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NSG 317 Peds Exam Review #2
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NSG 317 Peds Exam Review #2
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NSG 317 PEDS EXAM BEST REVIEW #2g General Aspects of Respiratory Infections - Etiology and characteristics
- infectious agents
- age
- size
- resistance
- seasonal variation
Respiratory infection clinical manifestations - - vary w/ age, think about G&D r/t assessment
- general signs and symptoms and local manifestations differ in young children
>> fever
>> anorexia, vomiting, diarrhea, and abdominal pain
>> cough, sore throat, nasal blockage or discharge
>> respiratory sounds/ wheezing
>> work of breathing/ shortness of breath
- croup virus has a distinct sound as if a dog or seal is barking
tonsilectomy - etiology
- tonsillitis or other inflammatory issue or sleep obstruction issues
therapeutic management
- here we are discussing surgical treatment
care management
- assessment: airway, bleeding signs and symptoms
Interventions
- pain management
, - hydration
- good nutrition
>> pick appropriate foods
>> avoid red colored food
RSV and Bronchiolitis - Patho
- viral infection of the epithelial cells that line the small airways within the lungs and may damage the
cilia
clinical manifestations
- fever/sneezing
- coughing/ wheezing
- edema and increased mucus production in the airway may cause SOB
- if patient is in-patient then they will typically be on at least a pulse ox to measure oxygen saturations
and sometimes will be placed on a cardiac monitor depending on the condition of the patient
- contact isolation (very contagious)
- meds: palivizumab can help prevent high risk babies from serious complications of RSV
- infants born at 32- 35 wks gestational age and are younger than 3 months chronological age at the
beginning or during RSV season and who attend child care or have a sibling younger than 5 qualify for
monthly injection (October - March)
Care management of RSV and Bronchiolitis - - ease respiratory effort
- promote rest and comfort
- prevent spread of infection
- reduce temperature
- promote hydration
- provide nutrition
- provide family and home care
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