| A | B |
|---|
| position for post-op T&A and WHY | side-lying - to facilitate drainage |
| never position a post-op T&A this way and WHY | supine - risk of aspiration |
| post-op T&A diet and WHY | nothing red or purple (looks like blood); nothing citrus, carbonated, too hot or too cold (irritates); nothing with milk products (coats throat and makes them want to clear it) |
| Post-op T&A should avoid straws - WHY? | Any sharp object may cause trauma to post-op site |
| Sign of hemorrhage in post-op T&A patient | Frequent swallowing |
| Discourage this in the post-op T&A patient | Coughing or clearing throat |
| Help for acute croup episodes | Bathroom steam, coolness of night air |
| Avoid this for croup and WHY | Steam vaporizors - danger of scalding burns |
| Why no cough syrup for croup? | dries and thickens secretions |
| Plenty of this for croup and WHY | Fluids - thins secretions |
| Give for fever in croup (and any childhood fever) and WHY this over aspirin | Tylenol - aspirin is associated with Reye's syndrome when given during or after a viral infection |
| How will sips of warm fluids help croup? | Relaxes vocal cords |
| meds for croup | bronchodilators, corticosteroids, racemic epi nebulizer treatments |
| Signs of epiglottitis | Drooling, chin forward with mouth open |
| Interventions for epiglottitis | Cool mist oxygen and emergency airway management |
| Interventions to AVOID with epiglottitis | oral or rectal temps, throat cultures, or anything that will upset the child |
| Transmission of RSV | Direct contact |
| How to avoid transmission of RSV | HANDWASHING |
| Where to place a hospitalized RSV patient | Single room or rooming with another RSV patient |
| Treatment for RSV | Antiviral med called Ribavirin |
| How is ribavirin administered? | Via aerosol |
| Precautions with ribavirin | No pregnant caretakers; goggles with contact lenses (mist will dissolve soft contacts) |
| Used prophyllactically to high-risk infants to prevent RSV | RSV Immune Globulin |
| Who should NOT be given RSV Immune Globulin | those infants with congenital heart disease |
| Diagnostic tests for cystic fibrosis | Sweat chloride test and stool for fat and enzyme analysis |
| Normal sweat chloride levels vs CF levels | Normal <40mEq/L ; CF > 60mEq/L (40-60 is suspicion for CF) |
| Diet for cystic fibrosis | high protein and calorie; adequate salt intake |
| When should pancreatic enzymes be given to CF patients? | with meals |
| Respiratory interventions for CF patients | Chest PT on awakening and in evening (avoid around meals); may use ThAIRapy Vest; interventions to keep mucus thin |
| What typically precedes rheumatic fever? | Viral infection |
| What is Reye's syndrome | Encephalopathy seen after a viral illness (many times associated with ASA administration during a viral infection) |
| Signs of Reye's syndrome | Cerebral edema and fatty changes in the liver |
