Pediatrics 2
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1
Spirometry is essential for the diagnosis and management of asthma in children
___ than 5 years of age.
___ than 5 years of age.
Older Specifically than 5 years
2
What is used for diagnosis
Forced vital capacity (FVC), FEV1 and the ratio (FEV1/FVC%) are most commonly
used to diagnose.
used to diagnose.
3
The FEV1 measures
small airway obstruction, typically spirometry should be
performed before and after a bronchodilator to determine airway obstruction and
the response to bronchodilator treatment.
performed before and after a bronchodilator to determine airway obstruction and
the response to bronchodilator treatment.
4
An increase in FEV1 and FVC of 12% would indicate
disease reversibility or airway
responsiveness to bronchodilator therapy.
responsiveness to bronchodilator therapy.
5
For Pedatric Patients who may be suffering from Cystic Fibrosis, a
Sweat chloride test could be used to treat patients older than 6 months.
6
Cystic Fibrosis is caused by.
a Single gene defect, which one of the parents must have the gene and are the carrier for. | Must have 60 mloq/l of chloride within sweat over 2 ore more tests.
7
Management for Cystic Fibrosis.
Chest Precussions, Postural Drainage, PEP Therapy, High Frequency Chest Wall Therapy, mostly airawy clearence techniques. Bronchodilators, mucolytics, Dornase Alpha and Corticosteroids. Also consider inhaled antibiotics such as tobimycin.
8
Apnea Monitoring
Non Invasive, Electrodes are place on baby via a soft wrap. Changesa are detected via the chest wall.
9
Nitric Oxide
Inhaled Nitirc Oxide is a vasodilator, which could improve Pao2 and Improvement of pulmonary bloodflow.
10
Initial Dose of Nitirc Oxide
20-40 Ppm
11
Which of the following would Nitiric Oxide Benefit
Patients with Pulmonary Hypertension.
12
Methemaglobinemia
Disorder that creates too much Methemaglobin in the bloodcells, leading to Hypoxia. || Sideeffect of too much Nitric Oxide.
13
How should you titrate Nitic Oxide?
Via slow process. 20 -> 10 -> 5
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