OUTLINE FOR ALTERATIONS IN RESPIRATORY FUNCTIONS

OBJECTIVES: A. Identify the anatomical differences that make the infant, child and adult different. B. Describe the assessment guidelines used for a child in respiratory distress. C. Describe the clinical presentation of a child with apnea, ALTE, and SIDS. D. Describe the nursing management of a child with respiratory distress. E. State the three viral croup syndromes and the two bacterial croup syndromes as well as the defining characteristics of each. F. Articulate the pathophysiology of the asthmatic reaction. G. Describe acute care management, home management, prevention of triggers for the child and family. H. Differentiate between the criteria for the four categories of asthma severity in the child. I. Describe the pathophysiology, clinical manifestations, nursing management for the child with bronchopulmonary dysplagia, bronchitis, bronchiolitis, RSV, pneumonia and Cystic Fibrosis, foreign body aspiration.

READINGS: Ball, J. W. & Bindler, R. C. (2006). Child health nursing: Partnering with children & families. New Jersey: Pearson Education, Inc. Chapter 25, p. 818-26; Apnea p. 829-841 (skip Neonatal RDS, Mec. asp, TTN); Bronchitis p. 844-851 (skip TB); BPD p. 854-882 (skip Injuries of the respir. sx). Video: Assessment of Respiratory Distress in Infants & Children

OUTLINE: I. Developmental alterations in the respiratory system of the infant and child. II. Assessment guidelines for the child in respiratory distress. III. Conditions of abnormal alterations in the respiratory system of the infant and child. A. Apnea B. ALTE C. SIDS IV. Assessment and management of the child in respiratory distress. V. Reactive airway disorders A. Croup syndromes. 1. Acute spasmodic laryngitis 2. Laryngotracheitis 3. Laryngotracheobronchitis 4. Bacterial Tracheitis 5. Epiglottitis B. Asthma 1. Acute care assessment and management 2. home management 3. Classification of asthma severity VI. Lower airway disorders A. Bronchopulmonary Dysplasia B. Bronchitis C. Bronchiolitis D. Pneumonia E. Cystic Fibrosis F. Foreign Body Aspiration