Question

American Heart evaluated for fcty brealhing Wich inding would suggest this citd has 46. An 8-year-old child is brought to the emergency department by his mother for dificulity breathing. He y ate a cookie at atamily picnic. Which oondition is most lkely to be present in this child? A Disordered control of breathing B. Hypovolemic shock C. Lung tissue disease D. Upper airway obstruction 47, A 10-year-old child is brought to the emergeney department for fever and codgh. You obtain an oxypen saturation on the child. Which oxypen saturation would indicate that immediate intervention needed? A, 88% on 4 L of nasal oxygen B 95% on room air C. 96% on room air D. 97% on 50% oxygen are evaluating a 1-year-old child for respiratory distress. His heart rate is 168/min, and his y rate has decreased from 65/min to 30/min He now appears more lethargic and continues vere subcostal retractions. On the basis of your assessment, which is the most likely reason ge in the child's condition? B. higns of probable respiratory failure d likely has an arhythmia rather than a respiratory problem. The child's status is improving old child who is undergoing chemotherapy report that the child has been and tbeen eling well, with recent onset of lethargy. Assessment reveals that the ch lt to id her skin color is pale. The child's heart rate is 160/min, respiratory rate is oodessureis76/45 mm Hg, capillary refill time is 5 to 6 seconds, and temperature i ould you periom next? inister 20 mL/kg of isotonic crystalloid over 5 to 10 minutes as been established, and blood cultures have been obtained. Which Administer 20 mL/kg of isotonic crystalloid over 30 minutes C. Administer 10 mL/kg of packed red blood cells D. Obtain a chest x-ray Re

Answer 1

45.

a.Audible inspiratory stridor: Stridor is noisy breathing that occurs due to obstructed air flow through a narrowed airway. It is a sign of respiratory distress in children (Answer)

b.Decreased respiratory effort: Labored breathing results from increased respiratory effort. Decreased respiratory effort is present in patients having central nervous system depression and respiratory arrest.

c.Oxygen saturation of 95%:Oxygen saturation is near to normal

d. Respiratory rate of 8/min:For a 6 year old the normal respiratory rate is about 18-30 breaths /min. Very slow respiratory rates in children suggest imminent respiratory arrest or poisoning with narcotic drug. It is suggestive of decreased respiration. High respiratory rate is seen in respiratory distress.

46.

a.Disordered control of breathing:  Irregular respiratory pattern , Inadequate or irregular respiratory depth and effort ,Normal or decreased air movement are signs of disordered control of breathing.

b.Hypovolemic shock: Tachycardia,Cool skin ,Weak peripheral pulses , Changes in level of consciousness , Delayed capillary refill time and Decreased urine output are signs of hypovolemic shock

c.Lung tissue disease: Increased respiratory rate and effort ,Decreased air movement , Grunting ,Crackles are signs of lung tissue disease.

d.Upper airway obstruction: Common causes of upper airway obstruction are  edema of the oropharynx and larynx, trauma, foreign body, and infection. Here most of the cookies contain nuts which has triggered allergic response which may have caused inflammation in upper airway leading to difficulty in breathing.(Answer)

47. Normal oxygen saturation is about 95% to 100%

a. 88% with 4 l oxygen: Maintaining saturation of 88-92% with 4 L oxygen is considered satisfactory

b. 95% on room air : Normal

c.96% on room air : Normal

d.97% on 50% of oxygen: 50% oxygen is receiving about 6 – 10 litres of oxygen .So with this high amount of oxygen via mask gives saturation of 97% only . So it is considered abnormal.(Answer)