NCLEX Review & Nursing School

Respiratory Disorders (Peds) Upper Airway Infections of a Child: Croup Syndromes:

• Affects the trachea, larynx and bronchi.
• This syndromes can include laryngitis, epiglottitis and laryngotracheobonchitis.
• Treatment is a:  High Humidity Environment.

Acute epiglotitis (croup syndrome) – caused by H. Influena

• child will have dysphagia, drooling and dysphonia
• ♥ A tracheostomy set should be ready in bedside.

Tonsilitis

• Tonsils cannot be removed in children less than 3 yrs. of age.

Tonsillectomy:

• Popsicles can be give to child with a tonsillectomy, because they can sooth the sore throat.

Acute Otitis Media – is common in children due to a short eustachian tube

• Treatment includes antibiotic therapy (8-10 days)

Lower Airway Infections: Bronchiolitis Asthma ♣ Cystic Fibrosis (BIG topic for the NCLEX) – An autosomal recessive gene

• A child with cystic fibrosis has thick sticky mucus that blocks the ducts and produces contriction and abnormalities in the lungs, pancreas and sweat glands.

Assessment:

• failure to gain weight
• frequent respiratory infections

Diagnosis

• “Sweat Test” there is elevated sodium and chloride levels greater than 60 meq/L
• Patient Diet: Is high in calories
• Pancreatic Enzyme is give with meals to help with the digestion.

Infectious Monocleosis

– Caused by the Epstein Barr Virus

– Transmitted through direct contact with oral secretions.