NCLEX Peds – the Respiratory system (part 1)

peds respiratory

peds respiratory

I hope you enjoyed your weekend and an extra day off.  This week we continue our peds topics as we review the respiratory system. I have already mentioned that I worked on Peds for a year and most of the patients I had were dealing with some kind of respiratory issue. We only have a few days left in our May discounts.

Here are the post posting topics we’ve gone over –

This is reviewed in depth in Saunders chapter 39 – page 463 (in the 7th edition).

Respiratory Overview – a great overview of Peds respiratory – if you read nothing else from the next two days, please review this –


The difference between croup and Epiglottitis – bacterial from of croup.

  • Croup s/s

    • Viral
    • Fever
    • Hoarseness
    • Resonant cough
    • Stridor (inspiratory)
    • Risk for significant narrowing airway with inflammation
    • Humidity for treatment
  • Epiglotitis s/s

    • Bacterial
    • High fever
    • Rapidly progressive course
    • Dysphagia
    • Drooling
    • Dysphonia
    • Distressed inspiratory efforts
    • Antibiotics needed
  • Maintain patent airway
    • Oxygen with humidification
    • Keep resuscitation equipment at the bedside
    • Provide mist – Cool mist humidifier or running hot water in closed bathroom
    • Take out into cool, humid night air
  • Meet fluid and nutritional needs
    • Cool, noncarbonated, non-acid drinks
    • Assess for difficulty swallowing – may need IV therapy
  • Keep quiet as possible

Meds – Beta-agonist – racemic epinephrine, Albuterol

  • Corticosteroids




RSV (one of my big issued on Peds) –

In depth –



Teaching for the parents –


Asthma –

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