Nursing Care in Pediatric Respiratory Disease by Concettina (Tina) Tolomeo,(eds.)

By Concettina (Tina) Tolomeo,(eds.)

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These are related to the alveolar cell types and alveolar surface tension. There are two types of alveolar epithelial cells, conveniently named type I and type II cells. Type I cells are squamous epithelial alveolar cells that have long cytoplasmic 30 Nursing Care in Pediatric Respiratory Disease extensions that spread out over the alveolar walls and help form the structure of the wall. Type II cells are compact with microvilli that extend into the alveoli. Type II cells produce a surfactant, a phospholipid made in the lung from fatty acids.

Department of Health and Human Services, Public Health Service, NIH. Pub No. 95-3784. , & Roth, J. (2005). Alveoli: Gas exchange and host defense. Functional ultrastructure: An atlas of tissue biology and pathology (pp. 224–225). Vienna: Springer. Peacock, A. J. (1998). Oxygen at high altitude. British Medical Journal, 317(7165), 1063–1066. , & Copland, I. (2002). Overview of lung development. ), 4–7. , & Planzer, R. (1996). , p. 618). Fort Worth: Saunders College Publishing/Harcourt Brace College Publishers.

2003). The respiratory rate should be counted for a full minute. Normal respiratory rates based on age are as follows: Age Infants Toddlers Preschoolers School-age children Adolescents Rate (breaths/min) 30–40 24–26 24 20 20 (Custer & Rau, 2009) Next, inspect respiratory effort, respiratory pattern, and chest expansion. Breathing should be relaxed and regular, and chest expansion should be symmetrical. The inspiratory-to-expiratory ratio (I : E ratio) should be 1:2. , 2003). The chest should be inspected for the presence of retractions.

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