The Children are very vulnerable to get affected with respiratory disease.
In our country, the respiratory Disease conditions are consider as major cause for mortality and Morbidity in Child.
Here are the definitions and explanation requested:
Croup syndrome is a respiratory illness characterized by inspiratory stridor, cough, and hoarseness caused by inflammation and obstruction of the larynx, trachea, and major bronchi.
Pleurisy is defined as inflammation of the pleura, the thin membrane that lines the chest cavity and covers the lungs. It is also called pleuritis.
The causes of pleurisy include:
- Respiratory infections like pneumonia, tuberculosis, and other bacterial or viral infections that can cause inflammation of the pleura.
- Immune disorders such as systemic lupus erythematosus and rheumatoid arthritis where excess fluid builds up in the pleural space
1. Pneumonia is a leading cause of death in children worldwide, killing 1.6 million children per year. It is commonly caused by bacteria, viruses, or fungi and risk factors include malnutrition, indoor air pollution, and parental smoking.
2. Clinical features may include fever, cough, difficulty breathing, and abnormal chest exam or X-ray findings. Treatment involves antibiotics for bacterial cases, supportive care, and prevention through immunizations.
3. Asthma is a common chronic respiratory condition in children characterized by airway inflammation and hyperresponsiveness leading to wheezing, coughing, and shortness of breath. It has both genetic and environmental triggers and treatment involves bronchodilators, steroids, and
Pneumonia is an inflammation of the lungs that can be caused by viruses or bacteria. In children, the most common causes are respiratory syncytial virus (RSV), pneumococcus, and staphylococcus aureus. Risk factors include underlying lung diseases, anatomic problems, immunodeficiencies, poverty, and lack of immunization. Diagnosis is based on cough and fast breathing. Chest x-rays can identify abnormalities. Treatment involves antibiotics, oxygen, fluids, and admission for severe cases. Prevention includes vaccination, breastfeeding, good nutrition, and avoiding indoor smoking.
This document provides information on lower respiratory tract infections (LRTI) in children, specifically acute bronchitis, bronchiolitis, and pneumonia. It defines each condition, discusses causes and risk factors, clinical presentation, diagnostic testing, and treatment approaches. Acute bronchitis involves inflammation of the bronchi and causes symptoms like cough and wheezing. Bronchiolitis commonly affects infants under 6 months and is usually caused by viruses like RSV. Pneumonia can be bacterial, viral, fungal, or other causes, and manifests as inflammation and consolidation in the lungs. Diagnosis is based on symptoms, chest x-ray, and microbiological testing. Management involves antibiotics, antivirals, or antifung
Acute bronchitis is an inflammation of the air passages in the lungs that is usually caused by a viral infection such as a cold or the flu. It causes coughing and other breathing problems that typically last around two weeks. While it is usually not a serious illness, it can sometimes be caused by bacterial infections or pollution. Diagnosis involves examining symptoms and listening to the lungs for abnormal sounds. Treatment focuses on relieving symptoms through rest, fluids, medication, and avoiding irritants. Complications are rare in otherwise healthy children.
Stridor is a harsh sound caused by partial obstruction of the upper airway. Common causes include viral infections like croup. The severity of obstruction can be assessed clinically by characteristics of stridor and degree of chest retraction. Complete obstruction can cause cyanosis and reduced consciousness. Viral croup accounts for over 95% of laryngotracheal infections and usually occurs in children aged 6 months to 6 years, peaking at age 2.
Here are the definitions and explanation requested:
Croup syndrome is a respiratory illness characterized by inspiratory stridor, cough, and hoarseness caused by inflammation and obstruction of the larynx, trachea, and major bronchi.
Pleurisy is defined as inflammation of the pleura, the thin membrane that lines the chest cavity and covers the lungs. It is also called pleuritis.
The causes of pleurisy include:
- Respiratory infections like pneumonia, tuberculosis, and other bacterial or viral infections that can cause inflammation of the pleura.
- Immune disorders such as systemic lupus erythematosus and rheumatoid arthritis where excess fluid builds up in the pleural space
1. Pneumonia is a leading cause of death in children worldwide, killing 1.6 million children per year. It is commonly caused by bacteria, viruses, or fungi and risk factors include malnutrition, indoor air pollution, and parental smoking.
2. Clinical features may include fever, cough, difficulty breathing, and abnormal chest exam or X-ray findings. Treatment involves antibiotics for bacterial cases, supportive care, and prevention through immunizations.
3. Asthma is a common chronic respiratory condition in children characterized by airway inflammation and hyperresponsiveness leading to wheezing, coughing, and shortness of breath. It has both genetic and environmental triggers and treatment involves bronchodilators, steroids, and
Pneumonia is an inflammation of the lungs that can be caused by viruses or bacteria. In children, the most common causes are respiratory syncytial virus (RSV), pneumococcus, and staphylococcus aureus. Risk factors include underlying lung diseases, anatomic problems, immunodeficiencies, poverty, and lack of immunization. Diagnosis is based on cough and fast breathing. Chest x-rays can identify abnormalities. Treatment involves antibiotics, oxygen, fluids, and admission for severe cases. Prevention includes vaccination, breastfeeding, good nutrition, and avoiding indoor smoking.
This document provides information on lower respiratory tract infections (LRTI) in children, specifically acute bronchitis, bronchiolitis, and pneumonia. It defines each condition, discusses causes and risk factors, clinical presentation, diagnostic testing, and treatment approaches. Acute bronchitis involves inflammation of the bronchi and causes symptoms like cough and wheezing. Bronchiolitis commonly affects infants under 6 months and is usually caused by viruses like RSV. Pneumonia can be bacterial, viral, fungal, or other causes, and manifests as inflammation and consolidation in the lungs. Diagnosis is based on symptoms, chest x-ray, and microbiological testing. Management involves antibiotics, antivirals, or antifung
Acute bronchitis is an inflammation of the air passages in the lungs that is usually caused by a viral infection such as a cold or the flu. It causes coughing and other breathing problems that typically last around two weeks. While it is usually not a serious illness, it can sometimes be caused by bacterial infections or pollution. Diagnosis involves examining symptoms and listening to the lungs for abnormal sounds. Treatment focuses on relieving symptoms through rest, fluids, medication, and avoiding irritants. Complications are rare in otherwise healthy children.
Stridor is a harsh sound caused by partial obstruction of the upper airway. Common causes include viral infections like croup. The severity of obstruction can be assessed clinically by characteristics of stridor and degree of chest retraction. Complete obstruction can cause cyanosis and reduced consciousness. Viral croup accounts for over 95% of laryngotracheal infections and usually occurs in children aged 6 months to 6 years, peaking at age 2.
The document discusses various causes of upper airway obstruction in children, including decreased muscle tone, infections like epiglottitis and croup, and diphtheria. Epiglottitis causes sudden life-threatening obstruction and requires intubation. Croup is usually mild but can progress to respiratory failure. It is commonly caused by viruses and treated with racemic epinephrine, steroids, and supportive care. Spasmodic croup involves acute attacks relieved by steam or epinephrine. Diphtheria must be considered but is now rare with immunization. Prompt recognition and treatment are important to prevent airway obstruction.
