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Copy of Pediatric Respiratory Assessment

Basic pediatric respiratory assessment; HMC 2N1, 3N1

Sondae Stevens

on 5 January 2014

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Transcript of Copy of Pediatric Respiratory Assessment

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

Respiratory Assessment
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
Clubbed nails
Respiratory movement
Increase work of breathing
Chest tube site - signs of infection
Oxygen saturations
Visible abnormalities
Tender sites
Chest expansion
Chest Tubes
Site for infection
Drainage in the chamber/bag
Drainage at the CT site
Auscultate lung fields
Oxygen saturations
Respiratory rate
Respiratory rhythm
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
Foreign body
Adventitious sounds
Pre- and Post- medication (Ventolin) albuterol
Case Study
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
Newborn 30-60
1 yr 25-30
2-6 yr 21-24
6-12 yr 19-21
12+ yr 16-18
ATI values
Full transcript