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Terms in this set (100)

syndrome caused by increased responsiveness of the tracheobronchial tree to various stimuli
leading cause of school absenteeism, emergency department visits, and hospitalization
recurrent and reversible obstruction of airways in which bronchospams,mucosal edema secretions and plugging by mucus contribute to significant narrowing of airways and subsequent impaired gas exchange.
Triggers: housedust, wool, pollen, animal dander, mold, feathers, passive smoking, strong odors, vigorous physical activity (esp cold weather), rapid changes in temperature, emotional upset
rarely diagnosed in infancy
increased susceptibility of infants to respiratory obstruction and dyspnea may result from:
- decreased smooth muscle of an infants' airway
- presence of increased mucus glands in the bronchi
- normally narrow lumen of the normal airway
- fatigue prone and overworked diaphragmatic muscle on which infants respirations depend
MANIFESTATIONS:
-obstruction most severe during expiration
- during acute episodes, pt coughs, wheezes and has difficulty breathing particularly during expiration
- signs of air hunger, such as flaring of the nostrils and use of accessory muscles may be evident;orthopnea appears
chronic _________________ is manifested by discoloration beneath the eyes (allergic shiners), slight eyelid eczema and mouth breathing.
NURSING INTERVENTIONS: maintenance therapy
- serevent inhalant, prophylactic
- corticosteroid inhalant
- avoid allergens
- use of Peak Flow meter
-avoid very cold drinks/cold air--> can cause bronchospasm (results in wheezing and forceful expirations
- Leukotriene modifiers
acute or rescue therapy
- proventil inhalant; aminophylline IV
-corticosteroid and epinephrine oral or subcutaneous
an inherited disorder of the exocrine glands characterized by excessive thick mucus that obstructs the lungs and GI tract
abnormal reabsorption of chloride by epithelial cells causing excessive NaCL in sweat and saliva
multisystem disease in which thick, viscid secretions affect
-- RESPIRATORY SYSTEM-obstructed by secretions
-- DIGESTIVE SYSTEM-secretions prevent digestive enzymes from flowing to GI tract; results in poor absorption of food
bulky, foul-smelling stools that are frothy because of the undigested fat content
--REPRODUCTIVE SYSTEM -secretions decrease sperm motility;thick cervical mucus can inhibit sperm from reaching fallopian tubes
-SKIN- loss of electrolytes in sweat causes "salty" skin surface
NURSING ASSESSMENT-
- streatorrhea; growth failure; protruding abdomen; and thin wasted extremities
-chronic coughing, wheezing, sputum production, and dyspnea, "salty skin"
NURSING INTERVENTIONS- management focuses on improving pulmonary function and facilitating lung clearing, prevention or managing respiratory infections, promoting normal growth and development, optimizing nutritional status, administer bronchodilators as ordered, digestive and nutritional therapy include:
> pancreatic enzymes
> fat soluble vitamins (A,D, E and K)
> high calories, protein and salt
General hygiene- care should be given to diaper area, frequent changes of position to help prevent development of pneumonia, child wears light clothing to prevent overheating, teeth may be in poor condition due dietary deficiencies
*long term care- goals include minimizing pulmonary complications, ensuring adequate nutrition, promoting growth and development and assisting family to adjust to chronic care required.