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Pedi - Respiratory

AB
compliancelungs have ability to expand and recoil
hypoxemialow blood ox level
hypercapniaexcessive carbon dioxide in blood
hypoxialow ox in tissue
signs of empending R failuregrunting, dyspnea, tachpnea, nasal flaring
apneastop breathing 20 sec - or cyanosis, pallor
Apparent life threatening event ALTEapnea accompanied by cyanosis, limp, pallor, choke
if you have ALTE, increased risk forcardiopulmonary arrest
croupbroad classification of upper airyway illness
epiglottitis, LTB, bacterial s/sstridor, seal-like bark cough, hoarseness
LTB isviral invasion of upper airway
epiglottitis islife threatening - 2-8 years
laryngotracheobronchitis LTBdanger children under 6 b/k airway obstruction
airway tissues respond to virus w/inflammation and edema
bronchopulmonary dysplasialung disease due to prolong ox therapy
asthmachronic inflammation - airways narrow and hyper reactive to stimuli
lasixdiuretic - need potassium
aldactonediuretic - potassium sparing
asthma has4 classifications
step 1mild intermittent - less 2 per week no meds
step 2mild persistent - more 2/week - not daily - low dose inhaled corticosteriods
step 3moderate persistent - daily - low dose inhaled corticosteriods - beta 2 agonist
step 4severe persistent - continuous - high dose corticosteriod - long act beta 2
beta 2 agonist do whatrelax smooth muscle
anticholinergic do whatinhibits bronchoconstriction - lows mucus production
cystic firbrosis leads tothick mucus - bronchoiles, small I, pancreas
cystic fibrosis administer ___ with mealspancreatic enzymes



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