Advanced Study | Pediatrics Part Four

Pediatric Respiratory Compromise:

Upper Airway Obstruction:

  • Foreign body: toddlers/preschoolers most common. Abdominal thrusts for children back blows and chest thrusts for infants
  • Tonsillitis
  • Croup (laryngotracheobronchitis): children 3 months to 3 years. Viral infection, slow onset, upper resp infection and low fever, Hoarse with stridor (subglottic edema) and a barking cough. O2, transport in position of comfort
  • Epiglottitis: inflammation of the epiglottis, most often 3 years to 7 years. Bacterial infection, progresses rapidly and can lead to complete airway obstruction and respiratory arrest. They look very ill, stay very quiet, tripod position, drooling, muffled voice and stridor. They need nebulized Keep them comfortable and calm

Lower Airway Obstruction:

  • Asthma: reactive airway disease, any age, response to allergy exercise, infection, family history,
    drugs reverse bronchospasm. High flow O2, transport

    • Status asthmaticus: severe, prolonged attack which can’t be stopped with traditional bronchodilators
  • Bonchiolitis: 6-18 months, any time or year, viral infection, mild fever, cough runny nose which progresses to respiratory distress. No history of asthma, drugs may not be effective
  • Pneumonia: infection of the lower airway and lung. Common in infants, toddlers and preschoolers. Bacterial or viral.Fever, rales, rhonchi, pain in chest, grunting respirations


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