Flashcards in Respiratory Dysfunction (Part 2) - Unit 2 Deck (64)
What is tonsilitis?
Inflammation of the tonsils
If a kid has repeated infections (tonsilitis, etc) and sleep apnea - what are they a candidate for? (think throat surgery)
Pre-op for tonsilectomy - can have all pain meds, especially ibuprofen - T/F?
Fluids - not important following tonsilectomy. T/F?
FALSE - very important.
A week after an Adenoectomy/Tonsilectomy, ear pain is NOT normal. T/F?
FALSE - it is.
Excessive swallowing, vomiting bright red blood (follow A&T)- most common 1st __ hours and __ to __ days.
Because of the blood, kids shouldn't have anything red after. T/F?
24 hours and 7-10 days
What are some contraindications for a tonsillectomy?
Clef palate, acute infection @ the time of surgery, uncontrolled systemic disease
What are the two types of influenza?
Influenza - spread by __ contact (____ droplet)
direct contact, large droplet
Influenza - most infectious __ hours before and __ hours after symptoms 1st appear.
What are some manifestations of influenza? Complications?
Manifestations = dry cough, sudden onset of fever, croup.
Complications = pneumonia, encephalitis, secondary bacterial infections, etc.
Should we give acetaminophen/ibuprofen/fluids to influenza patients?
Which drug treats which influenza?
Amantadine hydrochloride (Symmetrel) -
Amantadine hydrochloride (Symmetrel) - A
Rimantadine - A
Zanamivir - A & B
Oseltamivir - A & B
(Antadine's = A)
(Ivir's are virus fighters and are stronger so they kill both!)
What is foreign body aspiration? What ages are at risk? What are they matriculating that they shouldn't?
Inhalation of any object into the respiratory tract.
Think pincer grasp kids - 9-11 months
Nuts, popcorn, raw veggies, hot dogs, toys, pins, batteries...
What is the most common site for lower airway obstructions? And where are the obstructions typically at?
What are some manifestations of an airway obstruction?
Coughing, choking, dysphonia (can't speak), dyspnea, respiratory distress, hypoxia associated behavior changes, Xray changes (hyperinflation, object may be seen),
How do we treat an obstruction?
Chest thrusts/back blows but DO NOT try to remove the object unless your two eyes see it...or bronchoscopy!
Apnea is the cessation of respirations lasting longer than ___ seconds. It can also be a pause in ___, associated with cyanosis, hypotonia, pallor, or bradycardia.
Apnea with change in color, muscle tone, and/or choking - usually under 4 months, can be caused by reflux, respiratory illness, seizures, etc....should we be on alert for child abuse? Everything else T/F?
Yes - T
What are the croup syndromes?
Upper airway illness caused by swelling of the larynx and epiglottis, with swelling that usually extends to trachea and bronchi.
What are the three big croups? Which is the worst? Which one is the one we think of?
Epiglottitis (THE WORST), Laryngotracheobronchitis (LTB - what we think of), Bacterial tracheitis
Epiglottitis - what is it?
A LIFE THREATENING swelling.
Epiglottitis - can obstruct airway within minutes to hours. T/F/
Epiglottitis - peak age of __ to __ years and it progresses ____
What are the most common causative organisms for epiglottitis?
Streptococcus, staphylococcus aureus, haemophilus influenza type b (HIB)
Epiglottitis - drooling occurs because why? Should we poke and prod them?
They can't swallow :(
DO NOT TOUCH THEM until a doctor is present to intubate.
Epiglottitis - Lateral X Ray - what's present?
Epiglottitis - kids are typically in what position?
What is laryngotracheobronchitis?
Viral invasion of the upper airway - extnds to larynx, trachea and bronchi and also inflammation of the submucosa and subglottic area.