RSV versus asthma

I am a:

• resident

• nurse

• medical student

• other

Which of the following is evidence-based therapy for an infant with low grade fever, rhinorrhea, cough, tachypnea, and wheezing, who is positive for RSV?

• Albuterol

• Antibiotics

• Corticosteroids

• Oxygen, suctioning, supportive care

Which of the following is the most likely side effect of magnesium sulfate infusion as an adjunct therapy in a child with status asthmaticus?

• Muscle fasiculation

• Hypotension

• Torsades de Pointes

• Hyperglycemia

True or False: An oxygen saturation of 88% is acceptable when a patient is sleepin g

• True

• False

Which of the following findings is expected on the chest radiograph of a child with status asthmaticus?

• Flattened diaphragms

• Pleural Effusion

• Hypoexpansion

• Widened Cardiac Silhouette

A 4-year old boy is admitted with an acute asthma exacerbation. He keeps taking off his nasal cannula and has resultant hypoxia. What is the best intervention?

• Switch the cannula to a face mask

• Offer him a popsicle to keep the mask on

• Involve child life to provide a puzzle, crayons, and coloring book for distraction

• Discontinue the oxygen

What is the appropriate initial flow rate for a 10 kg patient on High Flow Nasal Cannula?

• 10 L

• 20 L

• 5L

• 8L

A 4 month old ex 28 week premie weighing 4 kg is admitted with bronchiolitis and respiratory distress. He is tachypneic with RR of 80 and is having frequent apneic events, which respond to stimulation. He is currently receiving oxygen by nasal cannula at 2 LPM. What is the next best step in management?

• Administer continuous albuterol

• Increase nasal cannula to 5 LPM

• Apply non-rebreather

• Apply heated high flow nasal cannula system

According the the ECHU Health Policy, patients between that ages of ________ can have high flow nasal cannula on the floor:

• birth-2 years of age

• 2 to 24 months of age

• greater than 24 months of age

• 12 years or less

Which of the following are reasons to consider using high flow nasal cannula on the pediatric unit (choose all that apply):

• Primary Diagnosis of Bronchiolitis

• Respiratory Score greater than or equal to 5 with no improvement after supportive care

• Altered Mental Status

• History of Intubation for Respiratory Failure