RESPIRATORY WORKSHEET (NSG 3600)
Category Condition Presentation (notes) Interventions:
Assess, Monitor, Medicate, Educate
Upper PHARYNGITIS Fever, rash, Sore throat (?Strep - culture ) Immunizations; mild analgesics
Contagious 24h post antibiotics
*INFLUENZA High fever, myalgia, headache, sore throat, Isolation: Droplet/contact until sx subside
(viral) nonproductive cough Supportive care (antipyretics, bedrest), no aspirin
TONSILLITIS Reddened, sore throat If T&A: no dark liquids, hot/spicy, sharp foods
Culture throat to R/O strep (antibiotics) Pain med (scheduled)
Hemorrhage (freq swallowing, clearing throat)
OTITIS MEDIA Pain, tugging, redness, irritable, poor Antibiotics; no bottle propping
feeding, drainage? If PE Tubes - Submerging/Diving, Fall out?
Effusion (fluid after clearing) Complications: hearing loss, speech delays
TRACHEO-ESOPHAGEAL EA: blind pouch / TEF: hole X-ray, broncho – Surgery (closure/separation, attachment)
FISTULA / 3 Cs: Coughing, Choking, Cyanosis – IVF, Elevate HOB, gastrostomy for nutrition w/healing
ESOPHAGEAL ATRESIA
STOP FEEDS PAIN meds
CROUP SYNDROMES Epiglottitis Prevention = ? vaccine; corticosteroids
Drooling, tripod, stridor, agitation Med EMERGENCY – trach kit; oxygen
Laryngotracheobronchitits (LTB) Cool air (moisture – mistogen/humidifier)
Seal bark cough, stridor, mild fever Bronchodilators (Albuterol)
Corticosteroids (orapred, solumedrol)
Lower BRONCHIOLITIS (RSV) Abundant rhinorrhea, cough Contagious/Isolation – swab/washing
Acute Preterm infants – Synagis Bulb suction, Synagis, O2 prn; feedings?
PERTUSSIS Paroxysmal Cough, facial redness, distress DtaP vaccine; Antibiotics (isolate x 5d)
“Whooping cough”
FOREIGN BODY Choking (coughing, gagging, drooling) Removal: Bronch
ASPIRATION Food dangers in toddlers Abd thrusts/back blocks; Heimlich
Lower ASTHMA Bronchoconstriction, edema, ↑ mucus Bronchodilators: Albuterol; MDI w/spacer vs nebulizer; o2 prn
Chronic Exacerbations – wheezing? s/sx distress PFM: zero meter, 3 attempts / PEFR (stop light approach)
*may have eczema Triggers ex: smoking, environment
CYSTIC FIBROSIS Genetics, multi-system; abundant mucus Bronchodilators w/CPT (vibratory vest) & postural drainage
Wheezing, clubbing (prolonged hypoxemia) Pancreatic enzymes, Fat Sol Vitamins, Pulmozyme (thins mucus)
Meconium ileus, steatorrhea Bronchodilators (MDI/Nebulizer)
***Sweat chloride or blood test Prevent Infection… ? Transplant
Category Condition Presentation (notes) Interventions:
Assess, Monitor, Medicate, Educate
Upper PHARYNGITIS Fever, rash, Sore throat (?Strep - culture ) Immunizations; mild analgesics
Contagious 24h post antibiotics
*INFLUENZA High fever, myalgia, headache, sore throat, Isolation: Droplet/contact until sx subside
(viral) nonproductive cough Supportive care (antipyretics, bedrest), no aspirin
TONSILLITIS Reddened, sore throat If T&A: no dark liquids, hot/spicy, sharp foods
Culture throat to R/O strep (antibiotics) Pain med (scheduled)
Hemorrhage (freq swallowing, clearing throat)
OTITIS MEDIA Pain, tugging, redness, irritable, poor Antibiotics; no bottle propping
feeding, drainage? If PE Tubes - Submerging/Diving, Fall out?
Effusion (fluid after clearing) Complications: hearing loss, speech delays
TRACHEO-ESOPHAGEAL EA: blind pouch / TEF: hole X-ray, broncho – Surgery (closure/separation, attachment)
FISTULA / 3 Cs: Coughing, Choking, Cyanosis – IVF, Elevate HOB, gastrostomy for nutrition w/healing
ESOPHAGEAL ATRESIA
STOP FEEDS PAIN meds
CROUP SYNDROMES Epiglottitis Prevention = ? vaccine; corticosteroids
Drooling, tripod, stridor, agitation Med EMERGENCY – trach kit; oxygen
Laryngotracheobronchitits (LTB) Cool air (moisture – mistogen/humidifier)
Seal bark cough, stridor, mild fever Bronchodilators (Albuterol)
Corticosteroids (orapred, solumedrol)
Lower BRONCHIOLITIS (RSV) Abundant rhinorrhea, cough Contagious/Isolation – swab/washing
Acute Preterm infants – Synagis Bulb suction, Synagis, O2 prn; feedings?
PERTUSSIS Paroxysmal Cough, facial redness, distress DtaP vaccine; Antibiotics (isolate x 5d)
“Whooping cough”
FOREIGN BODY Choking (coughing, gagging, drooling) Removal: Bronch
ASPIRATION Food dangers in toddlers Abd thrusts/back blocks; Heimlich
Lower ASTHMA Bronchoconstriction, edema, ↑ mucus Bronchodilators: Albuterol; MDI w/spacer vs nebulizer; o2 prn
Chronic Exacerbations – wheezing? s/sx distress PFM: zero meter, 3 attempts / PEFR (stop light approach)
*may have eczema Triggers ex: smoking, environment
CYSTIC FIBROSIS Genetics, multi-system; abundant mucus Bronchodilators w/CPT (vibratory vest) & postural drainage
Wheezing, clubbing (prolonged hypoxemia) Pancreatic enzymes, Fat Sol Vitamins, Pulmozyme (thins mucus)
Meconium ileus, steatorrhea Bronchodilators (MDI/Nebulizer)
***Sweat chloride or blood test Prevent Infection… ? Transplant
