Chamberlain College of NursingNR 602 NRsonia NR 602 Week 3 Quiz 3 Study Guide

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NR 602 Quiz 3 Study Guide Respiratory Infections - Leading cause of morbidity and mortality in children - Respiratory failure can develop rapidly with ominous symptoms - Be able to recognize key r... espiratory sounds o Croup cough vs. other coughs *Sound bit croup cough: see link under Croup* o Inspiratory stridor *Sound bit: (https://www.easyauscultation.com/heart-lung-soundsdetails/140/Stridor) o Wheezing * Sound bit: (https://www.easyauscultation.com/heart-lung-sounds-details/71/Wheeze) - Critical Sign: Tachypnea! o Respiratory Rates:  Infants (birth to 12 months): 30-53 bpm (RR > 60 requires further evaluation)  Toddlers (1-2 yrs): 22-37 bpm (RR > 40 requires further evaluation)  Preschool (3-5 yrs): 20-28 bpm  School Age (6-9 yrs): 18-25 bpm  Pre-Adolescent (10-11 yrs): 18-25 bpm  Adolescent (12yrs and older): 12-20 bpm o Red Flags: Tachypnea +  grunting,  nasal flaring,  use of accessory muscles - Upper Respiratory Infections are the most common (common cold) o Most often Viral  Rhinovirus, Parainfluenza, RSV, Coronavirus, human metapneumovirus  Self-limiting lasting 7-10days o Peak: Spring and Winter o Common Sxs: (gradual onset)  Low grade fever  Nasal Congestion  Sore throat, hoarseness  *Hallmark: Rhinorrhea (clear at first, progresses to purulent)  Cough/Sneezing o Clinical Findings:  Conjunctiva: mild injection  Erythematous nasal mucosa with mucus  Erythematous posterior oropharynx  Anterior cervical lymphadenopathy - Diagnostics: o ONLY if in doubt of URI: sore throat without drainage or cough  Rapid antigen detection test (RADT): rapid strep  Throat culture if RADT negative o Treatment: Supportive Care  Hydration  OTC antipyretics as directed (weight dose)  Normal saline nasal rinse  Topical menthol  NO Antibiotics prophylactically o Complications: secondary infection [Show More]

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