| Question | Answer |
| clinical presentation of worsening respiratory distress | tachycardia |
| increase respiratory effort can lead to | increase fluid loss |
| clinical presentation of CF | failure to thrive, progressive COPD, wheezing, patchy atelectasis, cyanosis, clubbing, repeated respiratory infections |
| albutoerol, xopenex | short acting beta 2 agonists |
| maintance medication for asthma management | long acting broncho dilators, inhaled sterroids, leukotrine modifiers |
| asthma | chronic inflammatory disorder of lower airways. constriction and edema of airway is present |
| tachypena puts the child at risk for | aspiration when drinking or eating |
| GI manifestations of CF | pancreatic enzymes are blocked from reaching duodenum. impaired digestion/absorption of fat - steatorrhea. impaired digestion/absorption of protein- azotorrhea |
| resuce medication intervention for asthma | short acting beta 2 agonists |
| otitis media with effusion | pt will c/o "fullness" in ear |
| immediate nursing care post tonsilectomy | semi-prone position, monitor for surgical site bleeding,pain management, assess hydration status (I&O) |
| factors that contribut to respiratory dysfunction in the child | age, size of airways, resistance of immune system |
| dietary considerations for children with cystic fibrosis | increase KCAL, increase protein, vit A,D,
E,K, free use of salt |
| goals of asthma management | avoid triggers, releive episodes promptly, monitor function with peak flow meter, self management |
| first s/sx infant may present with if positive for RSV | apnea |
| nursing interventions for child with increase respiratory effort | ease effort, fever management, promote rest, promote hydration, infection control, family support |
| serevent | example of long acting beta 2 agonists |
| synergis | immune globbin given to at risk infants for RSV |
| acute epiglottitis | always a medical emergency. epiglottis is cherry red and swollen, monitor for airway obstruction |
| management goals of CF | prevent pulmonary complications, adequate nutrition for growth, assist in adapting to chronic illness |
| S/Sx child will c/o with otitis media with effusion | "fullness" in ear |
| cystic fibrosis | exocrine gland dysfunction that produces multi-system involvement |
| clincial manifestations of CF | thick mucoprotein accumulates, dilates, coagulates to form concentrations in glands and ducts. respiratory tract and pancreas are predominately affected |
| delilvery routes for asthma meds | oral, IV, MDI, nebulizers |
| pulmonary function test used to evaluate asthma management | peak flow meter |
| foreign body aspiration | prevention is key. use CPR age appropiate techinques to dislodge object |
| laryngotracheobronchitis (LTB) | inspiratory stridor, suprasternal retractions, seal-like barky cough,may present with increasing respiratory distress |
| peak flow meter | evaluates severity of asthma |
| otitis media | usually follows upper respiratory infection |
| GI management of CF | replacement of pancreatic enzymes, high protein and high calorie diet, salt supplementation, replacment of vit A,D,E,K |
| tuberculosis | INH,Rifampin are examples of med therapy used. lenght of treatment is 6-12 months |
| possible first clinical sign of CF | meconium ileus |
| complications of influenza | otits media, croup, pneumonia |
| treatment for otitis media | antibx, if chronic PE tubes |
| management of LTB | racemic epi, steroids, IV hydration, cool humidified mist |
| bronchitis | dry cough then productive cough on day 2 or 3 |
| respiratory management of CF | CPT, forced expiraton, aggressive treatment of infactions, aerosolized antibiotics |
| lung sound heard with asthma | wheezing |
| respiratory manifestations of CF | decreased O2/CO2 exchange, results in hypoxia, hypercapnea, acidosis |
| Bronchiolitis/RSV | mucosa swells and fills lower airways with mucous and exudate |
| treatment plan for pneumonia | antibx(possible), fluids, chest PT, bronchodilators, oxygen, antipyretics, cool mist |
| rescue bronchodilator | short acting beta-2 agonist |
| primary goal of nursing assessment for a child with increase respiratory effort | recongition of respiratory distress |
| Care of pt with PE tubes | ear plugs worn to prevent water entering middle ear for swimming, etc |
