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Tammie's Pediatrics Final Review
Terms in this set (179)
Which of the following is the primary reason cool aerosols are not recommended for use in newborns?
Cool aerosol can potentially induce cold stress in the newborn.
What plausible ways does heated high flow nasal cannula improve oxygenation?
All the above p. 156
The therapist has evaluated a neonate's oxygenation status to be as follows: PaO2, 40 mm Hg, and SpO2 (oxygen saturation as determined by pulse oximetry), 80%. What should the therapist do at this time?
An FiO2 sufficient to raise the SpO2 to 90% needs to be given.
Which of the following disorders can develop in neonates as a result of receiving concentrations of oxygen that produce a high PaO2?
Retinopathy of prematurity
Which of the following problems occurs as a result of absorption atelectasis?
Increased intrapulmonary shunting
When weaning an infant receiving oxygen from a nasal cannula attached to a low-flow flow meter set at 100%, what range represents the recommended oxygen flow reduction from the flow meter?
0.1 to 0.2 L/minute
In order to decrease the risk of nasal irritation in newborns, what is the maximum flow rate recommended?
Which of the following ranges of oxygen flow need to be set when administering oxygen to an infant via a simple mask?
6 to 10 L/minute
The therapist notices that the reservoir bag on a partial rebreathing mask being worn by a pediatric patient collapses completely during each inspiration. What should the therapist do at this time?
Increase the oxygen flow to the device.
A child with an exacerbation of asthma is a candidate for the administration of heliox. Which of the following gas delivery devices is most suitable for its administration?
The respiratory therapist is treating a hypoxemic child with a nasal cannula at 3 L/min. However, after few hours the child becomes tachypneic, demonstrates shallow breathing, and becomes hypoxemic. What should the therapist do at this time?
Switch to an air-entrainment mask
How will excess condensate present in aerosol tubing affect the delivered FiO2?
It will increase the FiO2.
Cyanosis is of little concern in the newborn when it presents in which body area?
hands and feet
When administering aerosol therapy to a pediatric patient, which of the following conditions can affect aerosol deposition?
I. Airway diameter
II. Respiratory rate
III. Body weight
IV. Nasal breathing
I, II, and IV only
The respiratory therapist is administering a nebulizer with a mask to a 2-year-old child. The mask is being held away from the child's face ("blow-by") due to excessive crying. What should the RT consider doing to improve aerosol lung deposition?
Comfortably hold the mask close to the face to minimize the leak.
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