NUR 323 Peds Respiratory.docx

NUR 323 Peds Respiratory.docx - West Liberty University...

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West Liberty University Nursing 323 February 7, 2019 Objectives: 1. Describe the common signs and symptoms associated with various disorders of upper and lower respiratory tract. 2. Develop a nursing care plan to resolve signs and symptoms related to conditions of the respiratory system. 3. Develop teaching related to the condition, medications, immunizations and nutritional needs of infants and children experiencing respiratory compromise. Hockenberry, Chapter 40 pages 1127-1171 with focus on conditions covered in class including: upper respiratory infections, nasopharyngitis, tonsillitis, adenitis, epiglottitis, laryngitis, laryngotracheobronchitis (croup), bronchiolitis, Respiratory Syncytial Virus, acute strep pharyngitis, mononucleosis, influenza, epistaxis, immunizations for common respiratory disorders) Respiratory Problems in Children Infections of the respiratory system consist of upper respiratory and lower respiratory Most caused by viruses Respiratory Illnesses Aspects related to: o Age Full term infants less than 3 months’ lower infection rate due to maternal antibodies, but more susceptible to pertussis during this time Rate increases from 3-6 months Infection rate high during toddler and preschool age By 5 years’ viral respiratory infections decrease but more prone to mycoplasma pneumonia and Group A beta-hemolytic streptococci (GABHS) . Increased immunity occurs as child grows o Size Diameter and length smaller and subject to narrowing and blockage from increased secretions, shorter distance within respiratory tract enable infections to spread easier The younger, the harder they have breathing Decreased intake in infancy o Resistance Based on ability to resist invading organisms based on immune system and can be altered by anemia, malnutrition and fatigue. Some conditions that weaken the defenses include: prematurity, allergies, bronchopulmonary dysplasia, asthma, history of RSV, cardiac anomalies ( more prone to respiratory problems) , cystic fibrosis and environmental situations such as exposure to second hand smoke and daycare attendance o Seasonal Variations
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Most occur in winter and spring months, asthma occurs more often in colder temperatures and RSV more often in winter and spring o Oxygenation is unable to be performed because of the alveoli being compromised Signs and Symptoms Box 40.1 page 1128 Fever o Biggest sign, >100 rectally in children o Educate parents to keep temperatures under 102 Poor feeding and anorexia Vomiting Diarrhea Abdominal pain o Common symptom of pneumonia with children Nasal blockage/discharge o Want to know the color of discharge and if it stays the same throughout the day Cough Respiratory sounds Sore throat Meningismus o Sensitivity to light, neck discomfort, alteration in LOC Upper Respiratory Infections Acute Viral Nasopharyngitis Common Cold caused by rhinovirus, enteroviruses, influenza virus and parainfluenza virus S/S more severe in children and infants
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  • Spring '14
  • DianeM.Tomasic
  • Common cold, Prolonged fever

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