Pneumonia is an inflammatory process of the lung parenchyma commonly caused by infectious agents. It is classified according to cause and area involved, and can be community-acquired, hospital-acquired, affect the immunocompromised, or result from aspiration. Symptoms include fever, cough, and shortness of breath. Diagnosis involves chest x-ray, sputum culture, and blood tests. Treatment consists of antibiotics, oxygen therapy, chest physiotherapy, and maintaining fluid and electrolyte balance. Nursing care focuses on airway clearance, respiratory support, infection control, and patient education. Complications can include respiratory failure or sepsis.
The document discusses respiratory infections in children, including upper respiratory tract infections like sinusitis, pharyngitis, and ear infections, as well as lower respiratory tract infections like pneumonia and bronchiolitis. It describes the anatomy of the upper and lower respiratory tract, signs and symptoms of different infections, common causative agents, and treatment approaches.
This document discusses various types and causes of pneumonia in children. It describes the differences between lobar pneumonia, bronchopneumonia, and interstitial pneumonitis. Common infectious causes include respiratory viruses in young children and Streptococcus pneumoniae and Mycoplasma pneumoniae in older children. Clinical features, investigations, treatment, and prognosis are outlined. Pneumonia is a major cause of illness and death in developing countries. Immunizations have reduced cases of pneumonia from certain pathogens.
Pulmonary Complications in pediatric population.pptxSaima Mustafa
This document discusses several common respiratory disorders that affect children, including the common cold, pneumonia, bronchitis, asthma, and sinusitis. It provides details on the causes, symptoms, diagnosis, and treatment of each disorder. The common cold is usually caused by rhinoviruses and can be treated with rest, hydration, and over-the-counter medications. Pneumonia often requires antibiotics and can have serious complications. Bronchitis is usually acute and viral in children and treated with supportive care. Asthma is a chronic inflammatory lung disease treated with inhalers and medications. Sinusitis causes nasal congestion and pain and its causes include viral infections, allergies, and anatomical abnormalities.
This document discusses acute respiratory infections (ARIs) in children. It begins by stating that ARIs are a leading cause of childhood morbidity and mortality, especially where medical care is unavailable. It then defines ARIs and classifies them as either upper respiratory tract infections (URIs) or lower respiratory tract infections (LRIs). Examples of common URIs are then provided, such as rhinitis, sinusitis, tonsillitis, and laryngitis. Examples of common LRIs in children, such as pneumonia and bronchiolitis, are also described. Finally, the document outlines signs and symptoms of ARIs, diagnostic tests, management approaches, and nursing care considerations for children with ARIs.
Pneumonia is an infection of the lungs. The air sacs in the lungs (called alveoli) fill up with pus and other fluid, which makes it hard for oxygen to reach the bloodstream.
Someone with pneumonia may have a fever, cough, or trouble breathing.
Respiratory disorders are the most common illnesses affecting children. They account for half of pediatric primary care visits and one-third of hospital admissions. The most frequent respiratory infections in children are caused by viruses like RSV. Bacterial pathogens like Streptococcus pneumoniae also commonly cause pneumonia. Conditions range from mild upper respiratory infections to serious illnesses like bronchiolitis and pneumonia that occasionally require hospitalization. Proper management depends on the specific pathogen, age of the child, and severity of symptoms.
This document discusses acute respiratory infections (ARIs) in children, which are the most common causes of illness and mortality in children under five years old. It covers both upper respiratory infections like the common cold, rhinosinusitis, sore throat, and ear infections as well as lower respiratory infections like pneumonia, croup, and bronchiolitis. For each condition, it discusses causes, signs and symptoms, investigations, management including medications, and criteria for hospitalization. The goal is to provide guidance on diagnosing and treating the various ARIs that commonly affect children.
The document summarizes respiratory diseases and conditions. It begins with an introduction to the respiratory system and its functions. It then discusses various respiratory diseases including sinusitis, viral upper respiratory infections, pneumonia, bronchitis, bronchiolitis, asthma, and classifications of respiratory diseases. For each condition, it describes clinical findings, management, and in some cases oral health considerations. The highest level information is that the document classifies and describes several common respiratory diseases and infections, focusing on symptoms, causes, and treatment approaches for each.
This document discusses noisy breathing in children. It defines noisy breathing as hearable breathing due to obstruction of the upper or lower airways. The document outlines the anatomy of the respiratory system and describes three main types of noisy breathing: stridor, wheeze, and grunting. It discusses common causes, clinical presentation, diagnosis, and treatment of conditions that can cause noisy breathing such as croup, bronchiolitis, asthma, pneumonia, and epiglottitis.
This document discusses noisy breathing in children. It defines noisy breathing as hearable breathing due to obstruction of the upper or lower airways. The document outlines the anatomy of the respiratory system and describes three main types of noisy breathing: stridor, wheeze, and grunting. It then discusses various causes, clinical presentations, diagnostic approaches, and treatment options for different conditions that can cause noisy breathing in children such as croup, bronchiolitis, asthma, pneumonia, and epiglottitis.
Dental consideration in respiratory disorders/prosthodontic coursesIndian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Dental consideration in respiratory disorders/ dental crown & bridge coursesIndian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Evaluation And Management Of Upper Respiratory Tract Infections In Children Dawood Al nasser
Evaluation And Management Of Upper Respiratory Tract Infections In Children
This presentation offers helpful comparison tables, please note that some recommendation might have changed since preparation and publication of this material.
This document provides information about respiratory tract diseases presented by a group of students. It begins with welcoming the audience and introducing the group members. Then it provides definitions of respiratory tract diseases and describes the anatomy and locations of the respiratory system. Next, it discusses five common respiratory diseases in detail - common cold, asthma, tuberculosis, pneumonia, and bronchiolitis. For each disease, it covers the definition, causes, signs/symptoms, diagnosis, treatment, and prevention. In closing, it thanks the audience for their time.
This document discusses several common respiratory disorders in children. It begins by noting that respiratory illnesses are frequent in young children, with most cases being mild. However, around one third of pediatric hospitalizations are due to more severe respiratory problems like asthma and pneumonia. The document then outlines different categories of respiratory disorders including acute issues like bronchitis, bronchiolitis, and pneumonia as well as chronic conditions such as tuberculosis and cystic fibrosis. Specific acute upper and lower respiratory diseases are defined and their symptoms, causes, diagnosis, and treatment are described. The document closes by focusing on apnea of prematurity, its risk factors, types, management, and typical resolution.
Community Acquired Pneumonia in Children (for undergraduate studens)Dr Anand Singh
Pneumonia is a common lung infection in children characterized by fever, respiratory symptoms, and evidence of lung involvement on physical exam or chest imaging. It can be caused by bacteria, viruses, or other pathogens. Clinical features include tachypnea, cough, hypoxemia, and abnormal breath sounds. Chest x-ray is used to confirm the diagnosis. Treatment involves antibiotics, oxygen, and hospitalization for severe cases. Prevention strategies include vaccination, hand hygiene, and reducing hospital-acquired infections.
