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NURG 604- Module 7 Exam Latest Update
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NURG 604- Module 7 Exam Latest Update
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NURG 604- Module 7 ExamLatest Update
Normal Respiratory Rates in Children - Answer Newborn 30-60
Infant (1 - 6 mo) 30-40
Infant (6 - 12 m) 24-30
1 to 4 years 20-30
4 to 6 years 20-25
6 to 12 years 16-20
12 years + 12-20
Respiratory distress: Physical exam - Answer ◦ Respiratory rate/ rhythm
◦ Flaring
◦ Use of accessory muscles
◦ Grunting
◦ Color
◦ Breath sounds
◦ Anxiety level
respiratory distress- pic - Answer
Respiratory disress: Dx tests - Answer ◦ Pulse oximetry
◦ Blood gas studies
◦ Radiographic imaging
upper airway obstruction - Answer Above secondary bronchi
Inspiratory
Complete
Incomplete
,◦ Stridor, subcostal retractions
Cough
◦ Remove obstruction
◦ May be ineffective
◦ Barking if near larynx
◦ Brassy if trachea or bronchi
Lower airway obstruction - Answer Peripheral lesions
Diffuse
Bronchioles < 3 mm
Expiratory wheezing
Foreign body aspiration - Answer Laryngeal
◦ Hoarse, croupy cough
Tracheal
◦ Wheezing
◦ Raspy cough
Bronchial
◦ Similar initial symptoms
Diagnosis
◦ Radiographs
Treatment
◦ Removal
Anticipatory Guidance & Education
◦ Keep small objects out of reach
◦ Avoid nuts, popcorn, hot dogs
Acute Bronchitis - Answer • Inflammation of tracheal and bronchial mucosa
• Viral
, • Initially: Dry, hacking, unproductive cough
• Rhinitis, productive cough, shortness of breath
• Adventitious breath sounds
• Differential
- Respiratory tract anomalies
- Foreign body aspiration
• Management
- Supportive
Chronic bronchitis - Answer ◦ Productive cough
◦ Excess mucous production
Findings
◦ Cough
◦ Wheezing
Management
Complications
◦ Otitis, Sinusitis, Pneumonia
Bronchitis: Symptoms - Answer Bronchitis usually presents with symptoms of persistent
cough and fever-- and larynx and trachea are not involved (which is opposite of croup).
Usual course of illness starts with a URI, evolves into a cough illness with or without
fever, and then resolves over 1-2 weeks.
following are reported:
- dry, hacking, unproductive cough (begins a few days
before rhinitis and fever)
- c/o low, substernal discomfort or burning chest pain
aggravated by coughing
- cough becomes productive as it progresses
- because younger children swallow sputum, gagging
and vomiting can occur
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