STREP TONSILITIS ASPIRATION EPIGLOTITIS LARYNCHOTRACHEO ASTHMA STATUS SIDS RDS

THROAT -BRONCHITIS ASTHMATICU

S
CAUSE -GAHBS -VIRAL/ -Inhalation of -H. Influenzae -Infectious CROUP Hypersensitivity -Progression -CRIB DEATH -PRETERM at
BACTERIAL Objects type B -Parainfluenza Response of attack-> -1mos-1y.o. Risk
(Pneumococci, -RSV (VIRUS) -Genetics Unresponsive -2-4mos- peaks
streptococci, to therapy -Sleeping on
staphylococci -Allergens PRONE position
S/SX -Pain on -Difficulty -CHOCKING, -Sore throat -Hacking/Barking -Dyspnea, wheezing, -INC HR & RR -NB Risk Factors: -INC RR, CHEST
swallowing Swallowing Coughing, -Inspiratory cough- worse at frightened Exhausted -DEC BREATH cyanosis, RETRACTIONS,
-Swollen - Mouth dyspnea, Stridor Night SOUNDS tachycardia, resp EXPIRATORY
lymph nodes breathing hoarseness, -TRIPOD (SILENT d/o, hypothermia, GRUNT
- swollen red -Sore throat stridor POSITION CHEST) poor feeding
tonsils w/ pus -CYANOSIS, -Cyanosis
infection->
Death

DX -swab and -swab and -Xray -CBC -CBC -Identify Allergy -ABG
culture throat culture throat -Bronchoscopy (Leukocytosis) -Neck Xray -Pulse Oximeter -XRAY
-Fluoroscopy -Elevated c -Peak Flow Meter -< Lecithin/-
reactive CHON -Green Zone (80- Sphingomyelin
-Culture of 100%): No asthma ratio (Normal-
epiglottis, -YELLOW Zone (50- 2:1)
-Neck Xray 80%)- contact AP
-RED ZONE (<50%)->
MEDS-> Contact AP
MX -Toothbrush B. Surgery REMOVE B. EMERGENCY -Monitor V/S, avoid B. Meds: A. Meds: A. Prevention A. Surfactant
should be - OBJECT INTUBATION & anxiety-> may ET 1. Reliever-> -Continue -SUPINE Position Replacement
replaced after TONSILECTOMY -HEIMLICH C. Nsg Care: insertion Bronchodilator-> Reliver meds -Avoid exposure to (ET Tube)
starting -Post Op: WOF MANNEUVER -Moist Air- O2 -STEAM INHALATION 2. Anti-Inflamatory-> -IV steroids smoke -O2 ventilation
antibiotics BLEEDING (>1y.o) humidified (cool mist humidifier Glucocorticoids ( B. Emergency -Own Sleeping -supportive
-Antipiretics (FREQUENT -5 Back -Hydration or hot water steam *Inhalation- Care: ET environments- NO care
B. Diet: Fluids, SwaLLOWing or blows/slaps & 5 -NO VISUAL *Oral/IV- C. Nsg Care: quilts, blankets,
Soft diet, Clearing of chest thrusts INSPECTION, Hydrocortisone, Asist ET pillows
Avoid Spicy THROAT) (<1y.o) INVASIVE Dexamethasone B. Psychological
food and acid POCEDURE, 3. Combi Drugs assistance to
juices. Gargle ANXIETY- C. Nsg Care: parents
with warm PROVOKING -ORTHOPNEIC
water activity position
 ACYANOTIC DSO CYANOTIC DSO
ATRIAL SEPTAL VENTRICULAR PATENT TETRALOGY OF FALLOT TRANSPOSITION OF TOTAL ANOMALOUS COARCTATION OF
DEFECT (ASD) SEPTAL DEFECT DUCTUS (TOF) GREAT VESSELS (TOG) PULMONARY AORTA (COA)
(VSD) ARTERIOSUS VENOUS RETURN
(PDA) (TPV)
CAUSE -Opening between -Ventricular -Descending PROV -Transposed Aorta -Pulmonary v. drain Constriction of
ATRIA septum opening Aorta to pulmo -Pulmonary stenosis -Transposed pulmo to SVC or R atrium descending
-FO did not close -MOST artery -Right Vent hypertrophy artery -PDA or foramen aorta
-FEMALES COMMON -Premature -Overriding Aorta -MALE or Large babies (9- ovale essential -MALE
-Maternal -Ventricular Septal Defect 10lbs)
rubella
-FEMALES
S/SX -dyspnea, fatigue, -dyspnea, -CLUBBING, -dyspnea, fatigue, failure to -Cyanosis, murmurs -Cyanosis, Fatigue -asymptomatic HPN,
failure to thrive fatigue, failure to dyspnea, thrive, systolic murmur irritability, headache,
-SPLIT S2 (2nd thrive, respi infxn -LOUD -Polycythemia, Tet spells- epistaxis, dyspnea,
intercostal space -PANSYSTOLIC “MACHINERY CYANOTIC SPELLS-> leg claudication,
LSB- pulmonic valve) MURMUR (L; 2nd MURMUR” (- cyanosis during stressful or higher BP in upper
ICS) 2nd-3rd ICS) painful procedures extremities, dec
femoral and distal
pulses

MX A. Surgery (closure) – SAME SAME A. Surgery (closure) – A. Surgery -1wk-3mos A. Surgery A. Surgery- 2y.o
1-3y.o. -1-2y.o. -Baloon catheter to  PGE, surgery (re- -Angiography and
-Dacron Patch -Blalock-Taussig Shunt- create artificial ASD implant pulmoveins surgery
-Open Heart surgery Anastomose subclavian art -(Arterial Switch to L atrium) -Post-op- Monitor
B. Nsg. Care and pulmo while waiting Procedure- JATENE ABD PAIN, INC BP
-Complications: Left for reparative surgery Procedure) B. Nsg Care
untreated-> **Post-op -Monitor -Complications: Left
endocarditis-> leads Arrythmia, Avoid BP and untreated-> leads to
to HEART FAILURE Venipuncture in Rt ARM chronic HPN, CVA
-Post-OP: -Monitor B. Nsg Care
ARRYTHMIA, -Complications: Left
Administer untreated-> leads to
Antibiotics THROMBOEMBOLISM,
CVA
-O2-> KNEE-CHEST
POSITION, SQUATTING