LWW PPT Slide Template Master

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The Child With a Respiratory Disorder Chapter 36

The Child With Respiratory Disorders

• Anatomy and physiology • Differences between children and adults • Respiratory problems occur more often and with greater severity in infants and children • The ability to breath through the mouth when the nose is blocked is not automatic Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins

Acute Nasopharyngitis (Common Cold)

Allergic Rhinitis (Hay Fever)

Tonsillitis and Adenoiditis

• Clinical manifestations and diagnosis • Most common complication • Signs and symptoms of complications • Treatment and nursing care Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins

Tonsillitis and Adenoiditis (cont.)

• Nursing process for the child having a tonsillectomy – – – Assessment Selected nursing diagnosis Outcome identification and planning Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins

Tonsillitis and Adenoiditis (cont.)

• Nursing process (cont.) – Implementation • Preventing aspiration postoperatively – • Providing comfort and relieving pain • Encouraging fluid intake • Providing family teaching Evaluation: goals and expected outcomes Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins

Question

What is one of the major nursing interventions with a child who has had a tonsillectomy?

Answer

a. Family teaching Rationale: The child is typically discharged on the day of or the day after surgery if no complications are present. Instruct the caregiver to keep the child relatively quiet for a few days after discharge. Recommend giving soft foods and nonirritating liquids for the first few days. Teach family members that if at any time after the surgery they note any signs of hemorrhage (bright red bleeding, frequent swallowing, restlessness), they should notify the care provider. Provide written instructions and telephone numbers before discharge. Advise the caregivers that a mild earache may be expected on about the third day.

CROUP SYNDROMES

Spasmodic Laryngitis

Acute Laryngotracheobronchitis

Epiglottitis

Acute Bronchiolitis (Respiratory Syncytial Virus Infection)

Asthma

• Clinical manifestations • Diagnosis • Treatment – – Bronchodilators Corticosteroids – – – Leukotriene inhibitors Mast cell stabilizers Chest physiotherapy Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins

Asthma (cont.)

• Nursing process for the child with asthma (cont.) – Implementation • Monitoring respiratory function – • Monitoring and improving fluid intake • Promoting energy conservation • Reducing child and parent anxiety • Providing family teaching Evaluation: goals and expected outcomes Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins

Question

What is the major goal of treatment for a child with acute laryngotracheobronchitis ?

a. Decreasing child and parent anxiety b. Preventing migration of infection to heart or kidneys c. Maintaining airway d. Decreasing fluid intake Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins

Answer

c. Maintain airway Rationale: The major goal of treatment for acute laryngotracheobronchitis is to maintain an airway and adequate air exchange. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins

Bacterial Pneumonia

Bacterial Pneumonia (cont.)

• Nursing process for the child with pneumonia (cont.) – Implementation • Maintaining airway clearance • Monitoring respiratory function • Promoting adequate fluid intake • Maintaining body temperature • Promoting energy conservation Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins

Bacterial Pneumonia (cont.)

• Nursing process for the child with pneumonia (cont.) – Implementation • Preventing additional infections – • Promoting family coping • Providing family teaching Evaluation: goals and expected outcomes Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins

Cystic Fibrosis

• Clinical manifestations – Pancreatic involvement – – Pulmonary involvement Other organ involvement • Diagnosis • Treatment – – – Dietary treatment Pulmonary treatment Home care Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins

Cystic Fibrosis (cont.)

• Nursing process for the child with cystic fibrosis – – – Assessment Selected nursing diagnosis Outcome identification and planning Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins

Cystic Fibrosis (cont.)

• Nursing process for the child with Cystic fibrosis (cont.) – Implementation • Improving airway clearance • Improving breathing • Preventing infection Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins

Cystic Fibrosis (cont.)

• Nursing process for the child with cystic fibrosis (cont.) – Implementation • Maintaining adequate nutrition – • Reducing the child’s anxiety • Providing family support • Providing family teaching Evaluation: goals and expected outcomes Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins

Pulmonary Tuberculosis

Question

Tell whether the following statement is true or false.

In the newborn, meconium ileus is the earliest sign/symptom of cystic fibrosis. Meconium ileus is treated with gently administered hyperosmolar enemas.

LWW PPT Slide Template Master

Transcript LWW PPT Slide Template Master

The Child With a Respiratory Disorder Chapter 36

The Child With Respiratory Disorders

Acute Nasopharyngitis (Common Cold)

Allergic Rhinitis (Hay Fever)

Tonsillitis and Adenoiditis

Tonsillitis and Adenoiditis (cont.)

Tonsillitis and Adenoiditis (cont.)

Question

Answer

CROUP SYNDROMES

Spasmodic Laryngitis

Acute Laryngotracheobronchitis

Epiglottitis

Acute Bronchiolitis (Respiratory Syncytial Virus Infection)

Asthma

Asthma (cont.)

Asthma (cont.)

Question

Answer

Bacterial Pneumonia

Bacterial Pneumonia (cont.)

Bacterial Pneumonia (cont.)

Bacterial Pneumonia (cont.)

Cystic Fibrosis

Cystic Fibrosis (cont.)

Cystic Fibrosis (cont.)

Cystic Fibrosis (cont.)

Pulmonary Tuberculosis

Question

Answer

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