Download Respiratory Therapy NBRC RRT Study Guide for Infant Respiratory Conditions and more Exams Medicine in PDF only on Docsity! Respiratory Therapy NBRC RRT Study Guide 2024 Signs Respiratory distress in infants Correct Answer is Nasal Flaring Chest Retractions Tachypnea Grunting Bronchiolitis Correct Answer is 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 Correct Answer is 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 Correct Answer is -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 Correct Answer is 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 Correct Answer is Condition in premature infants whose lung did not have time to develop enough. Treat: pulmonary edema definition Correct Answer is fluid accumulation in the alveoli capillary membrane and bronciolles Pulmonary edema treatment Correct Answer is -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 Correct Answer is 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 Correct Answer is 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 Correct Answer is 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 Correct Answer is Suspicion of Pulmonary Emboli, esp if V/Q scan is inconclusive midclavicular line Correct Answer is imaginary vertical line bisecting the middle of the clavicle in each hemithorax Diagphragmatic Hernia
