NUNP 6541 Pediatric Final Exam-Walden U Questions and complete Answers

Recommended treatment for RSV in a 7-month-old (outpatient) correct answers Use of saline drops and suctioning of the nares. Indications of when to use antipyretics. Signs of respiratory distress or dehydration. Guidelines for feeding an infant with signs of mild respiratory distress which includes smaller more frequent feedings; monitoring of the respiratory rate; and guarding against vomiting. The parents should be educated that the child may have the symptoms over the course of 2-3 weeks throat and drooling Epiglottitis s/s correct answers Acute and rapid onset of high fever, chills, and toxicity. Severe sore saliva. Will not eat or drink, muffled (hot potato) voice, and anxiety. Sitting posture with hyperextended neck with open-mouth breathing. Stridor, tachycardia, and tachypnea Epiglottitis prevention correct answers Haemophiles influenzae type B (Hib) vaccine Steeple sign correct answers a radiologic sign found on radiograph where the subglottic tracheal narrowing produces a shape of a church steeple which supports a diagnosis of croup Foreign body aspiration antibiotic? correct answers Depends on the nature of the material aspirated, plus the location and degree of obstruction. Bronchial or laryngeal foreign body aspiration, a bronchoscopy must be performed for removal of the foreign body Antibiotics for bronchiolitis? correct answers Use of saline drops and suctioning of the nares. There is no evidence to support the routine use of antibiotics Antibiotics for croup? correct answers Nebulized epinephrine, corticosteroids (dexamethasone oral or IM), blow by oxygen or helix in severe croup. Racemic epinephrine with the use of corticosteroids to limit rebound swelling Antibiotics for epiglottitis? correct answers Establish an airway preferably by nasotracheal intubation. Administer IV antibiotics such as Rocephin to cover Influenzas. Administer oxygen and respiratory support. Antibiotics should be continued for 10 days. Rifampin prophylaxis 20 mg/kg in a single dose (maximum of 600 mg) for 4 days for infants and children, 600 mg once a day for adults for 4 days. Should be provided for household contacts who are at risk (Younger than 4 years old who is non-immunized or incompletely immunized, children less than 12 months who have not received primary series of Hib, and immunocompromised children. Asthma treatment correct answers the pharmacological management of asthma in children is based on the severity of asthma and the child's age. After initial control, decrease treatment to the least amount of medication needed to maintain control. Systemic corticosteroids may be needed at any time and stepped up if there is a major flare-up of symptoms. Step 1 Asthma management for children 0-4 years old correct answers Step 1: SABA (Short acting beta2-agonist)