This document provides information on the diagnosis and management of pneumonia in children. It begins with definitions of pneumonia and epidemiological information, noting that pneumonia is a leading cause of death in children under 5 globally. It then discusses clinical classification of pneumonia based on location (community acquired vs hospital acquired) and causative pathogens by age. Clinical presentation is outlined based on age. The diagnostic approach involves physical exam, selected imaging and labs. Criteria for hospitalization are provided. Treatment sections cover supportive care, empiric antibiotic regimens by age and syndrome severity. The document concludes with prevention recommendations including immunization, zinc supplementation and hand hygiene.
The biomechanics of running involves the study of the mechanical principles underlying running movements. It includes the analysis of the running gait cycle, which consists of the stance phase (foot contact to push-off) and the swing phase (foot lift-off to next contact). Key aspects include kinematics (joint angles and movements, stride length and frequency) and kinetics (forces involved in running, including ground reaction and muscle forces). Understanding these factors helps in improving running performance, optimizing technique, and preventing injuries.
Understanding Atherosclerosis Causes, Symptoms, Complications, and Preventionrealmbeats0
Definition: Atherosclerosis is a condition characterized by the buildup of plaques, which are made up of fat, cholesterol, calcium, and other substances, in the walls of arteries. Over time, these plaques harden and narrow the arteries, restricting blood flow.
Importance: This condition is a major contributor to cardiovascular diseases, including coronary artery disease, carotid artery disease, and peripheral artery disease. Understanding atherosclerosis is crucial for preventing these serious health issues.
Overview: We will cover the aims and objectives of this presentation, delve into the signs and symptoms of atherosclerosis, discuss its complications, and explore preventive measures and lifestyle changes that can mitigate risk.
Aim: To provide a detailed understanding of atherosclerosis, encompassing its pathophysiology, risk factors, clinical manifestations, and strategies for prevention and management.
Purpose: The primary purpose of this presentation is to raise awareness about atherosclerosis, highlight its impact on public health, and educate individuals on how they can reduce their risk through lifestyle changes and medical interventions.
Educational Goals:
Explain the pathophysiology of atherosclerosis, including the processes of plaque formation and arterial hardening.
Identify the risk factors associated with atherosclerosis, such as high cholesterol, hypertension, smoking, diabetes, and sedentary lifestyle.
Discuss the clinical signs and symptoms that may indicate the presence of atherosclerosis.
Highlight the potential complications arising from untreated atherosclerosis, including heart attack, stroke, and peripheral artery disease.
Provide practical advice on preventive measures, including dietary recommendations, exercise guidelines, and the importance of regular medical check-ups.
More Related Content
Similar to RESPIRATORY DISEASES by bhavya kelavadiya
The document discusses various causes of upper airway obstruction in children, including decreased muscle tone, infections like epiglottitis and croup, and diphtheria. Epiglottitis causes sudden life-threatening obstruction and requires intubation. Croup is usually mild but can progress to respiratory failure. It is commonly caused by viruses and treated with racemic epinephrine, steroids, and supportive care. Spasmodic croup involves acute attacks relieved by steam or epinephrine. Diphtheria must be considered but is now rare with immunization. Prompt recognition and treatment are important to prevent airway obstruction.
Pneumonia is an inflammatory process of the lung parenchyma commonly caused by infectious agents. It is classified according to cause and area involved, and can be community-acquired, hospital-acquired, affect the immunocompromised, or result from aspiration. Symptoms include fever, cough, and shortness of breath. Diagnosis involves chest x-ray, sputum culture, and blood tests. Treatment consists of antibiotics, oxygen therapy, chest physiotherapy, and maintaining fluid and electrolyte balance. Nursing care focuses on airway clearance, respiratory support, infection control, and patient education. Complications can include respiratory failure or sepsis.
The document discusses respiratory infections in children, including upper respiratory tract infections like sinusitis, pharyngitis, and ear infections, as well as lower respiratory tract infections like pneumonia and bronchiolitis. It describes the anatomy of the upper and lower respiratory tract, signs and symptoms of different infections, common causative agents, and treatment approaches.
This document discusses various types and causes of pneumonia in children. It describes the differences between lobar pneumonia, bronchopneumonia, and interstitial pneumonitis. Common infectious causes include respiratory viruses in young children and Streptococcus pneumoniae and Mycoplasma pneumoniae in older children. Clinical features, investigations, treatment, and prognosis are outlined. Pneumonia is a major cause of illness and death in developing countries. Immunizations have reduced cases of pneumonia from certain pathogens.
Pulmonary Complications in pediatric population.pptxSaima Mustafa
This document discusses several common respiratory disorders that affect children, including the common cold, pneumonia, bronchitis, asthma, and sinusitis. It provides details on the causes, symptoms, diagnosis, and treatment of each disorder. The common cold is usually caused by rhinoviruses and can be treated with rest, hydration, and over-the-counter medications. Pneumonia often requires antibiotics and can have serious complications. Bronchitis is usually acute and viral in children and treated with supportive care. Asthma is a chronic inflammatory lung disease treated with inhalers and medications. Sinusitis causes nasal congestion and pain and its causes include viral infections, allergies, and anatomical abnormalities.
This document discusses acute respiratory infections (ARIs) in children. It begins by stating that ARIs are a leading cause of childhood morbidity and mortality, especially where medical care is unavailable. It then defines ARIs and classifies them as either upper respiratory tract infections (URIs) or lower respiratory tract infections (LRIs). Examples of common URIs are then provided, such as rhinitis, sinusitis, tonsillitis, and laryngitis. Examples of common LRIs in children, such as pneumonia and bronchiolitis, are also described. Finally, the document outlines signs and symptoms of ARIs, diagnostic tests, management approaches, and nursing care considerations for children with ARIs.
Pneumonia is an infection of the lungs. The air sacs in the lungs (called alveoli) fill up with pus and other fluid, which makes it hard for oxygen to reach the bloodstream.
Someone with pneumonia may have a fever, cough, or trouble breathing.
Respiratory disorders are the most common illnesses affecting children. They account for half of pediatric primary care visits and one-third of hospital admissions. The most frequent respiratory infections in children are caused by viruses like RSV. Bacterial pathogens like Streptococcus pneumoniae also commonly cause pneumonia. Conditions range from mild upper respiratory infections to serious illnesses like bronchiolitis and pneumonia that occasionally require hospitalization. Proper management depends on the specific pathogen, age of the child, and severity of symptoms.
This document discusses acute respiratory infections (ARIs) in children, which are the most common causes of illness and mortality in children under five years old. It covers both upper respiratory infections like the common cold, rhinosinusitis, sore throat, and ear infections as well as lower respiratory infections like pneumonia, croup, and bronchiolitis. For each condition, it discusses causes, signs and symptoms, investigations, management including medications, and criteria for hospitalization. The goal is to provide guidance on diagnosing and treating the various ARIs that commonly affect children.
The document summarizes respiratory diseases and conditions. It begins with an introduction to the respiratory system and its functions. It then discusses various respiratory diseases including sinusitis, viral upper respiratory infections, pneumonia, bronchitis, bronchiolitis, asthma, and classifications of respiratory diseases. For each condition, it describes clinical findings, management, and in some cases oral health considerations. The highest level information is that the document classifies and describes several common respiratory diseases and infections, focusing on symptoms, causes, and treatment approaches for each.
