Uploaded by dasheil135

RSV Patho

advertisement
AIRWAY !
↳ clear be
oxygenating!
Encytial Vis e
Respiratory
young-usually
~very
fall or winter
ISI
in
y10
-
~very old
~severe
preterminfants:infants w under bingdiseases(congenital
disease
diseases) immunocompromise e
,
-
Assessment
~
~
,
ceze
~cough
Refusal to
~
↳
ent/drink
production (signs
ENT (EaR Nose Throat)
·
↳> secretions type
of
amount
-
symptom
vicus that causes acute respiratory
common
of lower RT Most
occur in upper
.
acute bronchiolitis
·
muchs build up
-
↳ usually why
mucus
,
,
dehydration)
differential
-
/WOB- nasal flaking
swab on wash
expect normal
Ro Pneumonia
CBL
concept
apply to :
can also
·Rhino /Entero
Pakainfluenza
life
Adenovirus
·
hospitalized
Influenza
·
-> bronchioles
obstruct bronchioles
edema , & cellular debris
a
causing hyperint agas engine the sammen
,
Ingsounds
turgon mottling (purple/lacty)
HUGE PROBLEM !
URI caused by RSV
↳
wi
-Imaging
in bronchioles -> ↑ inflammation
* obligatory nose breathers
↳ past like a ye of
CBC
-
.
Antigen-nasal
RSU
-
.
cause of
,
,
,
can
02 Sat
,
skin
mucous membranes ,
tear
,
crackles Rhonchi)
,
Skin
·
wheeze
~
breathing)
↳RR WOB /Work of
Energy/Fatigue
Low
~
Resp
·
Fever
Runny Nose/congestion
COUlD
constrict during expiration ,
absorbed
A/B
19/corona viruses
Laryngeotracheal
sta awow the attentia is
Viral induced
-
Bronchitis
pediatric
asthma
meds Fluids (NG/IV) Rehydration
-
:
TulekklobbuPrfea irecent e
given
as
monthly
·
Minjections
·
Non-Routine Meds
:
Albut Rol
-
MARIRR ,
02 Sat
Racemic
dROPS
Epinephrine
normal
interventio
⑫ closely
Resource by
↳ last
·
intubation
fluid maintenance
·
condition
worsening
assessments for
children
other hospitalized
frequent
isolation from
NOT NEEDED
:
,
(vitals
·
Utitis media
eac
·
clear
secretions/suctioning
SIS of
Worsening
Pneumonia
Dehydration
-
SISOWOB
hands daycare
infection PX-wash exclusion
,
*
·
** A
-> course
:
of 3-10
.
low RR apnea , pook
,
,
*
,
days usually
vipal URI- fever spiked in
days
182
:
.
*
*
.
humidified
at
02
facilitate
a
at
glanoma concentration PRN
nasal
Infants
wouse
days 3-4
suctioning
↳help clear wet
muchs
protects aiRWay
Increase PO intake
↳ ↑ need due to fever
& tachypnea
dehydration
↳ Risk for
Parental Education
Reduce fever-g2-thRs
-
-
mild-at home
35-40 %
precautions
·PX transmission
!-
gas exchange
30-400
↳ sign of
↳>
WOB
caregivers
confidence
in
ability
Clear follow-up plan
win 3 ft
can be
given ibupRoten
after temo
laRyngeotracheal
Bronchitis-CROUP
2-3MLIRg/UR
full diaper q4-8ns
30ML/UR
* Inspiratory
*
·
*
Resp Symptoms
.
Position head
·
stop &
Resp D
perfusion *sev
distress
.
SIS lethargic inapp
Respiratory Failure
-
·Adm
be sleepleating
maintain hydration
infection
Faultaran me
Room & contact
-
·
↳ then
↳
comfort
balance
maintain fluid
R
daily weights
,
PROTECT AIRWAY
~
,
year
RSS
=
M ICOs
·
-
PtEd :
-
e
meas & naptic
hydration
1-8 colds pel
get
probably get
will
infection pX-isolated
HOB 30-180
if
Antibiotics infections
secondary
cough
cough Meds
<& y10
helps
-
precautions
↳ gown & gloves
contact
/CTX
maintain
provide
.
·
to
children
95 %) numidified
02 Supp (to
~I pulse ox Wo
↳ nebulizek
· supp 02
I
age of
bt
↳ TX FOR CROUP
Severe Ronuiolitis
nasal suctioning
for
Barking
StRidOR
Cough
Inflam Of BIG Airways
.
Download