NS2P1 Test 1 Module 4 Self care deficits of the pediatric client with health deviations- Air and Water Q&A 2023 A+

NS2P1 Test 1 Module 4 Self care deficits of the pediatric client with health deviations- Air and Water Q&A 2023 A+ Upper Airway Infections - ANS-Pharyngitis/Tonsilitis and Adenoidits, 5 decongestants, cough suppressants -Nasooharyngitis (cold)-Rest, antipyretics Otitis Media Otitis Externa - ANS-Leading reason see kids at doctor b/c flat ears until 4-5 years -Otitis Media: Infection Behind eardrum, often results from viral UA resp. infections., blocked eustachian tubes --fever, ear ache, discharge, fussy, crying, rub --Amoxicillin -Otitis Externa (swimmers ear): In ear canal, chronic wetness- bacteria, yeast Croup - ANS-Laryngyl/ bronchial issue: deep hoarse, bark like cough -influezae b -cold air helps to minimize Epiglottitis - ANS-Medical Emergency, bacterial infection, inflammatory process 2-8 yrs. - Epiglottis keeps airway open -rapidly progesses, fever, tripod position, drolling, tongue out - DO NOT PUT ANYTHING IN MOUTH! - Give IV antibiotics - Intubate them -HID vaccine Bronchiotracheitis - ANS--Infection of mucosa of the Upper Trachea -3 yrs., resembles croup and epiglottits - Thick secretions -Vigorous antipyretics and antibiotics -iNTUBATION Chronic Trachs Lower Airway Infections (Bronchi and bronchioles) - ANS-Bronchiolitis: children 6mo. only -Viral infection of small airways - PROLONGED EXPIRATORY 1:4 (1:2 NORMAL) -- Inflammation from sloughing, can become occluded - Leading cause is RSV - Give pulmonary support Cystic Fibrosis - ANS--Autosomal recessive - Disease of exocrine system -Stetorrhea (don't absorb fat) - Frequent respiratory- lung infections --Body produces viscous secretions- lungs/pancreas - Failure to thrive - Pancreas unable to produce digestive enzymes --Require fat-soluable vitamins E,D,K, CPT(chest percussion) and pancreatic enzymes with all meals *New Study using Acetycysteine 4 weeks Diagnostic Test: Sweat Chloride test: + 60meq/L, infants younger than 3mo. 40meq/L Chest radiography: patchy atelectasis Stool analysis Cardiovascular disorders: - ANS-Congenital (born) and Acquired (infection/virus) -Assessment: Inspection of general appearance (nutritional state, color, chest deformities, pulsations, respiratory excursions, clubbing. -Palpation: chest (thrills), abdomen, peripheral pulses -Auscultation: heart rate/rhythm, character of sounds Cyanotic Classification - ANS--Decreased Pulmonary blood flow: *Tetraology of Fallot:4 abnormalities -Insufficient oxygenated blood= CYANOSIS, hypoxia spells -PULSE OX or equal to 75% *Tricuspid Atresia=no communication from rt atria to rt ventricle= complete mixing of blood= desat, and pulmonary obstruction, cyanosis, tachycardia and dyspnea -Mixed Blood Flow: *Transposition of great arteries: no communication w/ systemic and pulmonary circulations= cyanotic *Total anomalous pulmonary venous return *Truncus arteriosus *Hypoplastic left heart syndrome: underdeveloped lt side= cyanosis, decreased CO, Mechanical ventilation Acyanotic Classification - ANS-1) Increased Pulmonary blood flow (Lt to Rt Shunt)= decreased systemic blood flow *Atrial septal defect=CHF, murmur, dysrhythmias, *Ventricular septal defect=CHF *Patent ductus arteriosus=Increased workload for Lt. *Atroventricular canal: CHF, cyanosis with crying Continues...