SAS 25

• Common respiratory disorders in children include acute and chronic conditions such as choanal atresia, pharyngitis, and strep throat.
• One question you still have: 1
• Two things that you'd like to learn more about: 1
• For next session, review Chapter 40: Nursing Care of a Family When a Child Has a Respiratory Disorder-Lower Respiratory Tract p
• Choanal atresia is a congenital obstruction of the posterior nares by an obstructing membrane or bony growth, which prevents a newborn from drawing air through the nose and down into the nasopharynx.
• Choanal atresia may occur either unilaterally or bilaterally and is diagnosed by passing a soft #8 or #10 French catheter through the posterior nares to the stomach.
• Infants with choanal atresia have difficulty with feeding and may receive intravenous (IV) fluid to maintain their glucose and fluid level until surgery can be performed.
• Pharyngitis is an infection and inflammation of the throat that may be either bacterial or viral in origin.
• The instructor will call back if there's no relief in an hour.
• Write the correct answer and correct/additional ratio in the space provided.
• You can now ask questions and debate among yourselves.
• This is simply a visual to help you track how much work you have accomplished and how much work there is left to do.
• Streptococcal pharyngitis, caused by Group A β-hemolytic streptococcus, is the most frequently involved in bacterial pharyngitis in children, particularly those between the ages of 5 and 15 years.
• The rationalization activity will be done during the face to face interaction.
• The lesson wrap-up is a 5-minute period where you will mark (encircle) the session you have finished today in the tracker below.
• The strategy used in this lesson is CAT 3-2-1, where students are asked to list three things they learned.
• You are done with the session! Let’s track your progress.
• The instructor will now rationalize the answers to the students.
• Viral pharyngitis symptoms are generally mild and include sore throat, fever, rhinorrhea, cough, and general malaise.
• Wheezing in children is best heard as the child exhales.
• Spasmodic laryngitis, tonsillitis, laryngotracheobronchitis, and epiglottitis are different disorders that can cause similar symptoms.
• Pulse and respiratory rate are also important to assess prior to surgery.
• Blood pressure both lying down and sitting up is important to assess prior to surgery.
• Steam inhalation is not the best intervention for a child with a croupy cough.
• After tonsillectomy surgery, the preferred position of a child until fully awake is on the side with the head elevated.
• Specific gravity of urine is most important to assess prior to surgery.
• A cool mist humidifier or vaporizer is not the best intervention for a child with a cough.
• A 2-year-old with a common cold for 4 days who awakens with a barking cough and an elevated temperature may have epiglottitis.
• Bleeding and clotting time are not as important to assess prior to surgery.
• The nurse in the Emergency Department would most appropriately recommend bringing the child to the emergency room immediately for evaluation of epiglottitis.
• Physical assessment for pharyngitis may reveal enlarged regional lymph nodes, erythema at the back of the pharynx and the palatine arch, and exudates on the tonsils.
• Management of pharyngitis depends on the severity of the inflammation and may include oral analgesics, gargling with a solution, and adequate oral hydration.
• Tonsillitis is characterized by markedly erythematous tonsils and may be caused by either a viral or bacterial infection.
• A 7-year-old child has been scheduled for a tonsillectomy.
• If the article is not expelled, hemoptysis, fever, and purulent sputum, and leukocytosis will generally result as infection develops.
• A measure at home that could help a child with an upper respiratory infection breathe more easily is increasing room humidity.
• Bronchial obstruction can occur when an aspirated foreign object is not large enough to obstruct the trachea but lodges in the right bronchus, obstructing a portion or all of the right lung.
• After aspirating a small foreign body, the child generally coughs violently and may become dyspneic.
• The most effective measure in aiding bronchodilation in a child with laryngotracheobronchitis is assisting with racemic epinephrine nebulizer therapy.
• Four out of five children develop nephrosis afterward from streptococcal pharyngitis.