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Test 2
Peds GI, Respiratiry, ETC
Term | Definition |
---|---|
Nasopharyngitis | "Common cold" Fever, irritability, restlessness, Decreased fluid intake, Vomiting and diarrhea, dryness irritation of the nose and throat Home Management: Antipyretics (fever and pain) Humidified Air, Rest Increase fluids, suction, and HOB |
Tonsillitis (URI) | Inflammation of the palatine tonsils; S/S: Sore throat, fever, malaise Red inflamed tonsils, Pus pockets TX: Cold/frozen non acidic fluids to help throat and dehydration; ABX or Antipyretics |
Pharyngitis (URI) | Pharynx inflamed; HA, fever, sore throat, pain Throat culture to rule out strep Nursing Considerations: Throat swab for rapid strep; Cold or warm compress to neck; cool liquids or ice chips (don't force child to eat) |
Tonsillectomy | Highest risk for bleeding at 24hrs and 10 days post op; liquids & soft foods only (nothing red) frequent inspection of scabs (should fall out in 10 days) pain meds & ice collar |
Influenza (URI) | Can be subclinical to severe; Dry cough, hoarseness, dry nasal mucosa. Can lead to pneumonia, otitis media, and sinustis Prevention: Immunizations Nursing Considerations: Relieve symptoms; watcch for s/s of a secondary infection may need abx |
Otitis Media | Infection of the middle ear Nursing considerations: No water in ears if ear tubes in place until tubes fall out |
Croup Syndrome | Hoarseness, "barking" cough, inspiratory stridor,varying degrees of respiratory distress; Affects the larynx, trachea, and bronchi TX: Keep airway open(priority), cool mist, quiet environment, keep pt calm and limit visitors |
Acute Epiglottis (Croup) | *MEDICAL EMERGENCY NO THROAT CULTURES!! Sore throat, pain, tripod positioning, retractions, fever, inspiratory stridor, mild hypoxia, distress E.equipment intubation @ bedside Tx: Airway, Humid O2, ABX, racemic epi, corticosteroids Prevention: Hib Vacc |
Acute Laryngitis (Croup) | Hoarseness,Sore throat, congestion, fever, HA, malaise. More common in older child TX: Fluids, humid air, symptomatic |
Acute LTB (Croup) | Most Common of croup Inspiratory stridor, Suprasternal retractions, barking/seal-like cough; increasing respiratory distress&hypoxia Can progress to respiratory acidosis, respiratory failure, and death Airway management; Increase hydration, Nebulizer |
Acute Spasmodic Laryngitis (Croup) | Midnight Croup, Paroysmal attacks of laryngeal obstruction, Occurs chiefly at night Inflammation: mild or absent Humidified air, limit exposure to cold air Racemic EPI if severe |
Bacterial Tracheitis (Croup) | Infection of the mucosa of the upper trachea May be complication of LTB, Thick, purulent secretions result in respiratory distress; Humidified O2 Antipyretics Antibiotics May require intubation, Monitor respiratory failure, May be life threatening |
RSV (LRI) | Wheezing & crackles, otitis media, conjunctivitis (pink eye), increased secretions, nasal stuffiness, fever, decreased po intake, may lead to respirator failure DX: Nasal secretions TX: Cool O2, increase PO, Suction Suction, Isolation, steroids, No ABX |
Pertussis (Whooping Cough) (LRI) | Low grade fever, sneezing, runny nose( 1-2wks) Sever cough, especially at night, coughing may cause vomiting <6mnths, may have apnea Symptoms last 1-6wks DX: Sputum culture; TX: ABX, Steriods, best rest, o, droplet precautions, suction, monitor o2 |
Tuberculosis (TB) (LRI) | If untreated, lung damage & CNS involvement; Airborne precautions, use of respirator, educate family or infection control, medication compliance TB can hang on surfaces for days or wks 2nd leading cause of infection disease; Mantoux Test |
Foreign Body Aspiration (LRI) | DX: H&P, X-RAY Endoscopy &airway management |
Aspiration Pneumonia (LRI) | Avoid Aspiration risks: Oily nose drops, Solvents, Talcum Powder |
Asthma | Chronic Inflammatory disorder of the tracheobronchial tree;attacks influenced by variety of triggers, Very individualized TX: Bronchodilators & antiinflammatory drugs Maintain activity levels, pulmonary fx, allergy control PFT, Chest physical therapy |
Status Asthmaticus (Life threatening) | Respiratory distress continues despite vigorous therapeutic measures Emergency TX: Epinephrine 0.01 ml/kg SC max: 0.3ml |
Cystic Fibrosis (CF) | Exocrine gland dysfunction that produces multisystem involvement; Inherits defective gene from both parents Increase viscosity of mucous gland secretions, Increased sweat electrolytes, abnormalities in nervous system function Sweat Chloride test, 2-5 < |
Manifestation of CF | Can't pass stool (meconium ileus); decreased o2-co2 exchange; results in hypoxia, hypercapnia, acidosis Compression of pulmonary blood vessels &pulmonary hypertension, cor pulmonal, respiratory failure, & death |