Respiratory Disorders
S I D S stands for what
Sudden infant death syndrome
(1453)
Cardiac defect when the Aorta has unoxygenated blood while the pulmonary arteries have oxygenated blood
Transposition of the great arteries
Basically aorta is sending unoxygenated blood to body and the pulmonary artery is sending oxygenated blood back to the lungs
extra 100 if you can tell me what type of defect it is: Mixed
Name of difference in the chain of survival between adults and pediatric
Adults call EMS then start CPR
Children you start CPR then call EMS,
Main goal in children is prevention of cardiac arrest and injuries
What is Indomethacin for?
Nonsteroidal anti inflammatory agent used to close PDA
(1470)
Nursing implication for cough suppressants
should be used only with nonproductive coughs in absence of wheezing
Extra 100 if you can name one (DM, Codeine, hydrocodone
(1417)
Dyshagia, drooling, anxiety, irritability, significant respiratory distress are classic signs of what respiratory disorder
Epiglottitis
Extra 100 if you can tell me the general cause: Haemophilus influenza type B
(1427-1428)
What is the proper name for tetspells with Tetrology of Fallot?
Hypercyanotic spell
extra 100 if you can tell me how to relieve them
calm comfort approach, knee to chest position, o2, morphine, IV, propranolol
(1487)
what is ABC and DE
Airway, breathing ,circulation, disability, exposure
Name two nursing implications (reasons) for Digoxin
Count apical pulse for one minute (rate, rhythm and quality) hold <60 adolescent <90 in infant. not oral with meals, monitor serum digoxin, note toxicity( n&v, diarrhea, lethargy, Bradycardia) watch for interaction that increase drug toxicity, note V fib or hypersensitivity, avoid rapid IV admin (vasoconstriction)
(1469)
name two nursing implications for respiratory stimulants (methylxanthines, theophylline, amino-byline caffeine
Admin oral or IV. Can give sustained release orally to prevent nocturnal symptoms
monitor dug levels, report sign of toxicity (tachycardia, n/v, diarrhea stomach cramps, anorexia, confusion, HA, restlessness, flushing , increase urination, seizures, arrhythmia, insomnia
1418
Provide an example of educational info regarding Pneumonia that should be taught to parents\
1.taking all the antibiotics if bacteria is cause and to expect 1 to 2 weeks following resolution the child might continue to be tired (small frequent feeds) may have cough
viral no antibiotics are given
risk of aspiration pneumonia and teach how to prevent this
(1432)
What needs to be present to be diagnosed with Rheumatic fever
ARF: Strep pharyngitis is usual cause after a strep infection (affects CNS, joints, skin and subcutaneous tissue causing damage to hear and valves)
2 major or one major and two minor (strep pharyngitis is culprit
Major: carditis, migratory polyarthritis, subcutaneous nodules, erythema marginatum (skin rash trunk and limbs) and Sydenham Chorea (jerking uncontrollable movement).
Minor: polyarthralgia (pain in several joints), elevated ESR (inflammation) or c reaticve protein (inflammation/infection), prolonged PR interval (conduction issue)
(1495)
What is the difference in an compensated and uncompensated SupraVentricular Tachycardia
Compensated: child is alert and well perfused may complain of headache dizziness with older children, Tachycardia >220, Abnormal P wave
uncompensated: sign of shock, altered LOC, poor perfusion, weak pulse, >220 abnormal P wave
(1893)
Three nursing implications for Heparin
SQ NOT IM
adjust dose to coagulation results
monitor for bleeding check platelet counts
antidote Protamine sulfate avaiable
Don't give with uncontrolled bleeding or with subacute bacterial endocarditis is suspected
(1470)
name three nursing implications of oral or parenteral corticosteroids
hyperglycemia, suppress reaction to allergy testing, call provider if vaccinations are ordered while taking, short courses are safe, long term can result in peptic ulceration, altered growth and other side effects. assess children growth while on long term use
(1418)
extra 100 if you can name one (prednisolone and prednisone)
Name four possible current/past medical history risk factors for asthma
allergic rhinitis or atopic dermatitis
family History
recurrent episodes diagnosed with wheezing bronchiolitis or bronchitis
known allergies, seasonal response to environment, tobacco exposure, property
(1440)
Name the 4 defects associated with a Tetralogy of Fallot
VSD, Pulmonary stenosis, ventricular hypertrophy, overriding aorta
Extra 100 if you can tell me what type of CHD this is (Decreased pulmonary blood flow)
(1475)
What are the 4 types of Shock
Hypovolemic (warm)
Septic (cold)
Cardiogenic (ineffective pump)
Distributive (decrease blood to brain heart kidneys vital organs
(1887)
Name the two Penicillin antibiotics and how they are administered
Pen G is IM
Pen VK is Oral on empty stomach 1 hour before or 2 hours after a meal
(1470)
What is the difference in nursing implications between B adrenergic agonist short vs long acting
Name of short and long acting
short is for acute relief of bronchospasm, TX wheezing exercise induced asthma, bronchiolitis, CF, lung disease
Long is not for acute relief bronchospasm but long term care. exercise induced asthma prevention
Short: albuterol, levalbuterol, pirbuterol Long: formoterol, salmeterol
(1417)
During a health history for an undiagnosed child with Cystic fibrosis what might you see Name 5
salty taste to child skin (chloride loss), meconium lieus, Abdomen pain (diff pass stool) intestinal obstruction or intussusception. bulky greasy stools, poor weight gain despite good appetite, chronic cough, or recurrent URI or LRI
(1446)
Name three increased pulmonary flow disorders
Name signs and symptoms you can see with these disorders
PDA. ASD, VSD
FTT, easily fatigued, SOB, no cyanosis, murmur (PDA)
O2 doesn't really help
(1478-1479)
What does L E A N stand for
What does the mnemonic mean
Lidocaine,
epinephirine
atropine
Naloxone
Meds that can be given via ET
Name the three antihypertensive drug types.
Name one of each
ACE: captopril and enalopril
Adrenergic blockers: propranolol, atenolol, stall
Vasodilator: Hydralazine
(1470)
1. What is the indication of an expectorant
2. Name three nursing implications of an expectorant
give me the name of an a expectorant
1. Losses thickened secretions by increasing respiratory tract fluid. cold, pneumonia,
2. Deep breathing before coughing to mobilize secretions, maintain adequate fluid intake, assess breath sounds frequently
3. Guaifenesin
(1417)