What does bronchovesicular mean?
the definition of a basic breath sound
inspiratory phase is equal to the expiratory phase
What does tachypnea
... [Show More] mean?
What about bradypnea?
abnormally rapid breathing
abnormally slow breathing
How about dyspnea?
difficult or labored breathing
Apnea means?
(last boring one I promise. Maybe. Hopefully)
temporary cessation of breathing
(Unless you just think my quizlet sets are boring, I mean.)
Important nursing guidelines for effective auscultation of a child
(This is just here for the vibes)
-Make certain child is relaxed and not crying, talking, or laughing. Record if child is crying.
-Check that room is comfortable and quiet.
-Warm stethoscope before placing it against skin.
-Apply firm pressure on chest piece but not enough to prevent vibrations and transmission of sound.
-Avoid placing stethoscope over hair or clothing, moving it against skin, breathing on tubing, or sliding fingers over chest piece, which may cause sounds that falsely resemble pathologic findings.
-Use a symmetric and orderly approach to compare sounds on each side.
(Hockenberry pg 100)
If a kid gets a respiratory infection, they're likely to get something like otitis media as a secondary infection. Why?
Because their airways are so much smaller, so everything is closer together. It's easier for germs to go from one structure to another
OTC cough medications are not recommended for...
Younger than 6
What's the goal of education for parents of a kid that's got a cold?
How to manage the gremlin at home
give fluids, adequate rest, can give saline drops in the nose (they're gonna hate it) to make it easier to get secretions out
What are the viruses that cause a common cold?
Rhinoviruses
Corornavirus
RSV
Flu
Paraflu
Adenovirus
Metapneumovirus
Bocaviruses
Any time there's a respiratory disease as a nurse you're always going to monitor...
for declining respiratory status. ABCs!!!
The common cold is also called
acute viral nasopharyngitis
What's another name for strep throat. The fancy one.
acute infectious nasopharyngitis
Acute infectious nasopharyngitis can lead to?
Parents should watch out for?
Sometimes subsides between?
Treatment is?
can lead to acute rheumatic fever
watch for increased respiratory rate, temp above 101.3
Sometimes subsides between 3-5 days
Treatment is penicillin or amoxicillin for 10 days
When can a kid start taking ibuprofen?
6 months or older
RN interventions for acute INFECTIOUS nasopharyngitis?
throat swab to confirm
teach parents analgesics (gotta be at least 6 months old to take ibuprofen)
warm compress and gargles
Why is tonsilitis a bigger deal in children compared to adolescents and adults?
Because kids have larger tonsils but their airway is tiny. So a little inflammation goes a long way towards making it hard for them to swallow (dysphagia). The inflammation can cause obstruction with their food too.
Either way they can choke and die.
What's some signs a parent might pick up on if their kid has tonsilitis?
Their breath STANK. It's caused by an overgrowth of bacteria or viral load on the tonsils.
Also watch for difficulty breathing and swallowing
Diagnostic lab for tonsilitis?
throat cultures for GABHS (group A beta hemolytic streptococci)
When is a kid a candidate to get stabbed for tonsilitis
(candidate for surgery)
Contraindications for surgery?
5 incidences of tonsilitis in 2 years
Contraindications: cleft palate and infection right before surgery
Tonsilitis interventions
Keep them comfy (calm and quiet)
keep them upright
Soft cold liquid diet (awwww yeeee ice cream) to help soothe inflammation
What are some indications that tonsilitis surgery went, uh, BAD
What do any of these mean? What do?
restlessness
tachycardia
pallor
irritability
frequent swallowing
bright red blood
Any of these signs means they're hemorrhaging and you need to alert provider immediately
How long does the flu usually last?
4 to 5 days
Secondary infections for the flu?
pneumonia (severe and viral)
otitis media [Show Less]