Pediatric+Respiratory+Disorders

=I. Significance=

A. Major problem
>* can also be Cardiac Failure 2ndary to Respiratory Failure
 * 1/5 of all hospitalizetions for <15yo
 * 1/2 of deaths <1yo
 * most common diagnoses in pediatrics
 * death mostly due to respiratory failure

=II. Clinical Approach=
 * collect data--history, etc
 * make diagnosis
 * treatment

=III. **SOAP**=
 * Subjective, Objective, Assessment, Plan

Subjective

 * History
 * maternal history
 * pregnancy, delivery history
 * family history
 * 90% of diagnoses can come from history

Objective

 * Physical exam

Important Signs

 * rapid or uncoordinated breathing
 * use accesory muscles
 * pursed lips
 * nasal flaring
 * interrupted speech

Respiratory Rate

 * Best sign of iimpending failure
 * 20 pm is abnormal in adults
 * younger children breathe faster

Retractions

 * lung becomes less copliant than chest wall
 * intercostal, subcostal, substernal, suprasternal

Tests

 * Values differ from adults
 * Pulmonary Function Tests
 * Arterial Blood Gas

Assessment

 * make diagnosis
 * Best medical care is best medical decision!
 * determine type of disease-Physiologic or disease entity

>*