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Copy of Pediatric Respiratory Assessment
Transcript of Copy of Pediatric Respiratory Assessment
Large tonsil, adenoids, epiglottis, and tongue
Tracheal cartilage rings are weaker and easily collapsible
Shorter upper airway
Smaller chest cavity
Infants are nose breathers
Children < 7 yrs are abdominal breathers
Pediatric Airway Characteristics
Agrawal, S. (2008). Normal vital signs in children: Heart rate, respiratory rate, temperature, and bloodpressure. Complex Children E-Magazine. Retrieved from http://www.articles.complexchild.com/march2009/00114.pdf
Hospital for Sick Children. (2012). How the body works: Introduction to the respiratory system. Retrieved from http://www.aboutkidshealth.ca/En/HowTheBodyWorks/IntroductiontotheRespiratorySystem/Pages/default.aspx
Vitale, B. A. (2007). NCLEX-RN Notes. Philadelphia, P.A.: F. A. Davis Company.
Images Credit: World Wide Web
The anatomy and physiology of a child's respiratory system makes them more prone to respiratory distress
Increase work of breathing
Chest tube site - signs of infection
Site for infection
Drainage in the chamber/bag
Drainage at the CT site
Auscultate lung fields
Air entry in all lung fields
Inspiratory phase slightly longer or equal to expiratory phase
Prolonged expiratory phase = asthma
Prolonged inspiratory phase = upper airway obstruction
Pre- and Post- medication (Ventolin) albuterol
A 7 year old is admitted onto your unit with bronchiolitis. The patient has mild wheezing bilaterally and moderate subcostal indrawing with a respiratory rate of 50. There is an order for albuterol q6h. Two hours after giving the medication the mom tells you the patient has increase work of breathing again.
What do you do?
What will you do in your respiratory assessment?
What interventions can you do?
What is ordered for prophylaxis for this patient?
Vital Sign Ranges
1 yr 25-30
2-6 yr 21-24
6-12 yr 19-21
12+ yr 16-18