MN Exam 3
Early signs of respiratory distress - ANS -- tachypnea
- tachycardia
- restlessness
- pallor
- use of accessory muscles
- nasal flaring
- tracheal tugging
- adventitious lung sounds
Late signs of respiratory distress - ANS -- confusion and stupor
- cyanosis
- bradypnea
- bradycardia
- hypotension or hypertension
Epiglottitis cause - ANS -by Hemophilus influenza type B (HiB).
Vaccination 2 and 4 months
Epiglottitis prevention - ANS -Hib vaccine
Epiglottitis s/s - ANS -*- absence of cough*
- drooling
- agitation
- tripod position
- dysphonia
- dysphagia
- inspiratory stridor
- sore throat
- high fever
- restlessness
Epiglottitis dx - ANS -Lateral neck xray looking for steeple sign
Epiglottitis nursing care - ANS -MEDICAL EMERGENCY
- assess airway
- prepare for intubation
- keep yourself and patient calm
- provide O2 via blow-by with pulse ox
, Precautions with epiglottitis - ANS -isolation 1st 24 hours after antibiotic therapy
Treat epiglottitis with - ANS -corticosteroids and IV antibiotics after airway is maintained
Trach care for children - ANS -- softens with body temp, contours childs trachea
- no inner cannula
- document suction depth, trach size, etc.
- provide humidification and adequate hydration
- oral hygiene q2h
- trach care q8h
- obtain bl O2, HR, suction, reassess
- surgical asetpic
- only suction as needed, not routinely
Trach size for children - ANS -(age + 16) / 4
Trach suction - ANS -no longer than 5s for infant
no longer than 10s for child
allow 60s before suctioning again
What to have available at bedside of patient with trach? - ANS -2 emergency trach: one
of same size and one size smaller and obtruator
What to watch for with trach? - ANS -DOPE
- dislodgement (recently repositioned?)
- obstruction (kink?)
- pneumothorax (hole?)
- equipment (out of O2, not hooked up?)
Causative agent of bronchiolitis - ANS -Respiratory seneschal virus (RSV)
Bronchiolotis - ANS -inflammation of the bronchioles
Bronchiolitis initial s/s - ANS -- runny nose
- intermittent fever
- pharyhngitis
- coughing
- sneezing
- wheezing
- possible eye/ear infection
Bronchiolitis progression s/s - ANS -- more coughing and sneezing
- fever
- tachypnea
Early signs of respiratory distress - ANS -- tachypnea
- tachycardia
- restlessness
- pallor
- use of accessory muscles
- nasal flaring
- tracheal tugging
- adventitious lung sounds
Late signs of respiratory distress - ANS -- confusion and stupor
- cyanosis
- bradypnea
- bradycardia
- hypotension or hypertension
Epiglottitis cause - ANS -by Hemophilus influenza type B (HiB).
Vaccination 2 and 4 months
Epiglottitis prevention - ANS -Hib vaccine
Epiglottitis s/s - ANS -*- absence of cough*
- drooling
- agitation
- tripod position
- dysphonia
- dysphagia
- inspiratory stridor
- sore throat
- high fever
- restlessness
Epiglottitis dx - ANS -Lateral neck xray looking for steeple sign
Epiglottitis nursing care - ANS -MEDICAL EMERGENCY
- assess airway
- prepare for intubation
- keep yourself and patient calm
- provide O2 via blow-by with pulse ox
, Precautions with epiglottitis - ANS -isolation 1st 24 hours after antibiotic therapy
Treat epiglottitis with - ANS -corticosteroids and IV antibiotics after airway is maintained
Trach care for children - ANS -- softens with body temp, contours childs trachea
- no inner cannula
- document suction depth, trach size, etc.
- provide humidification and adequate hydration
- oral hygiene q2h
- trach care q8h
- obtain bl O2, HR, suction, reassess
- surgical asetpic
- only suction as needed, not routinely
Trach size for children - ANS -(age + 16) / 4
Trach suction - ANS -no longer than 5s for infant
no longer than 10s for child
allow 60s before suctioning again
What to have available at bedside of patient with trach? - ANS -2 emergency trach: one
of same size and one size smaller and obtruator
What to watch for with trach? - ANS -DOPE
- dislodgement (recently repositioned?)
- obstruction (kink?)
- pneumothorax (hole?)
- equipment (out of O2, not hooked up?)
Causative agent of bronchiolitis - ANS -Respiratory seneschal virus (RSV)
Bronchiolotis - ANS -inflammation of the bronchioles
Bronchiolitis initial s/s - ANS -- runny nose
- intermittent fever
- pharyhngitis
- coughing
- sneezing
- wheezing
- possible eye/ear infection
Bronchiolitis progression s/s - ANS -- more coughing and sneezing
- fever
- tachypnea