This document discusses noisy breathing in children. It defines noisy breathing as hearable breathing due to obstruction of the upper or lower airways. The document outlines the anatomy of the respiratory system and describes three main types of noisy breathing: stridor, wheeze, and grunting. It discusses common causes, clinical presentation, diagnosis, and treatment of conditions that can cause noisy breathing such as croup, bronchiolitis, asthma, pneumonia, and epiglottitis.
This document discusses noisy breathing in children. It defines noisy breathing as hearable breathing due to obstruction of the upper or lower airways. The document outlines the anatomy of the respiratory system and describes three main types of noisy breathing: stridor, wheeze, and grunting. It then discusses various causes, clinical presentations, diagnostic approaches, and treatment options for different conditions that can cause noisy breathing in children such as croup, bronchiolitis, asthma, pneumonia, and epiglottitis.
Dental consideration in respiratory disorders/prosthodontic coursesIndian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Dental consideration in respiratory disorders/ dental crown & bridge coursesIndian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Evaluation And Management Of Upper Respiratory Tract Infections In Children Dawood Al nasser
Evaluation And Management Of Upper Respiratory Tract Infections In Children
This presentation offers helpful comparison tables, please note that some recommendation might have changed since preparation and publication of this material.
This document provides information about respiratory tract diseases presented by a group of students. It begins with welcoming the audience and introducing the group members. Then it provides definitions of respiratory tract diseases and describes the anatomy and locations of the respiratory system. Next, it discusses five common respiratory diseases in detail - common cold, asthma, tuberculosis, pneumonia, and bronchiolitis. For each disease, it covers the definition, causes, signs/symptoms, diagnosis, treatment, and prevention. In closing, it thanks the audience for their time.
This document discusses several common respiratory disorders in children. It begins by noting that respiratory illnesses are frequent in young children, with most cases being mild. However, around one third of pediatric hospitalizations are due to more severe respiratory problems like asthma and pneumonia. The document then outlines different categories of respiratory disorders including acute issues like bronchitis, bronchiolitis, and pneumonia as well as chronic conditions such as tuberculosis and cystic fibrosis. Specific acute upper and lower respiratory diseases are defined and their symptoms, causes, diagnosis, and treatment are described. The document closes by focusing on apnea of prematurity, its risk factors, types, management, and typical resolution.
Community Acquired Pneumonia in Children (for undergraduate studens)Dr Anand Singh
Pneumonia is a common lung infection in children characterized by fever, respiratory symptoms, and evidence of lung involvement on physical exam or chest imaging. It can be caused by bacteria, viruses, or other pathogens. Clinical features include tachypnea, cough, hypoxemia, and abnormal breath sounds. Chest x-ray is used to confirm the diagnosis. Treatment involves antibiotics, oxygen, and hospitalization for severe cases. Prevention strategies include vaccination, hand hygiene, and reducing hospital-acquired infections.
This document provides information on the diagnosis and management of pneumonia in children. It begins with definitions of pneumonia and epidemiological information, noting that pneumonia is a leading cause of death in children under 5 globally. It then discusses clinical classification of pneumonia based on location (community acquired vs hospital acquired) and causative pathogens by age. Clinical presentation is outlined based on age. The diagnostic approach involves physical exam, selected imaging and labs. Criteria for hospitalization are provided. Treatment sections cover supportive care, empiric antibiotic regimens by age and syndrome severity. The document concludes with prevention recommendations including immunization, zinc supplementation and hand hygiene.
Similar to RESPIRATORY DISEASES by bhavya kelavadiya (20)
The biomechanics of running involves the study of the mechanical principles underlying running movements. It includes the analysis of the running gait cycle, which consists of the stance phase (foot contact to push-off) and the swing phase (foot lift-off to next contact). Key aspects include kinematics (joint angles and movements, stride length and frequency) and kinetics (forces involved in running, including ground reaction and muscle forces). Understanding these factors helps in improving running performance, optimizing technique, and preventing injuries.
Understanding Atherosclerosis Causes, Symptoms, Complications, and Preventionrealmbeats0
Definition: Atherosclerosis is a condition characterized by the buildup of plaques, which are made up of fat, cholesterol, calcium, and other substances, in the walls of arteries. Over time, these plaques harden and narrow the arteries, restricting blood flow.
Importance: This condition is a major contributor to cardiovascular diseases, including coronary artery disease, carotid artery disease, and peripheral artery disease. Understanding atherosclerosis is crucial for preventing these serious health issues.
Overview: We will cover the aims and objectives of this presentation, delve into the signs and symptoms of atherosclerosis, discuss its complications, and explore preventive measures and lifestyle changes that can mitigate risk.
Aim: To provide a detailed understanding of atherosclerosis, encompassing its pathophysiology, risk factors, clinical manifestations, and strategies for prevention and management.
Purpose: The primary purpose of this presentation is to raise awareness about atherosclerosis, highlight its impact on public health, and educate individuals on how they can reduce their risk through lifestyle changes and medical interventions.
Educational Goals:
Explain the pathophysiology of atherosclerosis, including the processes of plaque formation and arterial hardening.
Identify the risk factors associated with atherosclerosis, such as high cholesterol, hypertension, smoking, diabetes, and sedentary lifestyle.
Discuss the clinical signs and symptoms that may indicate the presence of atherosclerosis.
Highlight the potential complications arising from untreated atherosclerosis, including heart attack, stroke, and peripheral artery disease.
Provide practical advice on preventive measures, including dietary recommendations, exercise guidelines, and the importance of regular medical check-ups.
CLASSIFICATION OF H1 ANTIHISTAMINICS-
FIRST GENERATION ANTIHISTAMINICS-
1)HIGHLY SEDATIVE-DIPHENHYDRAMINE,DIMENHYDRINATE,PROMETHAZINE,HYDROXYZINE 2)MODERATELY SEDATIVE- PHENARIMINE,CYPROHEPTADINE, MECLIZINE,CINNARIZINE
3)MILD SEDATIVE-CHLORPHENIRAMINE,DEXCHLORPHENIRAMINE
TRIPROLIDINE,CLEMASTINE
SECOND GENERATION ANTIHISTAMINICS-FEXOFENADINE,
LORATADINE,DESLORATADINE,CETIRIZINE,LEVOCETIRIZINE,
AZELASTINE,MIZOLASTINE,EBASTINE,RUPATADINE. Mechanism of action of 2nd generation antihistaminics-
These drugs competitively antagonize actions of
histamine at the H1 receptors.
Pharmacological actions-
Antagonism of histamine-The H1 antagonists effectively block histamine induced bronchoconstriction, contraction of intestinal and other smooth muscle and triple response especially wheal, flare and itch. Constriction of larger blood vessel by histamine is also antagonized.
2) Antiallergic actions-Many manifestations of immediate hypersensitivity (type I reactions)are suppressed. Urticaria, itching and angioedema are well controlled.3) CNS action-The older antihistamines produce variable degree of CNS depression.But in case of 2nd gen antihistaminics there is less CNS depressant property as these cross BBB to significantly lesser extent.
4) Anticholinergic action- many H1 blockers
in addition antagonize muscarinic actions of ACh. BUT IN 2ND gen histaminics there is Higher H1 selectivitiy : no anticholinergic side effects
Emotion-Focused Couples Therapy - Marital and Family Therapy and Counselling ...PsychoTech Services
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
Fexofenadine is sold under the brand name Allegra.
