Comprehensive Neonatal &
Pediatric Respiratory Care
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What is the main parameter to know if someone is perfusing? - ANSWER-blood
pressure
,List 2 drugs that are used to prevent the severity of an asthma attack? -
ANSWER-corticosteroids
mast cell stabilizers
What is the main therapeutic affects of steroids? - ANSWER-controls
inflammation to prevent asthma attacks
Steroids are indicated for the treatment of what two pathologies? - ANSWER-
Asthma
Chronic Inflammation
List examples of steroid drugs. - ANSWER-Fluticasone, Beclamethasone,
Prednisone
How can oral candida infections be prevented in patients taking inhaled steroids? -
ANSWER-Rinse mouth out with water after each treatment
What is the primary indication for wetting agents? - ANSWER-break up secretions
What is the most effective wetting agent, and how should it be administered? -
ANSWER-water or hydration via aerosol therapy
What is the primary indication for decongestants? - ANSWER-vasoconstrictor,
reduces swelling
What other ways can perfusion be measured? - ANSWER-temperature,
sensorium, urine output
What is the most common life function problem? - ANSWER-oxygenation
What is the first drug given to everybody? - ANSWER-oxygen
What items should be reviewed in a patient's chart before giving respiratory therapy
treatments? - ANSWER-everything
What is the age of a fetus neonate, infant, child, adolescent? - ANSWER-Fetus =
Before birth
,Neonate = 0-1 month
Infant = 1 month to 1 year
Child = 1 year to puberty
Adolescent = puberty to adult
What are the most important electrolytes and what is their function? - ANSWER-
sodium, chloride, potassium
What is the normal neonatal electrolyte value for sodium, chloride, and potassium? -
ANSWER-Sodium = 133-149 mEq/L
Chloride = 87-114 mEq/L
Potassium = 5.3-6.4 mEq/L
What is the normal urine output level for an infant? - ANSWER-2 mL/kg per hour
What values are included in the CBC and what are the normal values? -
ANSWER-RBC = 4.1-5.7 mm3 WBC = 6,800-14,300 mm3 (neonates may have a
higher normal WBC)
Hematocrit = 37.4-56.1%
Hemoglobin = 12.7-18.6
g/dL
low on RBC = low on hemoglobin = oxygenation affected
RBC x 3 = hemoglobin
Hemoglobin x 3 = hematocrit (know this)
What is the normal type of hemoglobin? - ANSWER-Hemoglobin A
What is a Coomb's test? - ANSWER-incomapatabilty; RH Factor; give Rogham
What does bilirubin help to evaluate? - ANSWER-peaks during pregnancy, after
delivery rises after few days and then falls; if baby jaundice = bilirubin problem
What is the normal value for bilirubin for a full term infant at birth? - ANSWER-4-5
mg/dL at birth
How is hyper bilirubin treated? - ANSWER-phototherapy
What is the normal glucose level for a term infant? - ANSWER-55-115 mg/dL
, What is the most common cause of hyperglycemia in the newborn? - ANSWER-
infection or sepsis
What are 3 causes of hypoglycemia in the newborn? - ANSWER-happens when
mom is diabetic; prematurity, hypothermia, shock, sepsis
What procedure is required to obtain fluid for L/S ratio measurement? -
ANSWER-amniocentesis; very invasive
What is the significance of an L/S Ratio of 1:1? - ANSWER-Anything less than
2:1 = not mature lungs = increased risk for RDS
How long does it take to get the results of the Shake Test? - ANSWER-15
minutes
What is the significance of the presence of bubbles in the Shake Test Fluid? -
ANSWER-presence of mature surfactant
What information is obtained from evaluation of PG and PC levels? - ANSWER-
lung maturity levels
PG is best and most reliable indicator of lung maturity
What factors in the maternal history would indicate a high risk pregnancy? -
ANSWER-current age - less than 16 or older than 40; prenatal care; smoking;
caffeine; fetal alcohol syndrome; nutrition; diabetes; how many previous live births
What size of babies will diabetic mothers deliver? - ANSWER-Big babies; they
look full term, but they aren't
What is the significance of a Group B Strep Infection in the mother? - ANSWER-
Can pass right on to baby during delivery. Baby will be in distress.
Define Para. - ANSWER-Number of pregnancies resulting in live birth
Define Gravida. - ANSWER-Number of pregnancies