-
disorders of the respiratory system include
- Upper-respiratory infections
- Allergic rhinitis
- Tonsillitis
- Asthma
- Foreign-body aspiration
-
common upper respiratory tract infections:
- nasopharygitis
- pharyngitis
- influenza
-
most common childhood repiratory illness
nasopharyngitis
-
nursing management for upper respiratory infections
- maintian fluid intake
- provide comfort measures
- prevent infections
- do not force eating
-
untreated strep can lead to ?
- rheumatic fever
- meningitis
- glomerlunephritis
*important to complete antibiotic therapy
-
hay fever AKA
allergic rhinitis
-
inflammatory disorder of nasal mucosa that is seasonal
allergic rhinitis
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allergic rhinits can be a response to ?
- animal dander
- dust
- pollen
- mold
-
manifestation of rhinits
- rhinorrhea
- conjunctivits
- sniffing
- itching
- allergic salute
-
pharm management for allergic rhinitis
- antihistamines
- decongestants
- bronchodilators
- immunotherapy
- desensitization
-
a schedule of injections that are gradually increased to meet maintenance dose
desensitization
-
transverse nasal increase AKA
allergic salute
-
health promotion for allergic rhinitis
- eliminate allergen
- limit exposure
- avoid wool
- keep humidity lower than 50
- use air filters
-
nursing management of allergic rhinitis
- assist with allergy proofing home
- administering meds
-
inflammation of both mass lymphoid tissue at back of mouth
tonsillitis
-
tonsillitis is a result of?
pharygitis
-
responsibility of tonsils
protect respiratory and alimentary tract from infection
-
if tonsils become enlarged it can effect?
- breathing
- swallowing
- cause partial deafness
-
manifestation of tonsillitis
- recurrent sore throats
- red tonsils
- fever
- nasal speech
- snoring
- diff swallowing
-
nursing manageent for tonsilltis
- cool cold clear liquids
- analgesics
- prone or side lying position
- I&O
AVOID: red or brown liquids; coughing or blowing nose to decrease spontaneous hemorrhage
-
tonilectomy most obvious signs of bleeding
- restlessness
- anxiety
- rapid pulse
- frequent swallowing
-
most reliable means to determine pharyngitis
throat culture
-
reactive airway disease, narowing of airway caused by stimuli (cold air, smoke, stress, exercise)
asthma
-
most comon admitting Dx adn schol absenteesism
asthma
-
manifestation of asthma
- dry hacking cough
- wheezing
- difficult breathing
- thick mucous coughed up
-
how long do asthma attacks last
min, hours, days
-
asthmatics may need to be in ___ position
upright
-
repeat acute exacerbation looks like
- barrel chest
- use of accessory muscles
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med management for asthma
- liminate allergen
- exercise
- s/s of attacks
- use flowmeter
-
pharm mgt for asthma
- bronchodilator
- corticosteroid
-
asthma antiinflammatory drug
-
activity for child with asthma
- do not automatically restrict activity
- swimming is recommended
-
inhlation of any object into resp. tract
foreign body aspiration
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aspiration most common between __- and ____ age
6 months - 4 years
-
manifestation such as spasmadic coguh, resp distress, gagging, no fever can indicate
foreign body aspiration
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med mgt for foregin body aspira.
- removal of object by laryngoscopy/bronchoscopy
- observe for edema/resp. distress
- antibiotic therapy
-
nurse mgt for foreign body aspiration
prevention
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