N211: Health Differences Across the Lifespan I passive immunity against RSV in high risk children (less than 2 years of age with a history of prematurity, lung disease or congenital heart disease). Nursing priority is always a patent airway. 2.17 Spasmodic Laryngitis Spasmodic Laryngitis affects ages 3months to 8 years. Sudden onset during the night. Nur ing Assessment Includes upper respiratory infection, croupy cough, hoarseness, dyspnea, no fever, restlessness. Symptoms will awaken the child at night and clear during the day. Nursing Interventions Include humidity and mist. 2.18 Laryngeal Edema Laryngeal Edema is edema of the mucous membranes that surround the larynx (voice box). Causes include acute anaphylaxis, scarlet fever and severe inflammations of the throat. Nursing In rventions Includes epinephrine, and an icepack to the throat. 2.19 Mucoid Secretions Mucoid Secretions are fluid imbalances that result in dehydration and can severely impact airway clearance. Thick, sticky, tenacious secretions are harder to remove. Infection can also change the consistency of secretions and make them harder to remove. 2.20 Flail Chest Flail Chest is when the client has fractured ribs on both the left and right side which can lead to paradoxical movement of the chest wall. During inspiration a portion of the chest wall deflates instead of expands giving a see-saw appearance to breathing. Usual treatment is mechanical ventilation to stabilize the ribs and to allow them time to heal. Paradoxical movement is not an effective breathing pattern and carries the increased risk of broken rib bones puncturing lung tissue and causing further damage (pneumothorax).
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