NUNP 6541 Pediatric Final Exam LATEST ( A+ GRADED 100% VERIFIED) 2022

NUNP 6541 Pediatric Final Exam LATEST ( A+ GRADED, 100% VERIFIED) 2022 Recommended treatment for RSV in a 7 month old (outpatient) - ANS Use of saline drops and suctioning of the nares. Indications of when to use antipyretics. Signs of respiratory distress or dehydration. Guidelines for feeding an infant with signs of mild respiratory distress which includes smaller more frequent feedings; monitoring of the respiratory rate; and guarding against vomiting. The parents should be educated that the child may have the symptoms over the course of 2-3 weeks Epiglottitis s/s - ANS Acute and rapid onset of high fever, chills, and toxicity. Severe sore throat and drooling saliva. Will not eat or drink, muffled (hot potato) voice, and anxiety. Sitting posture with hyperextended neck with open-mouth breathing. Stridor, tachycardia, and tachypnea Epiglottitis prevention - ANS Haemophilus influenzae type B (Hib) vaccine Steeple sign - ANS a radiologic sign found on radiograph where the subglottic tracheal narrowing produces a shape of a church steeple which supports a diagnosis of croup Foreign body aspiration antibiotic? - ANS Depends on the nature of the material aspirated, plus the location and degree of obstruction. Bronchial or laryngeal foreign body aspiration, a bronchoscopy must be performed for removal of the foreign body Antibiotics for bronchiolitis? - ANS Use of saline drops and suctioning of the nares. There is no evidence to support the routine use of antibiotics Antibiotics for croup? - ANS Nebulized epinephrine, corticosteroids (dexamethasone oral or IM), blow by oxygen or heliox in severe croup. Racemic epinephrine with the use of corticosteroids to limit rebound swelling Antibiotics for epiglottitis? - ANS Establish an airway preferably by nasotracheal intubation. Administer IV antibiotics such as rocephin to cover H.influenzae. Administer oxygen and respiratory support. Antibiotics should be continued for 10 days. Rifampin prophylaxis 20 mg/kg in a single dose (maximum of 600 mg) for 4 days for infants and children, 600 mg once a day for adults for 4 days. Should be pro