Respiratory Therapy NBRC RRT
Questions and Answers.
Signs Respiratory distress in infants -
\Nasal Flaring
Chest Retractions
Tachypnea
Grunting
Bronchiolitis -
\Caused by RSV(Respiratory syncytial Virus), a inflammatory disease that causes
swelling and mucus in the small air ways of the baby. Treated by giving Ribovirin using
the SPAG unit.
bronchiectasis -
\abnormal condition where the bronchi secrete a lot of pus and dilate.
-Gram negative bacteria
-recurrent infections, productive cough, often bloody.
Treatment: Treat with chest physio
-hydration therapy
-fluid therapy
-02 therapy
-bronchodilaor and maybe surgical
Treatment for Cystic fibrosis -
\-PEP
-Postural drainage
-Chest physiotherapy
-Hydration devices: heated aerosol, ultrasonic nebulization
- Vibration therapy
-02 as needed
-Antiobiotic therapy when infection is present(often is)
Meds: Tobramyacin & pulmozyme aka dornase alpha
bronchopulmonary dysplasia -
\chronic lung condition that affect newborns on vents or preemies, had RDS, lung
immaturity, severe resp/lung infections. . s/s: tachycardia, tachypnea, increased work of
breathing (retractions/nasal flaring) pallor, cyanosis, restlessness. Rx: O2, diuretics,
bronchodilators, anti-inflammatories, increase cal formulas and hydration. Nursing: rest
periods, monitor fluid overload, pulm edema, frequent resp assessment
*Seasonal Prophylactics of palivizumab can sharply decrease hospitalization of the BPD
patient.
Infant Respiratory Distress Syndrome definition -
, \Condition in premature infants whose lung did not have time to develop enough.
Treat:
pulmonary edema definition -
\fluid accumulation in the alveoli capillary membrane and bronciolles
Pulmonary edema treatment -
\-Treat with diuretics furosemide lasix
-and inotropic drugs digitalis and digoxin
-Be prep to MV if PCWP and PAP increase
-If it is caused by cardiac issues treat the cardiac problem first.
APGAR -
\appearance, pulse, grimace, activity, respiration
A= 2-pink, 1-acrocyanosis, 0-blue or pale; P= 2- >100, 1- <100, 0-none; G= 2- cough or
sneeze, 1- facial grimace, 0-none; A= 2-active movement, 1- some flexion of limbs, 0-
limp or no move; R= 2- strong cry, 1- weak cry, 0- no cry
-If score 0-3 CPR, if score is 4-6 give 02, place in infant warmer, netral thermal
environment monitor,
7-10 monitor normally
status asthmaticus -
\anxiety, wheezing, tachypnea, tachycardia, dyspnea, possible chest tightness(usually
no pain), accessory muscle use, prolonged expiratory phase -forcing each breath out,
"pursed lip breathing", coughing, does not respond to usual treatment
-Address 3 parts of asthma
INFLAMMATION- corticosteroids
BRONCHOCONSTRICTION- Bronchodilators
SPUTUM- airway clearanc, hydration.
-Give sebcuteanus epi- Q20 for up to 3 consecutive doses 1:1000 strength.
Complications of Chest Trauma -
\Treat partial pnuemos>20% chest tube, hemothorax>chest tube or thorocentsis,
tension pneumo>large bore needle.
-Address ventilation instead of addressing the broken ribs, etc.
Pulmonary angiogram -
\Suspicion of Pulmonary Emboli, esp if V/Q scan is inconclusive
midclavicular line -
\imaginary vertical line bisecting the middle of the clavicle in each hemithorax
Diagphragmatic Hernia -
\Opacity of the lower left chest and scaphoid abdomen are consistent with GI tract in the
abdomen because of a hernia.
Questions and Answers.
Signs Respiratory distress in infants -
\Nasal Flaring
Chest Retractions
Tachypnea
Grunting
Bronchiolitis -
\Caused by RSV(Respiratory syncytial Virus), a inflammatory disease that causes
swelling and mucus in the small air ways of the baby. Treated by giving Ribovirin using
the SPAG unit.
bronchiectasis -
\abnormal condition where the bronchi secrete a lot of pus and dilate.
-Gram negative bacteria
-recurrent infections, productive cough, often bloody.
Treatment: Treat with chest physio
-hydration therapy
-fluid therapy
-02 therapy
-bronchodilaor and maybe surgical
Treatment for Cystic fibrosis -
\-PEP
-Postural drainage
-Chest physiotherapy
-Hydration devices: heated aerosol, ultrasonic nebulization
- Vibration therapy
-02 as needed
-Antiobiotic therapy when infection is present(often is)
Meds: Tobramyacin & pulmozyme aka dornase alpha
bronchopulmonary dysplasia -
\chronic lung condition that affect newborns on vents or preemies, had RDS, lung
immaturity, severe resp/lung infections. . s/s: tachycardia, tachypnea, increased work of
breathing (retractions/nasal flaring) pallor, cyanosis, restlessness. Rx: O2, diuretics,
bronchodilators, anti-inflammatories, increase cal formulas and hydration. Nursing: rest
periods, monitor fluid overload, pulm edema, frequent resp assessment
*Seasonal Prophylactics of palivizumab can sharply decrease hospitalization of the BPD
patient.
Infant Respiratory Distress Syndrome definition -
, \Condition in premature infants whose lung did not have time to develop enough.
Treat:
pulmonary edema definition -
\fluid accumulation in the alveoli capillary membrane and bronciolles
Pulmonary edema treatment -
\-Treat with diuretics furosemide lasix
-and inotropic drugs digitalis and digoxin
-Be prep to MV if PCWP and PAP increase
-If it is caused by cardiac issues treat the cardiac problem first.
APGAR -
\appearance, pulse, grimace, activity, respiration
A= 2-pink, 1-acrocyanosis, 0-blue or pale; P= 2- >100, 1- <100, 0-none; G= 2- cough or
sneeze, 1- facial grimace, 0-none; A= 2-active movement, 1- some flexion of limbs, 0-
limp or no move; R= 2- strong cry, 1- weak cry, 0- no cry
-If score 0-3 CPR, if score is 4-6 give 02, place in infant warmer, netral thermal
environment monitor,
7-10 monitor normally
status asthmaticus -
\anxiety, wheezing, tachypnea, tachycardia, dyspnea, possible chest tightness(usually
no pain), accessory muscle use, prolonged expiratory phase -forcing each breath out,
"pursed lip breathing", coughing, does not respond to usual treatment
-Address 3 parts of asthma
INFLAMMATION- corticosteroids
BRONCHOCONSTRICTION- Bronchodilators
SPUTUM- airway clearanc, hydration.
-Give sebcuteanus epi- Q20 for up to 3 consecutive doses 1:1000 strength.
Complications of Chest Trauma -
\Treat partial pnuemos>20% chest tube, hemothorax>chest tube or thorocentsis,
tension pneumo>large bore needle.
-Address ventilation instead of addressing the broken ribs, etc.
Pulmonary angiogram -
\Suspicion of Pulmonary Emboli, esp if V/Q scan is inconclusive
midclavicular line -
\imaginary vertical line bisecting the middle of the clavicle in each hemithorax
Diagphragmatic Hernia -
\Opacity of the lower left chest and scaphoid abdomen are consistent with GI tract in the
abdomen because of a hernia.