It is a selective peripheral H1 blocker. It is classified as a second-generation antihistamine because it is less able to pass the blood–brain barrier and causes lesser sedation, as compared to first-generation antihistamines.
It is on the World Health Organization's List of Essential Medicines. Fexofenadine has been manufactured in generic form since 2011.
Storyboard on Skin- Innovative Learning (M-pharm) 2nd sem. (Cosmetics)MuskanShingari
Skin is the largest organ of the human body, serving crucial functions that include protection, sensation, regulation, and synthesis. Structurally, it consists of three main layers: the epidermis, dermis, and hypodermis (subcutaneous layer).
1. **Epidermis**: The outermost layer primarily composed of epithelial cells called keratinocytes. It provides a protective barrier against environmental factors, pathogens, and UV radiation.
2. **Dermis**: Located beneath the epidermis, the dermis contains connective tissue, blood vessels, hair follicles, and sweat glands. It plays a vital role in supporting and nourishing the epidermis, regulating body temperature, and housing sensory receptors for touch, pressure, temperature, and pain.
3. **Hypodermis**: Also known as the subcutaneous layer, it consists of fat and connective tissue that anchors the skin to underlying structures like muscles and bones. It provides insulation, cushioning, and energy storage.
Skin performs essential functions such as regulating body temperature through sweat production and blood flow control, synthesizing vitamin D when exposed to sunlight, and serving as a sensory interface with the external environment.
Maintaining skin health is crucial for overall well-being, involving proper hygiene, hydration, protection from sun exposure, and avoiding harmful substances. Skin conditions and diseases range from minor irritations to chronic disorders, emphasizing the importance of regular care and medical attention when needed.
3. Introduction:
Respiratory diseases are very often found in
children, especially the respiratory infections.
It is one of the leading cause of morbidity and
mortality among young children.
The important risk factors associated with
respiratory disease include mal-nutrition, LBW,
climatic variation especially in winter and rainy
season, overcrowding houses, poor
ventilation, air pollution, lack of ENV sanitation
and poor socioeconomic condition.
4. The common C/F related to respiratory diseases are
cough, dyspnea, expectoration, chest indrawing, chest
pain, cyanosis and respiratory sound like wheezing,
stridor, grunting and snoring.
Apnea, air hunger and flaring of alae nasi may also
present.
In chronic cases hemoptysis, clubbing and associated
cardiac or neurological symptoms may be found.
Special diagnostic procedures in the patients with
respiratory diseases can be done to confirm the
diagnosis.
They include ABG analysis, blood examination,
examination of body secretion, radiology, MRI, USG,
direct laryngoscopy, pulmonary function test,
bronchoscopy, lung biopsy, sweat chloride in cystic
fibrosis etc.
8. ARI and its complications are most frequent conditions
of acute illness in infants and children.
In india , ARI is one of the major cause of childhood
death.
It is also one of the major reason for which children are
brought to the hospitals and health facilities.
About 13% of inpatient death in pediatric wards is due to
ARI.
The proportion of death due to ARI in community is much
higher as many children die at home.
Most children have 3-5 attacks of ARI in each year.
Many of these infections run their natural course without
specific treatment and without complication.
9. DEFINITION:
ARI are an acute infection of any part of the respiratory
tract and related structures including para-nasal sinuses,
middle ear and pleural cavity.
It may cause inflammation of respiratory tract anywhere
from nose to alveoli with wide range of combination of
symptoms and signs.
It include all infections of less than 30 days duration, except
the infection of ear lasting less than 14 days.
The incidence of ARI is highest in young children,
especially below 5 yr of age and decreases with the
increasing age.
10. Classification:
Depending upon the site of infection:
A. Acute upper respiratory infections: These include
common cold, rhinitis, nasopharyngitis, pharyngitis and
otitis media.
B. Acute lower respiratory infections: these include
epiglottitis, laryngitis, bronchitis, bronchiolitis and
pneumonia.
Depending upon the anatomical involvement:
A. Broncho pneumonia: patchy involvement of lungs
B. Lobar pneumonia: one or more lobes of lungs involved
C. Pneumonitis or interstitial pneumonia : alveoli or
interstitial tissue between them affected.
11. Depending upon the severity of infection( WHO
recommendation):
a) For the infant below 2 month:
No pneumonia
Severe pneumonia
Very severe disease
b) For the child aged 2 month upto 5 years:
No pneumonia
Pneumonia(not severe)
Severe pneumonia
Very severe disease
13. There are several different causes of
acute respiratory infection.
a) Causes of upper respiratory infection:
acute pharyngitis
acute ear infection
common cold
b)Causes of lower respiratory infection:
bronchitis
pneumonia
bronchiolitis
15. WHO recommendation, the features of lower
respiratory infections can be grouped as follows:
Only cough and cold indicates no pneumonia.
Fast breathing: increased RR with the presence of cough
and cold
40 b/m or more- 1-5yr
50 b/m or more- 2- 12 month
60b/m or more – less than 2 month
Chest indrawing with or without fast breathing indicates
severe pneumonia.
(other sign with severe pneumonia include nasal flaring,
cyanosis, grunting or wheezing sound)
Very severe disease is indicated by the presence of danger
sign like inability to drink, excessive drowsiness, stridor in
calm child, apnea, fever, convulsion.
16. Diagnostic evaluation:
Examination of clinical features
Detailed history taking
Auscultation of chest sound
X-rays
Spirometry
ABG analysis
Blood analysis
Sputum test
18. Management:
Rx depends upon type of illness, severity of infections
and associated complications. The standard treatment
for childhood ARI is recommended by National ARI
Control Program especially for primary health care
setting.
The child with NO PNUEMONIA can be treated at
home with home remedies for symptomatic treatment
and does not require antibiotic therapy.
The child with PNUEMONIA can be treated in OPD
with antibiotics and other symptomatic Rx like
antipyretic and bronchodilators.
The child with SEVERE PNEUMONIA should be
hospitalized urgently and requires parenteral
antibiotics with symptomatic treatment.
The child with VERY SEVERE PNEUMONIA needs
immediate hospitalization , antibiotic theraphy and O2
therapy.
19. Nursing management
ASSESSMENT
Assessment of respiratory dysfunction in children
includes health history, physical examination, and
laboratory or diagnostic testing.
Health History
Physical Examination
Physical examination of the respiratory system includes
inspection and observation, auscultation, percussion,
and palpation.
Inspection and Observation
Color. Observe the child’s color, noting pallor or
cyanosis (circumoral or central). Pallor (pale
appearance) occurs as a result of peripheral
vasoconstriction in an effort to conserve oxygen for
vital functions. Cyanosis (a bluish tinge to the skin)
occurs as a result of hypoxia
20. Note the rate and depth of respiration as well as work of
breathing. Often the first sign of respiratory illness in
infants and children is tachypnea .
Auscultation
Assess lung sounds via auscultation. Evaluate breath
sounds over the anterior and posterior chest, as well as
in the axillary areas. Breath sounds should be equal
bilaterally. The intensity and pitch should be equal
throughout the lungs. Prolonged expiration is a sign of
bronchial or bron- chiolar obstruction.
