Pediatric CP Flashcards
Respiratory Distress/Chronic Lung Disease
Premies 30 days needing additional respiratory support
Asthma
Inflammation of airways- cause obstruction
Often in kids with hx of respiratory distress/chronic lung disease
Cystic Fibrosis
Overproduction of mucous causing obstruction
Lung tissue causes fibrosis and short lifespan
Obseity as Comorbidity
Type II DB
HTN
Cardiac disorders- health and wellness
Pulmonary considerations with Movement Disorders
Downs, CP, Spina bifida
Get restrictions in thoracic cage; decreased expansion causes tight muscles
Increased work of breathing
Pulmonary Dysfunction with Burn Injuries
Inhale smoke damages tissue
Decreased mobility of chest due to scarring
Clinical symptoms of congenital heart disease
Similar to adults:
cyanosis, dyspnea, tachy, dipahoresis, decreased pulse, edema, murmur
Differences:
- feeding difficulties
- failure to thrive
- irritability
PT considerations when treating peds
Manifestations:
-many signs/sx are same but some can differ from adults
Immaturity:
physical, pyhyiological, and emotionally not developed
-differ in response to illness
Cardiac function:
-Less SV in kids so HR is main source of increase CO; will change rapidly
What is the respiratory function in peds at all levels?
Immature respiratory system can lead to decomensations rapidly!
Airways:
- smaller airways easier to obstruct
- significant respiratory distress can occur
Lung Tissues:
- decreased copliance makes more work to breath
- less efficient mechanics
Alveoli:
- less surfactant and overall number alveoli= less surface area
- less gas exchange until 8-10 y.o.
Chest Wall:
- cartilagenous rib cage= increased compliance of ribs
- diaphragm has diasadvantage
- immature/weak accessory muscles work harder
Respiratory muscles:
- poor alighnment
- less type I fibers= faster fatigue
What are the developmental ages and stages?
Infant
What are age specific considerations?
Infants: eye contact normal; comforted by parents
Old infant: protest when taken; resist exam by stranger
Toddler: protest when separate from parents; resist supine
Preschool: point to painful areas; comforted by parents
Young Child: good concept of body parts; comforted by health care but don’t like to focus on body
Adolescent: private and independent; discuss CC/POC on own
What exam questions are different in peds?
Birth history
Developmental history
Favorites/interests/learning styles
