Describe that Illness
Epiglottitis
life threatening inflammation of the epiglottis, usually caused by bacterial or viral illness leading to swelling of epiglottis
S/S of Epiglottitis
High fever, drooling, dysphagia, dysphonia, distressed inspiratory efforts, hoarse or muffled voice, no spontaneous cough, tripod position
Tx of epiglottis
secure airway(intubation), antipyretics, antibiotics
Nursing considerations for epiglottitis
fluids
Let parents be with child
dont lay pt supine
prep for sedation and intubation
What's the difference b/w viral and bacterial croup
Viral: pt. looks unwell, high fever, no spontaneous cough, drooling, hoarse voice, life threatening
Bacterial:pt. looks well, barking cough, cyanosis/pallor, can be cured at home
Tonsillitis
Inflammation of tonsils caused by bacterial or viral infection
S/S of tonsillitis
fever, sore throat, enlarged tonsils, patches on tonsils, exudate
Tx of tonsillitis
antibiotics, antipyretics, if chronic tonsillectomy
Nursing considerations for tonsillitis
assess for frequent swallowing, no red/brown foods/drinks, soft foods, no spicy foods, no excessive laughing, coughing or blowing nose
ice collar
Which lab(s) are important when diagnosis tonsilitis
High WBC
Bronchiolitis
Viral lung infection caused by RSV
S/S of bronchiolitis & Complications
cough, sneezing, fever, deep/rapid breathing, prolonged expiration, wheezing, crackles, difficulty feeding, decreased breath sounds, pharyngitis, rhinorrhea, apnea in infants
complications: High HR, air hunger, retractions, cyanosis
S/S of bronchiolitis
supportive care, maintain airway
Nursing considerations of bronchiolitis
If severe tx includes mechanical ventilation and antivirals
This____(antiviral) is used in treating bronchiolitis
Otitis External
Inflammation/infection of outer ear caused by persistent moisture in ear canal
S/S of Otitis external
pain(disproportionate and gets worse w/movement), drainage(serosanguineous or purulent), swelling
S/S of Otitis External
antibiotics/steroid drops and prevention
Nursing considerations for Otitis External
Teach to sanitize foreign objects before entering ear(ear buds), avoid cotton swabs
What's another name for Otitis External
swimmers ear
Otitis Media
Infection of the middle ear, usually preceded by URI that causes congestion/inflammation leading to an obstruction causing fluid accumulation
S/S of Otitis Media
drainage, irritability, kids pull/hold ear, fever, rupture of tympanic membrane
If chronic= loss of hearing and speech issues
S/S of Otitis Media
acetaminophen, antibiotics
Nursing considerations of Otitis Media
If recurrent pt needs myringotomy (PE tubes) which allow fluid to drain out of middle ear, no excessive coughing, laughing because it can cause tube to be displaced
Otitis Media is the most prevalent disease of early childhood
T/F?
True