Children's Health: Respiratory
Terms in this set (42)
Rib orientation shifts from
in the first decade of life.
Rib orientation shifts from ___________ to ________________ in the first decade of life.
Alveoli increase in number until...
Respiratory rate decreased through age...
A high respiratory resistance is found at....
This means there is an increased risk of lung collapse and infection due to low recoil and high compliance.
High compliance with horizontal ribcage requires (increased/decreased) respiratory effort.
Pale blue nasal mucosa indicates...
Red nasal mucosa indicates...
Green, Yellow, Bilateral
: Viral and bacterial
Unilateral of foul, presistent
: Foreign object
Fill this out for nasal drainage.
Green, Yellow, Bilateral
Unilateral of foul, presistent
Strep and scarlet fever
What can a strawberry tongue indicate?
Therapeutic doses of acidophilus or digestive enzymes with meals.
How can we remove a white coating off the tongue?
White plaquing of mucous membranes
Ulcerations without fever or adenopathy
10+ ulcers with inflamed gums, fever, and adenopathy
Coxsackie Virus (hand foot mouth disease)
Vesicles on soft palate
Strep or mono
Petechia on soft palate
First teeth usually come in when?
White patches in the oropharynx are common with...
Posterior chain lymph node inflammation is likely...
Give normal respirations.
Cannot perform a pulmonary function test under what age?
under 3yoa. So they will likely wheeze with even mild viral infections.
Children at what age have relatively small airways?
Wheeze (polyphonic, monophonic on expiration in laryngomalacia over neck. Monoponic on expiration in tracheomalacia or bronchomalacia over lage airways.
Trachial pull/suprasternal notch retraction
And.... exercise intolerance, restlessness, fatigue, tachycardia, A.M. TIGHTNESS IN CHEST, Urticaria, eczema, and allergic rhinitis.
How does asthma present?
Asthma commonly underlies ___________________ in children
through bronchodilators, steroid anti-inflammatories, oxygen, and epinephrine.
by modifying exercise and minimizing exposure.
by removing allergens, adjusting chiropractically, and proper nutrition (vitamin C, vitamin A, multivit, immunogenic compound, and omega fatty acids).
How do we manage asthma?
Mild asthma generally spontaneously resolved sometime between age 5-14.
Typically, it will start before age 2 and have frequent attacks in the first 12 months. Growth delays, barrel or pigeon chest have much poorer outcomes.
Death rate has increased by 78% since 1980 due to underrecognition. African american women have highest death rates.
What is the prognosis for asthma?
Viral infection causing inflammation and mucus production at the larynx and superior trachea
What is croup?
: Reactive airway disease (MOST COMMON), asthma, infection, foreign body, toxic inhalation, cholinergic drugs, and hypersensitivity/allergy
: Cystic fibrosis, airway collapse, airway compression, tracheoesophageal fistula, congestive heart failure.
Give some acute and chronic causes of wheezing.
: Respiratory infection, foreign body, inhalation injury (smoke), pulmonary edema, pulmonary embolism, hemorrhage.
: Allergy, asthma, anatomic abberation, infection, exposure, neurologic dysfunction, and sinus issues.
Give some acute and chronic causes of coughing.
barky = croup
Whooping = Pertussis
What are the types of coughs?
Asthma, eczema, and allergic rhinitis.
15-20% of children have atopic dermatitis/ecxema
What are the symptoms and incidence of atopic diseaes?
: Identify and avoid allergens, immune support, spinal adjustment
: Symptomatic. topical steroids.
How do we treat atopic disease?
10% will develop cataracts if disease present more than 10 years. Retinal detachment can also occur.
What is a complication of atopic disease?
Most bronchitis is (viral/bacterial)
Dry non-productive cough
low grade/no fever
Whistling sounds on expiration
Burning sternal pain on coughing
What are the signs/symptoms of bronchitis?
: Chiro, vitamin C, zinc
: Cough syrup, bronchodilator, and steroid.
: Excellent recovery in 7 days to 4 weeks. If immunocompromised, ill children may develop otitis media, sinusitis, or pneumonia
How do we treat Bronchitis? What is the prognosis?
Most common cause of hospitalization under age of 2 is what?
Most common is RSV
Parainfluenza, influenza, and adenovirus.
What is the etiology of bronchiolitis?
1-3 days after symptoms subside. It is contagious through infectious secretions.
How long is a child with bronchiolitis infectious for?
1-2 days of fever, rhinorrhea, and cough followed by wheezing, tachypnea, and respiratory distress.
Shallow, rapid breathing, and nasal flaring. CYANOSIS. Retractions, rales, and sneezing.
What are the symptoms of bronchiolitis?
: Monitor for signs of dehydration. Vitamin C. Zinc. Ecchinacea purpura. Chiro.
: Hospitalization. Antiviral meds.
Complications include: Asthma development later on life. Respiratory failure. Pneumonia.
The prognosis: Recurrent episodes of wheezing happen in 50% of children. Mortality rate is high in those children with concurrent cardiopulmonary conditions.
What are the complications and/or prognosis of bronchiolitis?
YOU MIGHT ALSO LIKE...
Medical Surgical Nursing | Picmonic Nursing Guide
N313- Peds Respiratory
Peds Blueprint: Pulmonology
Peds Quiz 1- part 2
OTHER SETS BY THIS CREATOR
Health and the Older Person Midterm and Final
Children's Health: Scoliosis
Children's Health: Orthopedics
Health and Older Persons: Final Exam
THIS SET IS OFTEN IN FOLDERS WITH...
Children's Health: Immunology, Ill Child, and Infections
Children's Health: Otitis Media
Children's Health: Nutrition
Children's Health: Gastrointestinal