Wheezing, a high-pitched sound that usually occurs on
expiration, results from obstruction in the lower trachea
or bronchioles. Wheezing that clears with coughing is
most likely a result of secretions in the lower trachea.
21. Wheezing resulting from obstruction of the
bronchioles, as in bronchiolitis, asthma,
chronic lung disease, or cystic fibro- sis, that
does not clear with coughing. Rales
(crackling sounds) result when the alveoli
become fluid-filled, such as in pneumonia.
Interventions:
Position with airway open (sniffing position if
supine): open airway allows adequate
ventilation.
Humidify oxygen or room air and ensure
adequate fluid intake (intravenous or oral) to
help liquefy secretions for ease in clearance.
22. Suction with bulb syringe or via nasopharyngeal
catheter as needed, particularly prior to bottle-
feeding to promote clearance of secretions.
If tachypneic, maintain NPO status to avoid risk of
aspiration.
In older child, encourage expectoration of sputum
with coughing to promote airway clearance.
Perform chest physiotherapy if ordered to
mobilize secretions.
Ensure emergency equipment is readily availa ble
to avoid delay should airway become
unmaintainable
23. SINUSITIS
Sinusitis is an infection
of the sinuses.
The infection usually
occurs after a cold or
after allergic
inflammation.
24. Nasopharyngitis
It is also known as
common cold or
rhinosinusitis.
it is an inflammation of
nasopharynx.
It is usually caused by
virus that inflammes
the membrane lining of
nose and throat.
25. Stridor
It is high pitched
sound that usually
heard when a
child breathes in.
It usually cause
by obstruction or
narrowing of
child’s upper
respiratory path.
26. Pharyngitis and Tonsillitis
Pharyngitis and tonsillitis are common
co-morbidities that occurs due to
infection and inflammation of the throat.
If the throat is primarily affected, it is
called PHARYNGITIS and if mainly the
tonsils are affected, it is known as
TONSILITIS.
If both throat and tonsils are infected
and inflammed, the condition is known
as PHARYNGOTONSILITIS.
27.
28.
29.
30. Croup
Croup is the syndrome
characterized by
BARKING COUGH,
inspiratory stridor,
horseness and sign
of respiratory
distress which
occurs due to
varying degree of
laryngeal
obstruction.
31. Acute Bronchitis
Inflammation of the
lining of bronchial
tubes, which carry
air to and from the
lungs.
Acute bronchitis is
often caused by a
viral respiratory
infection and
improves by itself.
In children less
than 4 yr of age
33. Clinical features
• Runny nose( before the cough starts)
• Malaise
• Chills
• Fever
• Back and muscle pain
• Sore throat
• Wheezing
• In earlier stages of condition, the child may
experiences a dry non-productive cough which
progresses to excessive mucous filled cough.
36. Bronchiolitis
Bronchiolitis is a
serious illness
characterized by
inflammation of
bronchioles, causing
severe dyspnea.
Bronchiolitis is
almost always
caused by a virus.
Typically, the peak
time for bronchiolitis
is during the winter
months
37. Incidences and Etiology
Bronchiolitis is common in infant under the age
of 6 month.
It is common in winter and early spring days.
The exact etiology is not clear.
Etiologic agent may be viruses such as
respiratory syncytial virus, adenovirus and
influenza virus.
Certain bacteria- pneumococcus, streptococcus
38. Clinical features
Respiratory: fast breathing,
shortness of breath,
wheezing, difficulty
breathing, or shallow
breathing
Whole body: dehydration,
fever, loss of appetite, or
malaise
Also common: coughing or
nasal congestion
39. Diagnostic evaluation
X-ray
x-ray of chest shows
emphysema, prominent
broncho-vascular
markings and small
areas of collaps.
Lungs are characteristically
overinflated and
intercostal space are
wide.
40. Management
O2 administration
Maintaining atmosphere more
saturated with water vapour
Mild sedation and postural
drainage
IV therapy
Antibiotics
Aerosol therapy
41. Bronchiectasis
• Bronchiectasis is a
chronic and permanent
dilation of the bronchi
and bronchioles.
• It develops due to
complete obstruction
by inflammation ,
infection or inhalation
of foreign body.
• Incomplete obstruction
of bronchi may result in
obstructive
emphysema.
• Obstruction may develop due to collection
of thick mucus in case of chronic bronchitis,
bronchial asthma and cystic fibrosis.
42. • Infection and obstruction lead to damage of the
bronchial wall as formation of cultivation and tissue
destruction.
• It causes segmental areas of collapse, which exert
negative pressure on the damaged bronchi leading
them to dilation.
• Collapse, emphysema and pneumonia usually
accompany bronchiectasis.
• The most common site of dilation is left lower lobe.
• Right lower lobe may be affected due to foreign body
and middle lobe due to tuberculosis.
• History of bronchial occlusion and inflammation for a
prolonged period leads to the development of the
condition.
45. Management
Appropriate systematic
antibiotic therapy especially
in acute exacerbation
Clearing secretion and
exudates from air passage
with postural drainage
Bronchodilators
Expectorants
Breathing exercise
46. Nursing intervention
Assessing respiratory status,
signs of complications,
general health and ABG
analysis
Providing rest, comfort and
warm comfortable env.
O2 therapy
Removal of secretion
Oral care
47. Pneumonia
Pneumonia is
defined as an
acute
inflammation
and
consolidation of
lung
parenchyma.
It is 2nd leading
cause of death
in children under
5yr of age.
48. Classification
It can be classified on anatomical and etiologic basis.
A) Classification on ANATOMICAL BASIS:
• Lobar/lobular pneumonia: 1 or more lobes of lungs
are involved
• Interstitial pneumonia: interstitial tissues of lungs are
affected
• Bronchopneumonia: patchy consolidation of lungs
49.
50. B) Classification on an etiological basis:
Bacterial pneumonia: it may be
cause by pneumococcus,
streptococcus, staphylococcus
Viral pneumonia: it is caused by
viruses like influenza, measles,
respiratory syncytial virus
Fungal pneumonia: it may be
caused by histoplasmosis and
coccidiomycosis
Protozoal pneumonia: it is caused
by pneumocystis carnii, toxoplasma
gondii
51. C) Miscellaneous types:
• Aspiration pneumonia: it is caused by
aspiration of food, nasal drops, amniotic fluid by
newborn, water(drowning), and chemicals like
kerosene oil etc.
• Loffler’s pneumonia: it is condition in which
eosinophils accumulate in lungs, in to parasitic
infection.
• Hypersensitivity pneumonitis: it is an
inflammation of alveoli within lungs caused by
hypersensitivity to inhaled dust.
• Hypostatic pneumonia: it results from
collection of fluid in dorsal region of lungs and
occurs especially in those confined to bed for
long time( bedridden)
52. Clinical features:
• Sudden onset
• High fever with chills
• Cough with thick sputum
• Increased respiratory
rate
• Grunting respiration
• Nasal flaring
• Runny nose
• Irritability
• Malaise
• Sore throat
• Anorexia
Late symptoms include:
• Convulsion
• Drowsiness
• Inability to drink from
mouth
• Chest indrowing
• Wheezing
• Horseness of voice
• Cyanosis
• Pleural pain which may
be increased by deep
breathing and referred
to shoulder or abdomen
53. Pathogenesis
Infectious agent foreign
substances aspiration of
gastric contents
Inflammatory reaction of
pulmonary tissues
Edema of
alveolar
membrane
Alveoli fill
with exudate
from
inflammation
Gases cannot
cross edematous
alveolar
membrane
Air cannot enter
fluid-filled alveolar
Hypoxia, Shortness of
breathing
Fatigue
54. Diagnosis evaluation
• History taking
• Chest X-ray= X-ray finding
suggesting
bronchopneumonia include
diffuse patchy consolidation
in lungs. Consolidation is
seen as homogenous
opacity occupying the
anatomic area of a lobe,
usually in one lungs.
