Chapter 40: Nursing Care of the Child With an Alteration in Gas Exchange/Respiratory Disorder

Sweat sodium chloride test

which tests are used for determining the diagnosis of cystic fibrosis?

Large decrease in O2

A small decrease in oxygen could mean what

guaifenesin

A child has been admitted to the pediatric unit with pneumonia. The nurse is preparing to administer the prescribed medication to the child to help reduce the viscosity of the child's secretions. Which medication would the nurse most likely give?

splenic rupture so rest is important

Infectious mononucleosis complications

Epstein bar virus a.k.a. EBV

Infectious mononucleosis is caused by

Alkalosis, hypothermia, hypocarbia, anemia, fetal hemoglobin

Left shift occurs during

The child's chest x-ray indicates the presence of perihilar infiltrates. The child's white blood cell count is elevated. The child's respiratory rate is rapid. The child is producing yellow purulent sputum

The child has been admitted to the hospital with a possible diagnosis of pneumonia. Which finding(s) is consistent with this diagnosis? Select all that apply.

barrel chest and clubbing of the fingers

a child with cystic fibrosis will experience a chronic lack of oxygen. what physical manifestations would the child most likely present with?

a viral infection

Acute bronchiolitis is caused by

Respiratory Syncytial Virus

Bronchiolitis is often caused by which type of virus

can be viral or bacterial aka STREP

Pharyngitis

Acidosis, hyperthermia, and hypercarbia due to decreased oxygen affinity

Right shift occurs during:

• Retractions • Nasal flaring • Feeding Difficulty • Grunting • Head bobbing • Tripod positioning • Tachycardia • Tachypnea

Signs of impaired gas exchange

rheumatic fever or glomerulonephritis.

The Group A strain of streptococci causing streptococcal pharyngitis can cause a hypersensitivity reaction that results in what?

respiratory infections.

The child with cystic fibrosis is more prone to what?

Seat the child leaning forward and pinch the anterior portion of the nose closed

The school nurse is caring for a 12-year-old boy with a bloody nose. Which action would be most appropriate for the nurse to do?

Nasal congestion

Which clinical manifestation of acute nasopharyngitis is more of a concern for the infant than the older child?

97%

paO2of95mmHG= what percent of oxygen saturation

Infectious mononucleosis

The kissing disease is also known

opening the capsule and sprinkling the medication on the child's food

Pancreatic enzymes are used in the treatment of cystic fibrosis and are given by what method?

Arterial blood gas (ABG) Knowing normal blood gas values for children is very important for evaluation and proper treatment.

The most useful diagnostic test in respiratory distress is what?

before each meal or snack for appropriate digestion and absorption of food and nutrients.

When should children with cystic fibrosis receive pancreatic enzymes?

Pain related to sinus edema and headache

Which nursing diagnosis would best apply to a child with allergic rhinitis?

acute attacks bronchoconstriction can lead to status asthmaticus = medical emergency Need peak flow meter = take best of 3 score

asthma is characterized by

inflammation of larynx, trached, and bronchi affects 3 months to 3 years barking/seal cough cool mist/freezer air can help open airway

croup aka laryngotracheobronchitis is characterized by what

increased carbs, increased protein , increased fat

cystic fibrosis patients need what kind of diet

rheumatic fever, scarlet fever, glomerulonephritis

untreated strep or bacterial pharyngitis can lead to

Frequent swallowing, restlessness, coughing can be sign for bleeding priority: side lying

warning signs of post op for tonsillectomy

help decrease wheezing and exercise-induced asthma attacks

what are mast cell stabilizers

a genetic disorder causing thickened tenacious secretions of the sweat glands, gastrointestinal tract, pancreas, respiratory tract and exocrine tissues.

what is Cystic fibrosis

a high-pitched, readily audible inspiration noise that indicates an upper airway obstruction

what is Stridor

given to open up the airways just before the mast cell stabilizer is used

what is a bronchodilator

pneumothorax

what is a complication of Cystic Fibrosis AKA CF

Beclomethasone

what med is a corticosteroid prescribed for long-term asthma control?

Moist environment

what type of environment helps prevent respiratory secretions from drying and becoming difficult to raise.

Airborne

what type of precautions should be initiated for any client with suspected tuberculosis?

chest xray

what will be ordered for the assessment of asthma to check for hyperventilation?

Pancreas and liver

which parts of the body (besides the lungs) are most affected by Cystic Fibrosis?

Pulmonary functions test

which tests are used for determining the diagnosis of asthma?

other bacterial infections such as otitis media or pneumonia

influenza is a viral infection that can lead to

throat examination or oral temp because it would compromise airway

in patients with epiglottis what is NOT allowed

tripod position, stridor, may be caused by hiB which can be prevented by vaccine, complications include tracheostomy

in patients with epiglottis what would you assess

No coughing no blowing those no sharp food no milk products no gargling no citrus, red juices or foods

post op for tonsillectomy

a medical emergency due to the swelling of the epiglottis covering the larynx. This client needs frequent assessment for respiratory distress

what is Epiglottitis