NURS 3330 Lecture Notes - Lecture 11: Tachypnea, Bowel Obstruction, Infertility
15 Mar 2017
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Eustachian tubes connected to nasopharynx: hold baby up when feeding, assessment, pulling at ears, bulging ear drum, yellow/green or purulent discharge, vomiting, diarrhea. Signs and symptoms: objective, mouth odor, mouth breathing. Tonsillectomy: pre-op: patient should be npo, post-op: assessment: Pain meds: diet, avoid red!!!, clear fluids, avoid milk based foods, avoid straws. 3 cardinal signs: absence of spontaneous cough, drooling, agitation. Insists on sitting in an upright position and leaning forward (tripod) Most frequent cause of hospitalization in children under 1. Limit visitors: encourage breastfeeding, nasal saline, bulb suction, offer fluids, monitor spo2. Symptoms: fever, cough, crackles on auscultation, malaise, respiratory distress, gi symptoms. Management: promote oxygenation, comfort, anti pyretics, monitor fluid intakes, antimicrobial therapy. Classic signs of asthma exacerbation: dyspnea, wheezing, coughing. Signs of severe respiratory distress: child is profusely sweating, remains upright, refuses to lie down. Management: allergen control, peak flow monitoring, drug therapy. Short acting = rescue: corticoisteroids, beta adrenergic agonists, anticholinergic.
