Week_Five_Student_Objectives

Week_Five_Student_Objectives - Michigan State University...

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Michigan State University College of Nursing Spring 2008 Week Five Class Topics Nursing care of the Child with a Respiratory disorder Nursing care of the child who is a near drowning Required Readings:  Ch. 40       Ch 52 pg. 1657-1658       Chapter 40 Nursing Care of the Child with a Respiratory Disorder Objectives: After mastering the contents in this chapter, students should be able to: 1. Describe common respiratory illnesses in children. 2. Identify National Health Goals related to children with respiratory disorders that  nurses could help the nation achieve. 3. Identify areas related to the care of children with respiratory disorders that could  benefit from additional nursing research or application of evidence-based  practice. 4. Use critical thinking to analyze ways that nursing care for a child with a  respiratory disorder could be more family-centered. 5. Integrate knowledge of respiratory disorders in children with the nursing process  to achieve quality maternal and child health nursing care. Outline: 1. Nursing Process Overview: apgar is used on newborns to evaluate breathing.  Initially look at onset and duration.  2. Anatomy and Physiology of the Respiratory System: separated into upper and  lower. The whole system delivers warm, moistened air to red blood cells and  exchanges it for carbon dioxide to be expelled to the outside. Resp center is  located in medulla. Receptors throughout determine if there is too much or too  little oxygen in the body and accommodate. Low oxygen level stimulates more  breathing.  3. Respiratory Tract Differences in Children: frontal and sphenoidal sinuses do not  develop until 6 to 8 and due to rapid growth of lymphoid tissue, tonsils are  normally enlarged in early school aged children. Because newborns don’t  produce barely any mucous, resp infections are more common, excessive  production in 2yo could lead to obstruction b/c their airways are so small. Infants 
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breathe with their abdomens, 2-3yo start with the thoracic breathing and 7yo  breathed completely with thoracic. Kids use accessory mm more, disease causes  them to weaken which leads to resp failure. Wheexing is not found in infants b/c  they don’t have as much cartilage and smooth mm constricting their airways.  4. Assessing Respiratory Illness in Children: includes interview, PE and lab work.  a. Physical Assessment: look at presenting symptoms and evaluations of  respirations and breath sounds. Comfort the crying child so you can hear  the breath sounds better.   i. Cough: happens from the stimulation of nerves in resp tract by 
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This note was uploaded on 03/19/2008 for the course NUR 440 taught by Professor Mechtel during the Spring '08 term at Michigan State University.

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Week_Five_Student_Objectives - Michigan State University...

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