• Nasopharynx or throat
culture
• Blood test
55. Management
• Antibiotics- penicillin, amoxicillin and
clavulanic acid and macrolides including
erythromycin, azythromycin and
clorithromycin.
• Antiviral therapy
• Antifungal- fluconazole
56. Nursing management
• Make continuing assessment:
- respiratory rate/patterns
- observe the sign for distress
• Facilitate respiratory effort
- maintain airway and provide high humidity
atmosphere
- place child in semi-fowlers position
- change the positions frequently to prevent
pooling of secretion into the lungs
- adm. Cough suppressants and bronchodilators
• Control fever
• Maintain fluid electrolyte balance along with
nutritional status of the child
• Promote rest and sleep
58. Risk factors/ causes
Babies with a greater risk of are those with
the following conditions:
• Preterm birth, which often leads to
respiratory disease
• The lungs don't develop correctly
(pulmonary hypoplasia)
• Breathing in the first intestinal discharge
(meconium) at birth
• A lung infection (pneumonia)
• Very fast breathing right after birth
(transient tachypnea of the newborn)
59. Classification
• Obstructive emphysema: it occurs due to partial
occlusion of bronchus or a bronchiole in case of
atelectasis, bronchial asthma, lung infection etc
• Compensatory emphysema: it occurs when normal
lung tissue expands to fill up the areas of collapsed
lung segments.
• Congenital lobar emphysema: it is found in
neonates and young children resulting from severe
RD
• Familial emphysema: it is found especially in female
young child as progressive dyspnea, which is
inherited as autosomal recessive trait.
61. Management
Rx is depends upon the cause of the condition.
Symptomatic Rx is important with,
O2 adm
Bronchodilators
Mucolytic agents and antibiotics.
Conservative treatment
Lobectomy
63. • Empyema is the collection of thick pus in the
pleural cavity.
• Empyema is the medical term for pockets of
pus that have collected inside a body
cavity.
• It also termed as PYOTHORAX.
• It developed directly from lungs or from
neighboring structure or through blood.
• It is fair common in infancy.
64. Etiological factors
• infections
• Pneumococcus
• Streptococcus
• H. Influenza, etc
• It may develop following pneumonia, lung
abscess, pulmonary tuberculosis, chest
injury, suppurative lung disease, septicemia
and due to metastatic spread of suppurative
foci from distant lesions such as osteomyelitis
65. Clinical feature
Many children do not have any symptoms of empyema, but they may
have growth failure and some nonspecific symptoms like,
Fever
Cough
Respiratory distress
Chest pain
Diarrhea
Weight loss
Clubbing
Anemia
Other feature malnutrition
Chest signs are found as diminished movement of the affected side,
mediastinal shift to opposite healthy side, widening and dullness of
the intercostal spaces, dull percussion note and diminished air
entry.
66. Diagnostic
evaluation
• History taking
• Physical examination
• Pleural aspiration for
biochemical and
bacteriological
examination.
Complications:
• Bronchopleural fistulas
• Pyopneumothorax
• Lung abscess
• Purulent pericarditis
• Osteomyelitis of rib
• Septicemia
• Meningitis
• arthiritis
67.
68. Management
• Management of empyema should be done with
appropriate antibiotic therapy, inter-coastal drainage
and symptomatic measures.
• Antibiotic therapy should be started as early as
possible and to be continued for 3-4 weeks.
• Commonly used antibiotics are penicillin, cloxacillin,
ampicillin, chloramphenicol, cephalexin etc.
• Continuous closed intercoastal drainage is strongly
recommended for management of empyema rather
than the multiple aspiration of the pleural cavity.
• Surgical drainage after thoracotomy may be needed
to remove the collection, in case of severe
respiratory difficulty.
• Antipyretic
• Analgesics
• Nutritional supplementation
71. • The word “asthma” means Struggling For
Breath.
• Asthma is a chronic inflammatory disease,
characterized by airway obstruction( which
is reversible either spontaneously or with
medication), airway inflammation and an
increased responsiveness of trachea and
bronchi due to various stimuli.
• It is chronic inflammatory disorder of lower
airway due to temporary narrowing of
bronchi by bronchospasm, mucosal edema
and thick secretion.
72. Etiological factors
Bronchial asthma is the multifactorial.
There are some predisposing and excitatory factors.
A. Predisposing factors:
• Heredity, with a family history of asthma and some
other allergic disorders
• Labile and over conscientious nature
B. Excitatory factors:
• Allergy to foreign substance produces allergic or
extrinsic asthma
- Inhalation of pollen, wool, feather, animal hair,
smoke, dust
- Ingestion of food, like egg, chocolate, some
vegetables
- Drugs
73. • Respiratory infections
• Worm infestation
• Change in climate
• Emotional disturbance due to anxiety, tension,
fear and conflict
• Excessive fatigue, exhaustion
74. Classification
Allergic or
extrinsic asthma
Non- allergic or
intrinsic asthma
It is produced by a
hyper-immune (IgE)
response to inhalation of
specific allergen.
The children usually
have positive skin test to
the offending allergen
and positive family
history of allergy.
It is produced in
response to unidentified
or nonspecific factors of
the environment.
No hyper-immune
response is produced.
Inhalation of irritants like
cigarette, odor, air
pollution
75.
76. Pathophysiology
Exposure to allergens or triggers(dust, pollen, smoke)
Inflammatory response ( increased IgE)
Bronchoconstriction
Airway edema and increased mucous production
Airway obstruction
Hypoxia, wheezing, dyspnea, hyperventilation
77. Clinical features:
• The clinical feature of asthma have sudden onset and
often occur at night.
• Occasionally, asthma attack is preceded by asthmatic
aura which is characterized by feeling of tightness in
chest, restlessness, polyuria or coughing spell.
• A typical asthmatic attack is manifested by:
- Severe dyspnea
- Bouts of cough
- Wheezing
- Cyanosis
- Pallor
- Sweating
- Restlessness
- Excessive use of accessory muscle of respiration
- Extreme fatigue
78. • Severe attack of asthma results in hypoxia,
cyanosis and cardiac arrhythmias
• In chronic cases the chest of the child
becomes barrel shaped.
81. Management
During acute attack, management aims at controlling
bronchospasm and relieve inflammation.
The medical management include:
• Fast acting drugs:
Salbutamol are 1st line Rx for bronchial asthma.
Anticholinergic medications, such as Ipratropium bromide.
• Long term control:
Fluticasone oral inhalation is used to prevent difficulty breathing,
chest tightness, wheezing, and coughing caused by asthma in
adults and children. It is in a class of medications called
corticosteroids. Fluticasone works by decreasing swelling and
irritation in the airways to allow for easier breathing.
