Respiratory Conditions (Chapter 15)

Terms in this set (8)

It is a cold winter night. You are Croup

called for a 2 y/o child with
respiratory difficulty. Patient has
history of low-grade fever, cold-
like symptoms x6 days . Parents tell
you that tonight they were woken
up by the child having a severe
episode of coughing and he seems
like he is having great difficulty
breathing. You can hear stridor
from the patient's side, and you
observe intercostal retractions.

You are called to a residence for a Epiglottis

3 y/o child with trouble breathing.
Parents tell you the child
developed a sore throat and fever
of 103 F this morning, and now it is
after lunch and the child appears
to be very sick. You see the child
sitting upright in sniffing position
with her chin thrust forward and
she is drooling profusely. Patient
has increased work of breathing,
retractions, nasal flaring, stridor,
and a muffled voice.

Respiratory Conditions (Chapter 15)

You are called to respond to a Pneumonia
pediatric urgent care center for a 4
y/o child with difficulty breathing
and hypoxia. Upon arrival the
nurse informs you that the child has
been experiencing cold-like
symptoms and fever for about a
week, but today the family noticed
the patient was coughing up green
sputum and c/o chest pain. Upon
auscultation you notice crackles
and breath sounds are diminished
unilaterally.

You are called to a daycare center RSV

for an 28 m/o infant with a fever
and difficulty breathing. Child
presents with cough, runny nose,
sneezing, and fever of 100.4 F. The
daycare worker advises you that
there has been a "nasty respiratory
bug going around," and you
observe that she too has redness
around her nose and a hoarse
voice. The child has a persistent
cough, post-nasal drip, and
mottled skin.

Respiratory Conditions (Chapter 15)

You are called to an elementary asthma
school for a 7 y/o child w/o
difficulty breathing. The school
nurse advises that the child came
to her office after recess with
difficulty breathing that has not
improved with rest. The patient
presents with increased work of
breathing, sitting in tripod position.
Next to the child you see an
Albuterol inhaler, which the child
tells you he has used twice but it
has not helped. You hear diffuse
wheezing on auscultation.

You respond to a residence at Bronchiolitis

Christmastime for a 6 m/o infant
having difficulty breathing. You find
the child being held by a parent, in
obvious respiratory distress. Child
is tachypneic, he has increased
work of breathing and moderate
intercostal retractions. Upon
auscultation you hear diffuse
wheezing with crackles at the
bases. The parents advice that this
is the first time the child has been
sick. SPO2 is 90% on room air.

Respiratory Conditions (Chapter 15)

You are called to a home for 2 y/o Pertussis
infant with a severe cough. The
parents of the child advise that her
cough has been so bad that she
cannot breathe and sometimes
vomits. You see a very ill-appearing
infant coughing loudly and
repeatedly without relief and
periods of apnea. You ask the
parents if the child has been
vaccinated, and they say she has
not been because they do not
want her to develop autism. SPO2
is 89% on room air.

You respond to a place of worship Cystic Fibrosis

for a 6 y/o child experiencing
difficulty breathing. Family advised
that the child has been coughing
up a lot of thick, green mucus, and
has been having loose stools for
several weeks. Family advised that
the child gets frequent infections,
and they suspect that he may be
coming down with another
infection. Child is c/o chest pain
and difficulty breathing. You hear
crackles upon auscultation. SPO2 is
92%.