CPN exam Respiratory

CPN exam Respiratory

Otitis media causes - ANSWERSbottle propping, drinking while laying down, more horizontal
eustachian tubes (• Eustachian tube shorter, less angled)



Otitis Media (Middle Ear Infection) - ANSWERS• Blockage of Eustachian tubes

• Viral, bacterial

• More common in infants



Otitis Media (Middle Ear Infection) S/S - ANSWERS• Fever, pain, irritability (pulling, rubbing)



Otitis Media (Middle Ear Infection) treatment - ANSWERS• Analgesics

• Antibiotics

• Pull lobe down and back for infants



• Chronic Otitis Media treatment - ANSWERS• Myringotomy & ear tubes

• Keep ears dry



Tonsillitis - ANSWERS• Inflammation of the tonsils

• Bacterial tonsillitis - use Antibiotics



Tonsillectomy if... - ANSWERS• Airway occlusion

• Chronic infections (>2 per year)



Tonsillectomy post op signs - ANSWERSswallowing increased could indicate bleeding

, Tonsillectomy post op care - ANSWERS• Airway patency

• Bleeding

• Fluids/ I&Os (cold liquids or frozen liquids -minimize red so you can tell if bleeding)

• Pain



Epiglottitis is - ANSWERSmed EMERGENCY progressive inflammation closes airway

Abrupt onset

• Look "very sick"



Epiglottitis affects - ANSWERStoddlers and preschoolers (Most commonly affects 2-6 year olds)



Epiglottitis symptoms - ANSWERSsore throat, protruding tongue, awaken with difficulty
swallowing, drooling, sit forward with trouble breathing



Epiglottitis caused by - ANSWERSHIB



Epiglottitis assessment - ANSWERS• "4 Ds"

• Dysphagia - difficulty swallowing

• Dysphonia - muffled, hoarse or absent speech

• Drooling - difficulty swallowing

• Distress - irritable and restless



Also have

Sore throat

• Fever