RED CROSS PALS RESPIRATORY EMERGENCIES|UPDATED&VERIFIED|100% SOLVED|GUARANTEED SUCCESS
A 7-year-old child in cardiac arrest is transported to the pediatric emergency department via emergency medical services. You understand the most common cause of cardiac arrest in children and infants is: Respiratory Failure During your primary assessment of an 8-year-old patient, you suspect the child is experiencing respiratory failure. Which findings would you likely note? Respiratory rate-10/min Diminished Breath sounds Oxygen saturation of 88% In which clinical conditions would you anticipate an initial respiratory finding of tachypnea? Respiratory Distress Metabolic acidosis Tension Pneumothorax Pneumonia While conducting your rapid assessment on an infant, you identify respiratory distress with suprasternal, substernal and intercostal retractions. Where would you see suprasternal retractions? top of sternum- near throat on picture Now where would you see substernal retractions? Substernal retractions are inward movement of the abdomen at the bottom of the sternum. Finally, where would you see intercostal retractions? Intercostal retractions are inward movement of the skin between the ribs. A 4-year-old child arrives in the emergency department after being rushed to the healthcare facility by her parents. As you approach the child you notice that her skin has a bluish cast. You recognize immediately that she is experiencing what sign of impending or actual respiratory failure? Cyanosis, a bluish color to the skin or mucous membrane, is a sign of impending or actual respiratory failure. It is often due to a lack of oxygen in the blood and decrease in perfusion. A 10-year-old child is admitted to the emergency department with an acute exacerbation of asthma. Which abnormal breath sound will you likely auscultate? expiratory wheezes Which common disorder is a cause of lower airway obstruction in children? asthma You are training a colleague and discussing common pediatric respiratory emergencies. Which of the following upper airway complications would you tell your colleague they are most likely to see? Foreign body aspiration Allergic reaction/ anaphylaxis croup You suspect your adolescent patient is experiencing respiratory depression secondary to an opioid overdose. Which location is responsible for regulating the respiratory drive? brain/ brain stem A 10-year-old boy is brought to the emergency department by his grandmother. His breathing is rapid and labored with audible grunting. Your assessment reveals crackles on auscultation, tachycardia and a temperature of 39º C (102.2º F). You suspect he has a lung tissue disease. Which of the following is a common lung tissue disease in children? Infectious Pneumonia A parent calls the urgent care clinic and states they are concerned about their child's "barky, seal-like" cough. You recognize this finding as a hallmark sign of which disorder? croup A child is brought to the emergency department with decreased level of consciousness, tachypnea and hyperpnea. You perform a rapid blood glucose test that reveals a level of 315 g/dL. The abnormal respiratory findings may be related to which condition? Diabetic ketoacidosis (DKA) A child arrives in the emergency department with obvious signs of respiratory distress and an oxygen saturation level of 92%. Which of the following actions are included during the immediate care of a pediatric patient with a respiratory emergency? Assist with keeping the airway patent, if necessary. Provide supplemental humidified O2 to maintain oxygen saturation of 94% to 99% The pediatric clinical team is caring for a child who is experiencing a respiratory emergency caused by increased intracranial pressure (ICP). Which of the following steps of care for ensuring adequate cerebral perfusion pressure should the team leader consider when caring for this child? Aggressively treat fever. Initiate pharmacologic therapy for ICP. Avoid hypotension. Keep head midline. Initial supportive measures have been ineffective for a child with bronchiolitis who is in respiratory distress. A trial of which class of medications may the healthcare provider consider? Trial of bronchodilators A child arrives in the urgent care clinic in respiratory distress. After assessment is complete, the physician assistant suspects the underlying cause of the child's distress is a lung tissue disease. Administration of diuretics is most often considered for the patient with which lung tissue disease? Cardiogenic pulmonary edema
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