Week 2 Respiratory.pptx - Respiratory Alexandria Corral RN...

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Respiratory Alexandria Corral, RN Clinical Instructor West Coast University
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Objective s RESPIRATORY ASSESSMENT OF A CHILD UNDERSTAND COMMON RESPIRATORY DISEASES EXTRA RESOURCES
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Assessme nt Assessment Focus Assessment Guidelines Position of comfort Can the child lay supine comfortably? Vital Signs Assess the rate, depth and ease of respirations. Assess pulse Ox. Is the patient desating? Lung Auscultation Assess lung sounds bilaterally Are there any adventitious sounds? Wheezing, stridor, crackles, ronchi, diminished, absent, grunting, croup Respiratory effort Is there any audible adventitious breath sounds? Is the breathing labored? Nasal flaring, retracting, head bobbing, accessory muscle use Is there a strong or weak cry? Can the child speak a sentence without having to pause to take a breath? Paradoxical breathing present? Color Color of mucus membranes or skin? Pink, cyanotic, pale, or mottled Does crying worsen color?
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Assessme nt Assessment Focus Assessment Guidelines Behavior Identify any changes in behavior including irritability, restlessness, or level of consciousness. Family History Any family history of respiratory disease or infection?
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Respirato ry Rate Ranges Age RR Newborn 30-60 1 Year 20-40 3 Years 20-30 6 Years 16-22 10 Years 16-20 17 Years 12-20
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Tonsillitis Pathophysiology: infection or inflammation of the palatine tonsils. Cause virus or bacteria. Clinical Manifestations: Breathing and swallowing difficulties, redness of anterior pillars, and enlargement of cervical lymph nodes. Dry and irritated mucous membranes. Diagnostic tests: visual inspection of inflamed and enlarged tonsils. Dx requires enlarged tonsils with pain and inflammation.
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Tonsillitis Cont. Clinical therapy: Surgical removal of tonsils when children have recurrent infections (3 per year for 3 years), chronic tonsillitis, and obstructive sleep apnea. If child is under 3 years old, the surgery is postponed if possible bc It may stimulate growth of the other lymphoid tissue in the nasopharynx.
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Asthma Pathophysiology/Etiology: allergens: Indoor mold, cockroach antigen, dust, dust mites. Outdoor grasses, pollen, trees, shrubs, molds, spores, air pollution, weeds. Irritents tobacco smoke, wood smoke, odors, and sprays. Exercise. Changes in weather or temperature, infection/colds, animal hair/dander, medications (NSAIDs, antibiotics, beta blockers), food allergies, GERD. Clinical Manifestations: chest tightness, coughing, wheezing, course lung sounds/crackles, mucus production, restlessness, anxiety, sweating, WOB, desaturation.
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  • Fall '18
  • Respiratory distress

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