LP 10 Diagnostic Tests, Meds, & Other Therapy

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  1. Indomethacin
  2. Propranolol (Inderal)
  3. Morphine Sulfate
    • Slows Rate to Improve Quality, which improves Oxygen exchange
    • Don't administer if child already has slow respirations
  4. Bronchodilators
    Open Airway
  5. Mucolytics
    • Loosens Mucous
    • Given After Bronchodialators
    • May be used before Corticosteroids
  6. Betamethasone (Celestone)
    • Class: Glucocorticoid
    • Given For: Given to clients in preterm labor (↓34 weeks) to hasten fetal lung maturity to ensure surfactant production
    • Action: Takes up to 24 hours to have positive effect. Effect lasts for 7 days. Repeated if infant is not born within first 7 days. Decreases Inflamation & Suppresses the Immune Response
    • Adverse Reactions: Euporia, Insomnia, Seizures, Heart Failure, Thromboembolism
    • Nursing Implications:
    • Give IM injection deep and rotate sites
    • If client is Diabetic they may need an insulin dose adjustment
    • Measure/Record I/O & Daily Weight
    • Recommended Dosage: 12mg daily for 2-3 days prior to delivery
  7. Racemic Epinephrine By Arosol
  8. Anti-Viral Treatment
  9. Ribavirin (RSV Treatment)
    Specifically used to treat severe cases of RSV where the patient would not otherwise survive such as infants with complicated CONGENITAL HEART DISEASE or are IMMUNOCOMPROMISED


    • Expensive with Marginal benefits
    • Treatments are given over 3-7 days and given over 12-18 hours in a Cruepet.
    • Anyone who goes into the room of a client receiving Ribovarin MUST WEAR A MASK!
  10. Prostaglandin E
  11. Versed
  12. Digoxin (Lanoxin)
  13. Lasix
  14. Penicillin
  15. IV Immunoglobins
  16. Aspirin (High Dose)
  17. Erythromycin
  18. Pancreatic Enzymes
  19. CBC (Total) Vs. CBC W/Diff
    CBC (Total): Elevated in bacterial infections. Elevated for first 12 hours in Viral Infections, lowers after first 12 hours (WBCs dying fighting the infection)

    • CBC W/Differential:
    • Neutrophils=40-50%(↑= L shift (bacterial infection), ↓= R shift)
    • Lymphocytes=30-40%
    • Monocytes=0-10%(↑in a rapid or chronic infection)
    • Eosinophils=0-2%(↑in allergic reactions or parasitic infections)
    • Basophils=0.5-1%
  20. ASO Titer
    • Positive: Indicates Recent Strep Infection
    • Negative: Indicates No Recent Strep Infection
  21. Types Of Retractions
    • SupraSternal
    • Sub-Sternal
    • Intercostal
    • Supraclavicular
    • The More Areas of Retraction a child has, The greater severerity of their respiratory distress
  22. X-Ray Of Lateral View Of The Neck
    • LTB- Narrowing
    • Epiglottitis- Bulging (Shadowy Spot On X-Ray)
  23. Peak Flow Meter
    Used as an indicator for need of Inhalor for Children with Sports Enduced Asthma.

    Green Means GO, Yellow inhail to keep mellow, Red put the inhalor to your head
  24. Stridor Scoring Scale
  25. Cardiac Cathetor
  26. Teflon Graph
  27. Cruepet (AKA: Oxygen Tent)
    • Used as a supplimental Oxygen source in treating respiratory distress.
    • Has two holes in the back, one is for room air and the other is to humidify the environment (liquefies the lungs to loosen mucus)
    • AVOID STATIC DISCHARGE! Do not let patient bring TV Remote or other static producing things into the tent due to risk for explosion! DO NOT USE PLASTIC SHEETS IN A CROUPET.
    • Change Bath Blanket Every Hour and avoid cotton sheet/pillow case due to moisture(Risk for Hypothermia)
    • Lessen Anxiety(Decreases Need/Rate of Oxygen Consumption)
    • Room Air is 21% Oxygen, Croupet provides 2-3% higher concentration for every liter of supplemental oxygen.
    • Try to avoid opening the croupet as much as possible due to a temporary decrease in SpO2
    • If you must open the Cruepet (Models without a side access zipper) The RN should increase Oxygen to 5L until SpO2 levels are WDL at 95-100%
    • You may not leave the room until SpO2 is WDL
    • You may raise the head of the bed while the child is in the croupet to provide additional respiratory relief
  28. Percussion & Postural Drainage (P&PD)
    • Used to break up and drain mucous collection in the lungs.
    • Very Time consuming (1 hour each up to 4 times a day)
    • May need Pulmonary Cleansing once a year
    • For Cystic Fibrosis
  29. Pulmonary Cleansing
    Done as much as once a year to supplement the effectiveness of Mucus drainage not otherwise achieved through Percussion and Postural Drainage (Cystic Fibrosis)
  30. Sweat Test
    The Chief Diagnostic Test for Cystic Fibrosis
Card Set:
LP 10 Diagnostic Tests, Meds, & Other Therapy
2013-04-28 21:25:25
Pediatric Nursing

Diagnostic Tests, Medications, & Other Non-Pharmacological Interventions related to Pediatric Cardiovascular & Respiratory Disorders.
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