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NUR 4909 Pediatric ATI Review Acute and infectious respiratory Epiglottitis chapt 17
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NUR 4909 Pediatric ATI Review Acute and infectious respiratory Epiglottitis chapter 17
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lOMoARcPSD|3013804Peds ATI - Pediatric ATI
Review
Nursing Capstone (Rasmussen
University)
, lOMoARcPSD|3013804
Acute and infectious respiratory: Epiglottitis chapt 17
EXPECTED FINDINGS - Predictive signs of Epiglottitis – absence of cough, drooling, and
agitation, sitting upright with chin pointing out, mouth opened and tongue protruding, sore throat
and high fever and restlessness. Diff swallowing
CROUP/epiglottitis – frog like croaking sound, muffled voice, stridor,
Cushing’s disease: manifestations chapt 80 – skin is thin and fragile with little subcutaneous
tissue causing *easy bruising and slow healing, depression, anxiety, irritability, euphoria, frank
psychoses, irregular or absent menstrual periods, erectile dysfunction, increase in weight gain
and decrease in growth rate (short fat), rounded face, reddened cheeks, acne, headache, excessive
hair growth (downy on cheeks, arms and legs), purplish pink stretch marks, dark skin around
neck and armpits, high blood pressure.
Labs Cushing – 24 Urinary free cortisol test, dexamethasone suppression test
S/S Cushing – pink or purple stretch marks, fatty hump between the shoulders
Tonsillitis interventions – assess for bleeding (includes frequent swallowing, coughing, clearing
throat, restlessness, tachycardia, red emesis, pallor), assess vitals and airway, monitor difficulty
breathing related to oral secretions, edema, and bleeding. Maintain nothing by mouth
Comfort measures tonsillitis – Throat collar liquid analgesics or tetracaine lollipops
prescribed, provide ice collar, ice chips or sips of water to keep throat moist, give pain med on
schedule (avoid red colored liquids, citrus juice & milk based foods initially). Diet soft bland
foods.
Nursing actions for tonsillitis – Use a good light source and possibly a tongue depressor to
directly observe the throat. Assess for findings of bleeding – repeated swallowing, clearing
throat, tachycardia
Anesthesia and moderate sedation: findings to report to the provider following an
appendectomy chap 94 Child will be NPO for 24 hours or until peristalsis returns, look for
signs of infection, if perforation occurs the pt will need antibiotics notify provider.* Wound
should be kept clean and dry
Chronic Neuromuscular disorder: caring for a toddler who has a Ventriculoperitoneal
shunt, therapeutic procedure chap29- why used – headache, lethargy, vomiting, double
vision, decreased school performance of learned tasks, decreased level of consciousness, seizures
(all due to hydrocephalus or shunt malfunction)
Interventions or Shunt – use gentle movements when performing ROM, minimize environment
stressors (noise, frequent visitors), assess for pain and manage it. Prevent and promptly treat
infections with ventriculoperitoneal shunt.
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