fn2 test 4 Ch 46[1].txt

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fn2 test 4 Ch 46[1].txt
2012-05-01 09:13:55
FN2 46

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    • author "me"
    • tags "11?"
    • description ""
    • fileName "fn2 test 4 Ch 46"
    • freezingBlueDBID -1.0
    • pedriatric airway differences
    • shorter and narrower
    • cartilage in neck more flexible and easier to compress with poor positioning
    • mouth breathing not capable until 2-3 months old
    • at birth only 25million alveoli which are not developed
    • oxygen consumption is higher
  1. general nursing care acute resp tract infection
    • warm or cool mist
    • bed rest
    • remove secretions
    • decongestants
    • acetaminophen or ibuprofen
    • prevent spread by using tissues and handwashing
    • cool liquids
    • small amounts of favorite liquids
    • feed gelatin, soups, and puddings
    • provide comfort and support
  2. Lower resp
    • Voacl cords
    • Thryoid and cricoid cartilage
    • Larnyx
    • Esophagus
    • Trachea
    • Alveoli
    • Bronchi
    • Lung
    • Bronchioles
  3. Nasopharyngitis
    Nurse care
    • Aka common cold
    • Viral infection
    • M-rest, decongestants, cold compresses
    • C- pneumonia
    • N-prevent spread from secretions and hand washing
    • Family support- normal part of childhood
  4. Pharyngitis
    Nursing care
    • Aka strep throat
    • C-rheumatic fever and acute glomerulonephritis
    • M- headache, fever, abdominal pain
    • D- 80-90% viral
    • M-penicillin, erythromycin
    • N- throat swab, warm saline gargles, prevent spread, replace toothbrush
  5. Tonsillitis
    Nursing care
    • C- often occurs with pharyngitis; viral or bacterial
    • M- inflammation
    • N- symptom management
  6. Tonsillectomy nursing care
    • Pain relief: opioids, antiemetic
    • Diet; liquid or soft (crushed ice, ice pops)
    • Monitor: hemorrhage (tachycardia, pallor, frequent swallowing)
    • Discourage: coughins, clearing throat or blowing nose
    • Discharge: avoid irritating and seasoned food; avoid gargles & vigoruos tooth brushing; avid putting objects in mouth; pain management; limit activity
  7. Influenza
    Nursing care
    • Spreads by direct contact
    • M- dry throat, nasal passages, dry cough, hoarseness; last 4-5days
    • M- fever control & fluids
    • Prevent spread
    • Immunizations
    • N- same as uri
  8. Otitis media
    risk factors
    • Ear infection
    • Prevalent in children under 24months
    • R- sceond hand smoke, socioeconomic level, contact with other children; breast feeding lowers incidence
    • C- malfunctioning eustachian tubes
    • D-exam of tympanic membrane
    • M; antibiotics(high dose amoxicillin), fever, pain
  9. Nursing care for otitis edia
    • Relieve pain
    • Facilitate drainage
    • Prevent complications
    • Educate family
    • Provide emotional support
    • P.e. Tubes
    • Paincontrol
    • Keep outer ear clean
    • Education regarding water in ears
    • Anitbiotics
  10. Infectious mononucleosis
    • Common among adolescents
    • Mechanism of spread not proven
    • Incubation 30-50days
    • Length of disease depends on age
    • M-headache, fever, malaise; no antibiotics unless culture +
    • Acute symptoms disappear in 7-10 days; fatigue lasts 204wks
  11. Nursinf care Mono
    • Provide comfort
    • Provide sufficient calories
    • Throat pain
    • Seek medical care when warranted
  12. Coup
    • S- inspiratory strido, barking cough, hoarseness, tachypnea
    • D- pulse oximeter, chest x ray, throat culture
    • T- humidified oxygen, nebulizer, monitoring
  13. Epiglottitis
    • Inflammation od epiglottis
    • Can occur in minutes
    • S: fever, sore throat
    • -dysphonia
    • -dysphasia
    • -inspiratory stridor
    • -respiratory distress
    • -drooling, tripod position
    • -anxiety
  14. Asthma
    • D- chronic inflammatory disorder of airways resulting in obstruction resulting from stimuli
    • C- enrivonmental exposures, viral illness, allergens and generic predispositions are all causes
    • S- sudden appearance of breathing difficulty, cough, wheeze, or SOB
  15. Goals of management of asthma
    • Continuous approach with regular primary care visits
    • Prevention of exacerbation includes avoiding triggers, avoiding allergens, using meds as needed
    • Therapy includes efforts to reduce underlying inflammation and relive or prevent symptomatic airway narrowing
    • Therapy includes: pt. Ed, environmental control, pharm. Management, use of objective measure to monitor severity of disease and guide the course of therapy
  16. Exercise induced bronchspams
    Self terminating airway obstruction that develops during or after vigorous activity
  17. Status asthmaticus
    • Sustained respiratory distess and bronchspsm despite pharm intervention
    • Risk is respiratory arrest due to obstruction
    • Care is in PICU where airway can be maintained
  18. Nursing care status asthmaticus
    • Acute and long term care involving home, hospital, school, & outpt. Clinical
    • Assess how asthma affects everyday activities and self concept, adgerence to therapy, treatment goal
    • Avoid sensitive children to excessive cold, smoke, sprays, other irritants
  19. Cystic fibrosis
    • Inherited autosomal recessive disorder of exocrine glands (alters resp, gi, skin, muscoloskeletal, reproductive)
    • Respiratory failure is leading cause of death
    • Metabolic fnctn is severely altered due to excessive electrolye imbalances
  20. Management goals for CF
    • Prevent or minimize pulmonary complications
    • Ensure adequate nutrition for growth
    • Enourage appropriate physical activity
    • Promote reasonable quality of lofe for child and family
  21. Hospital care for CF
    • TX of pulmonary infection, uncontrolled diabetes, coexisting problem unable to manage at home
    • Need aerosol tx, chest percussion, postural drainage, removal of secretions
    • Edu complaince of meds, esp pancreatic enzymes
    • Promote nutrition with loss of appetite and ensuring proper growth wt loss
    • Psychosocial issues such as depression, anxiety, body image disturbance