Characteristics of Children's Airways: - Answers Smaller and more horizontal = high risk for
obstruction
(we like a more vertical airway)
What are seesaw respirations/retractions and what do they indicate - Answers Chest goes opposite of
the abdomen, indicating severe respiratory effort/respiratory distress.
What is periodic breathing? Is it Normal? - Answers Pauses in breathing lasting 10-15 seconds,
followed by rapid breaths
IT IS NORMAL
When would periodic breathing become concerning? - Answers If it lasts longer than 15 seconds
Child starts becoming cyanotic
Inspect before you ausculate - Answers Look @ the resp rate and WOB before you get hands on
A barking cough is termed ______? - Answers Croup
What do chest deformities do? - Answers Alter lung capacity
Infants may kick pulse ox monitors off, and cause alarms to go off.
IT IS STILL IMPORTANT TO CHECK THEM WHEN YOU HEAR THEM - Answers It is the Nurse's
responsibilty to always check alarm and monitors, even if it may just be another false alarm.
What does stridor sound like and what does it indicate? - Answers Stridor is heard from the upper
airway on inspiration. It sounds like harsh-sqeaky sounds. it indicates there is a partial airway
obstruction or narrowing in the UPPER AIRWAY (including larynx, pharynx, and trachea)
What does wheezing sounds like? - Answers Lower pitched (lower pitched than stridor)
Know the different types of O2 devices and which one is appropriate. - Answers - High flow NC: looks
like normal NC but has positive pressure and higher flow rate (15-60)
- Face Masks rarely used (kids hate them)
- Blow by oxygen is common in kids (but use it sparingly because you truly can't tell how much oxygen
their getting)
What is a good way to keep airways open in pediatric patients? - Answers Blanket roll under the
head/neck area.
Is suctioning a trach a sterile procedure? - Answers Yes
When suctioning an airway, how long should a pass be? - Answers Limit to 5 seconds, 10 seconds
max.
What method is used to check ET tube placement? - Answers X-ray
What meds are used for acute airway "flare-ups" - Answers Short Acting Bronchodilators (Albuterol)
What meds are used for airway management? - Answers Long Acting Bronchodilators (LABAs and
LAMAs) (Salmeterol, Vilanterol, Formoterol, Tiotroprium)
What med is specifically used for an upper airway obstruction like Epiglottiits or Croup? - Answers
Racemic Epinephrine (Rac Epi)
Why is RacEpi not used for Asthma/Cystic Fibrosis? - Answers Asthma and Cystic FIbrosis are Lower
Airway Obstructions whereas RacEpi is used for Upper Airway Obstructions
In respiratory distress, what do you do first if the airway is obstructed by mucus, etc? - Answers
Suction FIRST, then apply oxygen (If the patient needs shows signs of obstruction; if the clinical
picture does not imply the need for suction then just apply oxygen)
Humidity is also important w/ oxygen
What is the simple definition of Otitis Media? - Answers Ear Infection
Why are pediatric kids more prone to Otitis Media? - Answers Kids have broader/more horizontal
eustachian tubes
Application of otic medications for different age groups - Answers Younger than 3 years old: Down
and back
Older than 3 years old: Up and back
What is the treatment for recurrent Otitis Media? - Answers Pressure Equalizing Tubes: Drain fluids,
fall out eventually
When are tonsillectomies perfromed? - Answers Has to be chronic (recurring) tonsillitis
Meaning the kid doesn't just get sick once and then get a tonsillectomy
What is a big sign of a post-op complication in a tonsillectomy and what does it indicate? - Answers
Child swallows excessively: indicates bleeding