1
Q
Breathing remains primarily nasal until what age?
A
5-6 months
2
Q
An infants airway is approx. the width of a straw. When does it begin to increase in diameter?
A
5 years
-small diameter = subject to narrowing from edema and secretions
3
Q
Why are infants more susceptible to lung infections?
A
close proximity of trachea to bronchi
4
Q
What increases the risk of bacteria entering the middle ear for infants?
A
horizontal eustachian tube
5
Q
What are some things that increase a childs risk of respiratory infection?
A
- immune system deficiencies
- allergies, asthma
- cardiac anomalies
- cystic fibrosis
- exposure to infections in daycare
- exposure to second hand smoke
6
Q
What are the clinical manifestations of a child with a respiratory infection?
A
- fever
- anorexia, vomiting, diarrhea, abd pain
- cough, sore throat, nasal blockage, discharge
- resp sounds
7
Q
What are the signs of impending respiratory failure?
A
- frequent ineffective cough
- shallow, irregular respirations
- sudden increase then decrease in respiratory rate
- drowsiness
- lack of air movement on auscultation
8
Q
What are some S&S of respiratory distress?
A
- Nasal flaring
- wheezing
- rhonchi
- crackles
- increased WOB
9
Q
Explain chest physical therapy?
A
- postural drainage + chest percussion + vibration + cough and deep breathing
- requires an order
- 3 to 4 times a day
