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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.

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