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NUR 122 Respiratory Questions And Accurate Answers
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NUR 122 Respiratory Questions And Accurate AnswersInfant airway diameter
4mm
cartilage soft and compressible (reactive)
Infant trachea size
about the size of a pinky finger
1 mm of inflammation
decreases an infant's airway by 50%
Respiratory assessment
Chest shape? Is it barrel?
Respiratory effort
Color*
Clubbing
Vital signs/SP02
Hydration status
Family hx
Breath sounds
Position of comfort
Behavior change
Respiratory Distress
Nasal flaring/grunting
,Retractions
Restlessness/anxiety
Fearful affect
Diaphoresis
Decreased o2 saturation
Behavior change (LOC)
Cyanosis
General treatment for Respiratory distress
Position of comfort (No flat lying)
Start oxygen therapy (standing order)
Bedrest
Diagnostic Evaluation of Respiratory Distress
Pulse oximetry (right hand/wrist and either foot)
Blood gases (arterial, venous, capillary)
Nasal/throat swabs, sputum cultures
Imaging (Chest Xray, CT, MRI, US)
Pulmonary Function Test
Sleep studies for obstructive apnea
Bronchoscopy
Sweat chloride test (Cystic Fibrosis)
Peak flow meter (asthma)
Respiratory Distress Interventions
Oxygen (help increase o2 level and reduce work of breathing)
, Humidity (sooth inflamed membrane and moisten secretions)
Incentive spirometer (opens airway/prevents atelectasis)
Chest physiotherapy/suction (bulb syringe or wall suction for older kids)
Medications (Caffeine, Bronchodilators, Corticosteroids)
CPAP/Ventilator (Types of oxygen delivery)
Why do we use humidification with infants?
To decrease loss of heat
General nursing management
Frequent respiratory assessment
Cardiac/o2 saturation monitoring
Elevate HOB
Encourage parents to stay (reduces fear and anxiety)
Bed rest
Increase fluids
Analgesics
Antipyretics
Assess LOC
Humidified air/oxygen
Position of comfort
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