RSV-respitory syncytial virus
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19 terms
Terms | Definitions |
|---|---|
 RSV-respiratory syncytial virus | acute viral infection, infected mucus membranes become inflamed & filled with exudate(fluid) *usually found in infants and children under two yrs old. *seasonal in its incidence *chronically ill children are more at risks |
| RSV S&S | 1)nasal discarge 2)cough 3)mild fever 4)dyspnea 5)nasal flaring 6)retraction 7)possible cyanosis |
| RSV diagnosis | 1)positve nasopharyngeal swab 2)chest x-ray will illustrate air trapping 3)WBC's elevated 4)ABG's may be abnormal |
| treatment RSV | Can be managed at home if uncomplicated *high humidity *adequate fluids *rest *antipyretics *anitvirals *sometimes corticosteroids ICU may be needed |
| RSV meds | *Ribavirin or Virazole is given via a small particle aerosole generator (SPAG) *a tent hood,mask,or ventilator may be used. this med is a teratogenic |
| prevention measures for RSV | *RSV immunoglobin *Monoclonal antibodyy or synagis/palivizumab *hand hygiene before handling an infant *stay away from crowds & peop with colds *wash toys & bedding often *check daycare doesnt expose infant to crowded areas *Do not expose infants to smoke |
| RSV Nursing Dx | 1) ineffective airway clearance r/t increased secretions 2)ineffective breathing pattern r/t inflamed tracheobronchial tree 3)risk for fluid volume deficit r/t inability to meet requirements secondary to respiratory distress 4)fear r/t need for hospitalization 5)knowledge deficit r/t diagnosis & treatment 6)risk for transmission of infection 7)altered growth & development may apply if if the Pt has a chronic illness as well |
| RSV nursing Intervention | *place Pt in private room or cohort patient *suction PRN, maintain humidity and provide O2 to eep sats >90 *feed small ,frequent amounts or mange IV fluids *keep head elevated at all times *dont assign same Nurse to Pt withRSV and another rish HD *dont assign pregnant nurse if Pt is receiving ribavirin |
| Asthma | chronic inflammatory disease of the airway & is most common chronic illness |
| Asthma severity classification | Step 1 intermittent asthma step 2 mild persistent asthma step 3 moderate persistent asthma step 4severe persistent asthma *goal is to obtain symptom free life without any abnormal lung function* |
| risk for asthma | *genetics *poverty *age & incidence *racial disparities |
| Asthma Pt perspective | *Pt/ family may /may not know trigger *Pt/family may /may not know how to use meds *Plan may or may not be in place for increased symptoms *the cost of meds can be > or = $200 per month |
| Asthma triggers | *dust mits, animal dander & cockaroaches are the most highly allergenic triggers in urban ,disadvantaged areas *cigarette smoke |
| Asthma expert panels | 1. establish the diagnosis 2.assess severity 3.use the step table to initiate therapy 4.educate about goals 5.control the enviroment 6.have an action plan |
| Asthma medications | 1.corticosteroids 2.Beta-adrenergic agonists (LABA,SABA) 3.lukotriene 4.Mast celll stabalizers 5.Immunomodulator 6.Methylxanthines-no longer widley used |
| Asthmas new guidelines | 1. Age related: 0-4 first group,5-11 second, 12 thru adulthood is third. 2. focus on long term control meds ex; steroids,LABA,and immunodulators 3.second class of meds is short-term control ex:SABA, anitcholinergics |
| Asthma non-pharmocologic control | *control irritants *pre-treat exercise induced asthma *manage comorbidities *Plan in place for exacerbations. |
| Asthma Nursing care | * Educate regards to daily management & how to handle acute attacks must be a partnership btw physician and caregiver *Lack of adherence *parental adherence to asthma treatment plans affetcted by health beliefs about med use and safety *educate about treatment regimen,plans for exacerbation and evaluate barriers to care |
| Status Asthmaticus | Defined as asthma that persist despite roigorous therapeutic measures. *ITS A MEDICAL EMERGENCY! *Treatment begins with inhaled beta2 agonist along with coticosteroids. Epinephrine may be added, if relief is not achieved. *Dehydration,acidosis,hypoxia & eletolyte imbalance must also be treated. |
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