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Resp. Dis. in child
The Child with a Respiratory Disorder
Question | Answer |
---|---|
Composed of lecithin and sphingomyelin and prevents the alveoli from collapsing during respirations after birth | Surfactant |
What is a premature birth accompanied by? | Problems with respiratory gas exchange |
The process of breathing air into and out of the lungs | Ventilation |
Most common infection of the respiratory tract | Acute Coryza (cold) |
May be related to inhaled cocaine or other drug abuse | Nasopharyngitis |
TRUE or FALSE. Antibiotics are NOT effective against the common cold | TRUE |
An inflammation of the structures in the throat | Acute Pharyngitis |
What is suspected when an upper respiratory infection lasts longer that 10 days with a daytime cough? | Acute sinusitis |
Treatment for acute sinusitis | 10 to 14 day antibiotic therapy |
A "barking" cough and varying degrees of inspiratory stridor | Croup |
Weakness of the airway walls and a floppy epiglottis that causes stridor on inspiration | Congenital laryngeal stridor |
How will you place an infant to lessen symptoms of congenital laryngeal stidor? | Prone or propped in the side-lying position |
Usually occurs in children between 1 to 3 years of age and can be caused by a virus, allergy, or psychological trigger | Spasmodic laryngitis (spasmodic croup) |
TRUE or FALSE. The attack of spasmodic croup lasts a few hours and by morning the child will feel normal? | TRUE |
Manifested by edema, destruction of respiratory cilia, and exudate, resulting in respiratory obstruction | Laryngotracheobronchitis |
Swelling of the tissues above the vocal cords | Epilottitis (life-threatening) |
Viral infection of the small airways in the lower respiratory tract | Bronchiolitis (leads to atelectasis) |
Treatment for Bronchiolitis | Semi-fowler's position with a slightly hyperextended neck to facilitate respirations; Oral feedings supplemented by IV fluids; Bronchodilating aerosol therapy and high-humidity tents are prescribed; monitor vital signs and O2 |
Responsible for 50% of cases of bronchiolitis in infants and yound children; MOST COMMON cause of viral pneumonia | Respiratory syncytial virus (RSV) |
Transmission of RSV | Direct contact w/ respiratory secretions (can survive for more than 6hrs on countertops, tissues, and soap bars) |
Prevention of RSV | Monoclonal antibody, palivizumab (synagis)given monthly intramuscular injections |
Occurs when infant inhales an oil-based substance into the airways | Lipoid pneumonia |
An inflammation of the lungs in which the alveoli become filled with exudate and surfactant may be reduced | Pneumonia |
Most common cause of pneumonia in newborns | Group B streptococci |
Most common cause of pneumonia in infants 3 wks to 3 mos | Chlamydia |
Severe type of pneumonia caused by the coronavirus | Severe acute respiratory syndrome (SARS) |
The maxillary and ethmoid sinuses are most often involved | in childhood sinusitis |
A complication of childhood sinusitis | Periorbital |
TRUE or FALSE. Pulse oximetry readings are of great value in carbon monoxide poisoning | FALSE |
What should be readily available at the bedside in infants with carbon monoxide poisoning | An intubation tray |
Should be avoided in the immediate postoperative period after a tonsillectomy | Coughing, clearing the throat, and blowing nose |
Benign forms of Croup | Laryngomalacia and acute spasmodic laryngitis |
Acute types of Croup | Laryngotracheobronchitis and epiglottitis |
A tongue blade examination of the throat can cause sudden respiratory arrest in a child with what? | Epiglottitis |
Characteristics of cystic fibrosis | Bulky, frothy, fou-smelling stools |
A multisystem disease characterized by an increased viscosity of mucous gland secretions | Cystic fibrosis |