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NURSING CARE FOR CHILD
WITH RESPIRATORY ILLNESSES
Learning Outcomes
1
Describe respiratory illnesses that occur in pediatrics.
2
Assess an infant who is born with respiratory illnesses.
3
Utilize knowledge respiratory illnesses to promote
quality maternal and child health nursing care.
Course Outline
RESPIRATORY DISORDERS
Acute Nasopharyngitis
Pharyngitis
Tonsillitis
Epistaxis
Sinusitis
Laryngitis
Laryngotracheobronchitis
Aspiration
Influenza
Bronchitis
Respiratory Synctial Virus Bronchiolitis
Asthma
Status Asthmaticus
Pneumonia
o
Incubation: 2-3 days
o
Etiology: rhinovirus, coxsackievirus, RSV, adenovirus,
and parainfluenza and influenza viruses
o
Manifestations: nasal congestion, watery rhinitis,
low-grade fecver, swollen cervical lymph nodes
o
Prognosis: cough or sore throat
o
Secondary symptoms: vomiting & diarrhea
o
Management: symptomatic management because
common cold has no specific treatment.
o
Acetaminophen/ibuprofen
o
18 y/o = no ASA
o
Saline nose drops/ nasal spray
o
Guaifenesin
VIRAL PHARYNGITIS
o
Adenovirus
o
Si/Sx: sore throat, febrile, general malaise,
erythematous pharynx, leukocytosis
o
Management: warm compress, gargle with warm
water
o
WOF: dehydration
BACTERIAL PHARYNGITIS
o
Group A beta-hemolytic streptococcus
o
Streptococcal infections kidney and cardiac
damage
o
Si/Sx: erythematous throat & tonsils, enlarged
tonsils, white exudation in tonsillar crypts, fever,
sore throat, difficulty swallowing, lethargy, headache
o
Culture: (+) Streptococcus bacteria10-days oral
antibiotics
o
Pen G
o
Clindamycin
o
NO cephalosporin or broad spec
o
Urine test after 2wks if AGN appear in 1-2 wks
o
Infection and inflammation of tonsils (palantine)
o
Adenitis: adenoid tonsils infection & inflammation
o
Manifestation: same with pharyngitis
o
“drooling” the throat can’t swallow saliva
o
Enlarged and erythematous tonsillar tissue
o
Presence of pus to the tonsillar crypts
o
Adenoid: nasal quality of speech, mouth breathing,
difficulty hearing, halitosis and sleep apnea
o
Antipyretic/ Analgesic
o
Antibiotics for 10 days
o
Tonsillectomy or Adenoidectomy
o
WOF: hemorrhage
o
Infection & inflammation of the oropharynx
RESPIRATORY DISORDERS
ACUTE NASOPHARYNGITIS
PHARYNGITIS
TONSILLITIS
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o
Etiology can be viral or bacterial
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