Help to keep the lungs inflated
Capture and help sweep the debris toward the mouth for removal when coughing
Contain the heart, trachea, esophagus, and the great vessels
Warm and moisten air as it moves through the respiratory tract to the alveoli
Small mouth with large tongue
Atrophy of the tonsils
Soft tracheal cartilage
Larynx and glottis lower in the neck
Measure the respiratory rate for 15 seconds and multiply by 4.
Measure the respiratory rate for 1 minute.
Measure the respiratory rate for 6 seconds and multiply by 10.
Measure the respiratory rate for 30 seconds and multiply by 2.
Respiratory rate of 44
Acrocyanosis at birth
"The child may be allergic to antibiotics."
"The child is too young to receive antibiotics."
"Antibiotics are not indicated unless a bacterial infection is present."
"The child still has the maternal antibodies from birth and does not need antibiotics."
Initiate strict enteric precautions.
Move the infant to a room with another child with RSV.
Leave the infant in the present room because RSV is not contagious.
Inform the staff that they must wear a mask, gloves, and a gown when caring for the child.
Position on the side with neck slightly flexed.
Administer antibiotics as ordered.
Restrict oral and parenteral fluids if tachypneic.
Give cool, humidified oxygen.
Foreign body in trachea
Acute spasmodic laryngitis
fatigue related to increased work of breathing.
Ineffective breathing pattern related to airway inflammation and increased secretions.
Risk for fluid volume deficit related to tachypnea and decreased oral intake.
Fear and/or anxiety related to dyspnea and hospitalization.
Respiration rate decrease from 40 to 32 breaths/min.
Heart rate decrease from 110 to 100 beats/min.
"quiet chest" from previous assessment of wheezing.
Oxygen saturation of 90%
Use an inhaled bronchodilator as prescribed.
Administer antibiotics as prescribed.
Administer palivizumab as prescribed.
Suction the nose frequently, especially before feeding.
"We should stop the antibiotics once the bronchiolitis symptoms go away."
"We will provide extra stimulation for our child."
"We will administer the prescribed amoxicillin 1 hour before meals."
"It is important to give our child extra fluids."
Prohibit contact with patients who do not have RSV.
Cover the child's face with a mask.
Admit the child to the intensive care unit
Avoid use of alcohol-based hand sanitizer.
"This will reduce the risk of gaining a concurrent infection."
"This will help to identify if your child is becoming dehydrated."
"This intervention is to check if the medication is working."
"This intervention demonstrates whether the child is getting adequate nutrition."
"The bacterial infection irritates the lining of the bronchial tubes and stimulates the cough reflex."
"The virus causes body fluids to move into the lungs, which the body tries to remove by coughing."
"The bacterial infection forces white blood cells to move into the lungs, which are removed by coughing."
"The virus causes dead cells in the lining of the lungs and large amounts of mucus that stimulate the cough reflex."
"If my child cries, they are most likely in respiratory distress."
"I can place my hand on their chest to check for distress."
"I should observe the pattern while my child is lying on their belly."
"If I can see the rib cage retract, I should seek medical attention."
"Antibiotics will be given for a period of 10 days."
"A medication called dexamethasone helps to heal the lungs."
"An inhaler will be used and the symptoms will be gone in about 24 hours."
"The focus is on managing symptoms and providing supportive care."