NUR 4445 Respiratory Dysfunction

NUR 4445 Respiratory Dysfunction
1. Pediatric Respiratory System
Answer
Respiratory dysfunction is the primary cause of hospitalization in children
-Also primary cause of cardiopulmonary failure
Respiratory system grows until age 12 years Consume more oxygen due to increase metabolic
rate Short neck, can result in an occluded airway
2. Correcting Airway Dysfunction
Answer
"Sniffing position"
Attempting to get neck straight to optimize child's ability to breathe
3. Retractions
Answer
Pulling musculature in their chest wall
We lose it, but the COPD patients get it back
4. Anatomy and Physiology that make children more at risk for respiratory dysfunction
Answer
Small airways (trachea, lower airway)
Fewer alveoli
Nose, pharynx, & nasopharynx are also smaller Infants are nose breathers (until 4-6 months)
Chest wall is soft & pliable
Poorly developed respiratory muscles Immature immune system
Hand-to-mouth activity
Close contact with other children Preterm babies lack surfactant Decreased oxygen stores

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