peds 2.21

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  1. how do you clear a congested nose?
    bulb syringe
  2. when doing as assessment on a child, do you take a temp before looking at the breathing pattern?
    no. remember look before touch.
  3. you have two children to treat. one has perioral cyanosis and the other peripheral cyanosis. what do you tx first?
  4. you have a child with a URI and is presenting with bradycardia. is it crash cart serious?
  5. a nasal smear of a child has tested for elevated esinophil levels. what might it be for?
    allergic reaction
  6. what can you give to a child with hard earwax to soften it?
    liquid colace
  7. "I just heard my child has Otitis Media. How could that have happened?"
    • Virus could alter host defenses - predisposing to ear infections.
    • daycare
    • allergies
    • feeding while supine - formula gets backed up into the eustachian tube.
  8. what bug is behind pharyngitis (strep throat)?
    GABHS (group A beta hemolytic strep)
  9. what is reye syndrome?
    acute brain damage and liver problems of unknown cause. usually occured in children that have been given aspirin after recovering from chickenpox or the flu.
  10. how is pharyngitis (strep) spread?
    close droplet
  11. what age do children normally get pharyngitis and tonsilitis?
    school-aged children
  12. how do you know the strep throat is bacterial or viral?
    only way to know for sure is throat culture.
  13. what is a quick way to guess if sore throat is viral or strep?
    strep has an abrupt onset. usually have high fever compared to viral.
  14. what is the tx of choice for strep?
  15. child just had tonsils removed and is coughing up what looks like old blood. is that expected?
  16. kid just had tonsils removed and is swallowing all the time. is that anything to be concerned of?
    yes. might be bleeding in there (swallowing blood).
  17. parent wants to know when is the right time to introduce foods back to her child. he just has his tonsils removed. what do you say?
    if the child can swallow (gag reflex), then you can have him eat what he can tolerate.
  18. what is a priority to look for in a child that just has throat surgery?
    bleeding (swallowing, rapid, thready pulse.)
  19. what is croup?
    the kid with the seal like cough.
  20. laryngotracheobronchitis, the common form of croup is viral or bacterial?
  21. you are looking after a kid and is presenting with drooling, dysphagia, dysphonia, nose flaring, hard time breathing, what could be happening?
    medical emergency. bacterial epiglotitis.
  22. what is bronchitis?
    URI with persistent cough d/t inflammation.
  23. what causes bronchiolitis?
    respiratory syncytial virus (RSV)
  24. you got a baby that has a URI - tachypnea - tachycardia - wheezing. what are you suspecting?
  25. how do you tx a baby with bronchiolitis at home?
    fluids, humidity, rest
  26. you have a baby that has a URI and needs to go to the upper floors of the hospital. can you delegate that to a runner?
    no. they aren't trained if something happens.
  27. why might a child that has bronchiolitis be given Ribavirin?
    stop replication
  28. mother says that her kid has asthma sx less than twice a week. what is it and what is the tx?

    A) mild intermittent
    B) moderate persistent
    C) severe persistent
    D) mild persistent
    A) mild intermittent

    albuterol prn.
    (this multiple choice question has been scrambled)
  29. father says that his kid has asthma a couple days a week, but not every day for sure. what category is it and what is the tx?

    A) mild intermittent
    B) mild persistent
    C) moderate persistent
    D) severe persistent
    B) mild persistent

    anti-inflammatories and inhaler
    (this multiple choice question has been scrambled)
  30. kid has asthma sx daily and exacerbations twice a week. what category is it and what is the tx?

    A) severe persistent
    B) moderate persistent
    C) mild intermittent
    D) mild persistent
    B) moderate persistent

    anti-inflammatory and rescue inhaler prn
    (this multiple choice question has been scrambled)
  31. kid has asthma sx all the time. what category is it and what is the tx?
    severe persistent. 

    • anti-inflammatory
    • bronchodilator
    • leukotriene modifier
    • inhaler
  32. what allergy is associated with atrovent?
  33. what is the association with bronchodilators and flushing?
    dilate lungs also dilate blood vessels
  34. what are two examples of SABA drugs?
    • albuterol
    • terbutaline
  35. what kind of drug is atrovent?
    cholinergic antagonist
  36. what kind of drug is prednisone?
  37. what do you have to remember to remind the pt to do after taking an inhaled corticosteroid?
    rinse the mouth. don't want thrush
  38. what is status asthmaticus and what are you expecting to do for this child?
    • asthma that won't stop. 
    • intubation
    • IV
    • ABGs, lytes
    • SABA 20-30 mins apart. may add ipatropium bromide
    • corticosteroid
    • mag sulfate
    • prep for admission
  39. what is the common cause of death in children under 1 year?
    foreign body obstruction
  40. child with tachypnea and tachycardia, restless and looks pallor. he's in distress (nasal flaring, use of accessory muscles) is he in the early stage of hypoxemia or late stage?
    early. tachy is early.
  41. you got a child with bradycardia and bradypnea, hypotension, cyanosis and looks confused. early or late stage of hypoxemia?
  42. you are using an O2 hood to deliver O2. what is the minumum flow rate to prevent cO2 build-up?
  43. child's mom wants to give him his fav. toy while he's in the oxygen tent. it's metal with moving parts. is it safe to give it to him?
    no. O2 is flammable. don't want a spark.
  44. for nasal cannulas, the nares can get dry. at what flow rate do you introduce humidificaiton?
    more than 4L/min
  45. what material is the gown made out of for a pt undergoing O2 therapy?
  46. what does a child with O2 toxicity look like?
    • nonproductive cough
    • substernal pain
    • nasal stiffness
    • vomiting
    • headache
    • hypoventillating
  47. which therapy is good for an infant with a congenital heart defect?

    A) nasal cannula
    B) mist tent
    C) plastic hood
    D) face mask
    C) plastic hood

    good is an effective way to deliver O2 to an infant
    (this multiple choice question has been scrambled)
  48. which therapy is good for an adolescent coming out of surgery?

    A) plastic hood
    B) nasal cannula
    C) mist tent
    D) face mask
    B) nasal cannula
    (this multiple choice question has been scrambled)
  49. which therapy is good for a toddler?

    A) mist tent
    B) face mask
    C) nasal cannula
    D) plastic hood
    A) mist tent

    he can move around
    (this multiple choice question has been scrambled)
  50. which therapy is good for a child with an exacerbation?

    A) plastic hood
    B) nasal cannula
    C) mist tent
    D) face mask
    D) face mask
    (this multiple choice question has been scrambled)
  51. nursing interventions for a a child receiving inhalation therapy in an oxygen tent include which of the following? 

    A) once the prescribed temperature is set, do not readjust.
    B) allow soft toys, such as stuffed animals, inside the tent. 
    C) tuck the tent snugly around the bottom perimeter of the bed.
    D) keep the top of the tent closed of covered.
    C) tuck the tent snugly around the bottom perimeter of bed.
    (this multiple choice question has been scrambled)
Card Set:
peds 2.21
2013-10-24 08:15:25

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