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Nur 106 module G1 Wallace, NUR106 Module G1
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Nur 106 module G1 Wallace, NUR106 Module G1
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NUR 106 MODULE G1 WALLACE,NUR106 MODULE G1 COMPLETE
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k SIDS risk factors - sleeping on stomach, smoking in household and prematurity, Between 1 month and 1
year
Hypothesis of SIDs - Brainstem abnormalities, along with environmental stressors
SIDS prevention - supine sleeping position, avoid cigarette smoke, firm bedding, exclusive Bret feeding
for any amount of time, pacifier use
Family support for sids - giving no indication of wrongdoing, abuse, or neglect; making sensitive
judgments concerning any resuscitation efforts for the child; and comforting the family members as
much as possible. Call the OB and pediatrician so that no appointments are made or questions about
how the baby is when mother returns for visits, must have an autopsy
respiratory symptoms early - restlessness, anxiety, tachycardia/ tachypnea
respiratory symptoms late - bradycardia, extreme restlessness, severe dyspnea
Symptoms of respiratory tract infections - Fever, Poor feeding (anorexia),Vomiting, Diarrhea, Color
change, sweaty/clammy
Other signs of respiratory distress in children - flaring nostrils, retractions, grunting, adventitious breath
sounds (or absent breath sounds), use of accessory muscles, head bobbing , decreased Po2, elevated
Pco2, cyanosis and pallor
,Respiratory Management - H&H, clear airway, enhance lung expansion, isolate if needed, fever and pain
management
nasopharyngitis - "Common cold"
Pharyngitis - "Soar throat"
Streptococcal Pharyngitis diagnostic - Rapid strep, throat culture
Streptococcal Pharyngitis therapeutic management - Full course antibiotic ,check urine for protein in 2
weeks
Tonsillectomy/adeniodectomy - Avoid citrus, ice cream, red liquids, dairy products
Acute Laryngotracheobronchitis - Affects children less than 5 yrs
Usually viral
Stridor
Cool mist (tent or hood), nebulized epinephrine, corticosteroids
Assessment extremely important
Fluids, rest, reduce agitation
Acute Laryngotracheobronchitis causes - - Caused by RSV, influenza A&B, M. pneumoniae
- Sx: Low-grade fever, restlessness, hoarseness, barky cough, inspiratory stridor, retractions
Acute Epiglottitis - Inflammation of the epiglottis; H influenzae type b is the most common cause,
especially in nonimmunized children, Causes airway obstruction
Acute Epiglottitis therapeutic - Assess airway, manage airway, anti-infammitories, maintain child in
upright position
, Bronchiolitis (RSV) - viral infection the bronchioles that is characterized by thick secretions
RSV - contact isolation, monitor pulse ox/CR, maintain airway
Prevention of RSV - Palivizumab (Synagis) monoclonal antibody, which is given monthly in an IM injection
for a maximum of five doses to prevent hospitalization
pneumonia - An inflammation of lung tissue, wherer the alveoli in the affected areas fill w/fluid
Pneumonia treatment - Rest, antibiotic administration for bacterial strain, position changes
Foreign body aspiration problems - Asphyxiation, respiratory tract infection
Foreign body aspiration - Leading cause of fatal injury in children younger than 1 year, most common in
children 1-3 years
Common foreign body aspirates - Fun foods, sharp objects, balloons
Asthma - chronic inflammatory disorder of the airways characterized by recurring symptoms, airway
obstruction, bronchial hyperresponsiveness, and an underlying inflammation process
Clinical manifestation of asthma - Shortness of breath, Prolonged expiratory phase, Audible wheeze, May
have a malar flush and red ears, Lips deep, dark red color, May progress to cyanosis of nail beds or
circumoral cyanosis, Restlessness, Apprehension, Prominent sweating as the attack progresses Older
children sitting upright with shoulders in a hunched-over position, hands on the bed or chair, and arms
braced (tripod) Speaking with short, panting, broken phrases
Goals of Asthma Management - Avoid exacerbation
Avoid allergens
Relieve asthmatic episodes promptly
Relieve bronchospasm
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