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NURS 6541 Final Exam Review!Rated A+ Assignment
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6541 Final Exam Review
1) 7-month-old RSV recommended treatment
a. Supportive treatment; hydration, oxygen
2) Epiglottitis – what decreases the incidence of it?
a. Caused by HIB. Drooling, insp & exp stridor, high fever, aphonia (muffled voice), shore throat, flaring nares, retractions, tripod position while sitting, extended neck as to make breathing easier
b. Thumb sign- on lateral neck x-ray, epiglottis are looks like a thumb (google images has examples)
c. Do not examine the throat
d. Treatment: To surgery for exam w/otolaryngologist to establish airway, antibiotics, and can be follow by pulmonary edema so watch for that.
e. 25% of cases are less than 1 year old. Otherwise common in 2 – 5 year olds.
f. All household contacts get rifampin if there are unimmunized people that live there.
g. VACCINES PREVENT THIS
3) Antibiotics or not?
a. Asthma – No
b. Epiglottitis – Yes
c. Croup – No
d. Bronchiolitis – No
e. Foreign body aspiration – No. Only if secondary pneumonia develops.
4) 12-year-old female with fever & sore throat – possible differentials
a. Strep, mono, apthous ulcers, peritonsillar abcess, epiglotti...
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