• Other drugs:
O2 therapy
Magnesium sulfate- in severe asthma attack
HOLIX, a mixture of helium and O2 may also be considered in
severe unresponsive case.
82.
83. Nursing management
• Providing emotional support and
education
• Administering adequate fluids
• Provide rest and comfortable
• Evaluate respiratory status and
facilitate breathing
85. A pneumothorax is an abnormal collection of
air in the pleural space between the lung and
the chest wall.
It may be develop due to rupture of sub-pleural
or mediastinal nodes through the parietal
pleura.
Pneumothorax usually occurs with fluid- Hydro
pneumothorax
With blood- Hemo pneumothorax
With purulent material- pyo pneumothorax
It may occur spontaneously as spontaneous
pneumothorax (due to trauma or pathological
process) or be introduced deliberately as
artificial pneumothorax.
86. Etiological factors:
• The causes of pneumothorax in neonates are mainly
the vigorous resuscitative procedures and
staphylococcal infections.
• In infancy, the common causes are infections
(staphylococcal, pertussis) and iatrogenic problems
(thoracocentesis, tracheostomy).
• In older children, the common causes of pneumothorax
are tuberculosis, empyema and foreign bodies.
88. Management
Management of pneumothorax should be
done promptly after the confirmation of
diagnosis.
Symptomatic and supportive care should be
provided
89. Pleural effusion
• Pleural effusion
is the collection
of fluid in the
thoracic cavity,
between
visceral and
perietal pleura.
• It is less
common in
children below 5
years.
90. • Small effusion rarely produces symptoms or
definite physical signs and usually detected
by X-ray.
• Large effusion may cause respiratory
distress, chest pain and fever.
• The fluid accumulates in pleural cavity may
be transudate, exudate, serous, sanguineous,
sterile, purulent or chylous.
• Serous pleural effusion is commonly
developed due to tuberculosis.
• Hemothorax may result from trauma,
malignancy or hemorrhagic diseases.
• Chylothorax usually rare, it may occur due to
injury of thoracic duct.
91. Clinical manifestation
• High fever
• Cough
• Chest pain on affected side that worsen on
deep breathing and coughing
• Abdominal pain
• Weight loss
• On examination, decreased chest movement
on affected side, mediastinal shift to the
opposite side, fullness of inter-coastal space,
pleural rub, decreased breath sound, dull
percussion note, decreased vocal resonance
are usually found.
92. Diagnostic evaluation
History of illness
Physical examination
Chest X-ray
X- ray = it shows a
uniform opacity with
curved upper border of
fluid line.
93. Management
• Pleural effusion should be
done according to the
specific cause.
• Specific chemotherapy
along with symptomatic
and supportive measures
should be provided.
• Relief of respiratory
distress can be done by
therapeutic thoracentesis
for removal of collected
fluid.
95. Cystic fibrosis is an inherited disease
characterized by an abnormality in the body’s
salt, water and mucous making cells.
It is chronic, progressive and usually fatal
condition.
Children with cystic fibrosis have an
abnormality in the function of a cell protein
called Cystic Fibrosis Transmembrane
Regulator (CFTR).
This cell protein controls the flow of water and
certain salts in and out of body’s cells. As the
movement of salt and water in and out of cells
is altered, mucous becomes thickened.
Thick mucous can affect many organs and body
system including:
96. Clinical features
• Each child may experience symptoms differently. Infants
born with cystic fibrosis usually show symptoms within
the first year. some children may not show symptoms
until later in life.
• The following symptoms may indicate cystic fibrosis-
• Abnormalities in the glands that produce sweat and
mucous
• Thick mucous that accumulates in the lungs and
intestines may lead to poor growth, frequent respiratory
infections
• Diarrhea may occur
• Frequent episode of wheezing/ pneumonia
• Persistent cough
• Skin tastes like salt
• Abdominal pain
• Gas in intestines
97. Other medical problems:
Sinusitis
Nasal polyps
Clubbing of finger and toes
Pneumothorax
Hemoptysis
Cor pulmonale
Rectal prolapse
Liver disease
Diabetes
Pancreatitis
gallstones
99. Management
At present there is no cure for cystic fibrosis.
However, researches in gene therapy are being
performed.
The gene that causes cystic fibrosis has been
identified and there is hope that will lead to an
increased understanding of the disease.
Also being researched are different drug
regimens, to help treat cystic fibrosis.
The goal of treatment are to ease severity of
symptoms and slow the progress of the
disease. Treatment may include:
100. • Management of respiratory problems:
Chest physiotherapy ( to help loosen and
clear lung secretion, it may include postural
drainage and devices, such as a percussor
or flutter, which vibrate the chest wall and
loosen the secretion.)
Exercise (it help to loosen mucous,
stimulate coughing and improve overall
physical condition)
Medications (bronchodilators and anti-
inflammatory medication)
Antibiotics ( to treat infection)
101. • Management of digestive problems:
Appropriate diet
Pancreatic enzymes to aid digestion
Vitamin supplement
Psychosocial support is required to help the
child and family to deal with issues such as
independence, health, quality of life,
finances and relationships.
Newer therapies include lung transplantation
for patient with end-stage lung disease.
103. • Lung abscess is a sever, localized
suppurative infection in the lung, associated
with necrotic cavity formation.
• The cavity is surrounded by a fibrous
reaction, forming the abscess wall.
• Multiple small abscess formation may occur
and sometimes referred to as “Necrotizing
pneumonia”.
• It may develop single abscess or multiple
abscesses.
104. Etiology and risk factors
• The most frequent cause of lung abscess is
aspiration of anaerobic organism from mouth, in
those predisposed to pulmonary aspiration and
having impaired immune defenses and cough reflex.
• A pneumonitis develops which progresses to abscess
formation over a period of days or weeks.
• Mechanisms precipitating abscess formation include:
Inhalation of foreign body
Bacterial colonization in the lungs
Tricuspid endocarditis leading to septic pulmonary
embolus
Extension of hepatic abscess
Bronchial carcinoma
Severe or incompletely treated pneumonia
Penetrating pulmonary trauma
107. Diagnostic evaluation
• Blood and sputum cultures
• ESR and C-reactive protein, which
are usually elevated
• Chest-X-ray shows walled cavity,
usually with a fluid level. There may
also be presence of an empyema or
effusion.
• CT-scan
• Fibreoptic bronchoscopy
• Trans-thoracic biopsy
108. Management
The management of lung abscess
includes:
IV antibiotics are given usually about 2-3
weeks, followed by oral antibiotics for a
further 4-8 weeks.
Recommended first line therapy includes
beta-lactamase inhibitor or cephalosporin
plus clindamycin, an alternative regimen is
to begin with a broad spectrum
cephalosporin and flucloxacillin.
109. If the condition fails to resolve,
bronchoscopy/ trans-thoracic
drainage/cardiothoracic surgical intervention
may be considered.
Surgery may be necessary when reinfection
of large cavitary lesion occur or there is
evidence of underlying neoplasm.
The usual procedure done is lobectomy or
pneumonectomy.
Supportive measure include:
Analgesics
O2 if required
Rehydration, if indicated
Postural drainage with chest physiotherapy