What nursing care would you provide to a pt who is suffering from Croup?
- need provide hydration
- oxygen =PRN only
- may administer steroids = dexamethasone
- adrenaline nebulisers
- routine nursing care = obs, comfort measure
- provide support to parents
- parent education
what symptoms may a child with croup present with?
- low grade fever
- barking cough
- harsh cry/hoarsness
- corzya
- rhinorrhea
- inspiratory stridor
- irritable
- recessions
what are some signs of respiratory obstruction?
- inspiratory stridor (upper airway)
- expiratory wheeze (lower airway)
- drooling
- mottled colour
- restlessness
- hoarse voice
what can enlarged tonsils and adenoids cause?
- upper airway obstruction
- obstructive sleep apnoea
- difficulty swallowing
List at least 5 signs of respiratory distress.
- nasal flaring
- head bobbing
- tracheal tug
- tachycardia
- intercostal, subcostal or sternal recessions
- accessory muscle use
- tachypnoea
- tripod positioning
- grunting
- issues feeding
what is Pertussis commonly known as?
whooping cough
what would be the nursing care given to a child with pertussis?
- PNA
- hydration and nutrition
- oxygen delivery
- promote rest and comfort
- parent education
- provide reassurance to parents
what nursing care would be given to a child with severe bronchiolitis?
- PNA
- hydration and nutrition
- oxygen delivery
- promote rest and comfort
- apnoea monitoring
what is asthma?
a chronic common disorder characterised by bronchial constriction, hyper-responsive airways and airway inflammation
Name at least 3 trigger of asthma.
- exercise
- food additives
- Drugs(NSAIDs)
- allergy
- environmental =pollution, smoking (passive), cold air
- viral upper and lower respiratory infections
List the clinical manifestations of asthma.
- rapid laboured respirations
- nasal flaring
- intercostal recessions
- accessory muscle use
- productive cough
- prolonged expiratory phase
- decreased air movement
- respiratory wheeze
- anxiety
- child may complain of chest tightness
what is hypoxia?
lower than normal amounts of oxygen in the tissues
with an asthma assessment what would you be focusing in on?
- vital signs
- work of breathing
- ability to talk- sentences, phrases, single words
- chest examination
- chest auscultation
what is cystic fibrosis?
a common inherited autosomal recessive disorder of the endocrine glands.
when calculating weight how do we estimate a child <9 years of age?
(age+4) x 2
when calculating weight how do we estimate a child >9 years of age?
3 x Age
what is a focused assessment?
Detailed nursing assessment of the body system that relates directly to the chief complaint
What information are we gathering in a paediatric pt hx?
- Prenatal and Birth Hx
- Developmental Hx
- Social Hx of family
- Immunisation Hx
