiratory disorders
what is blood gas, pulmonary function tests, pulse oximetry, chest x-ray, CT, MRI, US, bronchoscopy?