Class notes
NUR 1025C Acute Epiglottitis Notes
- Course
- NUR 1025C
- Institution
- Florida State College At Jacksonville
This is a comprehensive and detailed note on acute epiglottitis. *Essential Study Material!!
[Show more]
Content preview
OB NURSING 2.35 NURSE ANGIE 2018Acute Epiglottitis
What is it? ASSESSMENT
Acute infection of supraglottic structures resulting in Remember the 4 D’s
edema and swelling cause the upper airway to be ‣ Drooling
obstructed ‣ Dysphasia
A flap of cartilage at the root of the tongue, which is ‣ Dysphonia
depressed during swallowing to cover the opening of ‣ Distress
the windpipe.
Respiratory distress
Pathophysiology ‣ nasal flaring
‣ sternal/intercostal retraction
Epiglottitis is a potentially life-threatening condition ‣ pale/blue
that occurs when the epiglottis a small cartilage "lid" ‣ tachycardia
that covers your windpipe and swells, blocking the ‣ increased restlessness
flow of air into your lungs. ‣ tripod position with tongue protruding
TRIGGERS TREATMENTS
‣ Swallow a chemical that burns your throat ‣ Antipyretics
‣ Swallow a foreign object ‣ Antibiotics (swelling of epiglottis usually
‣ Smoke drugs, such as crack cocaine subsides, 24 hrs after)
‣ Streptococcus infection ‣ Constant monitoring of respiratory status
‣ o2 humidification
‣ Intubation
‣ let child sit in position they find most
EMERGENCY MANAGEMENT comfortable
Respiratory arrest
‣ bag ventilation
‣ attempt to intubate INTERVENTIONS
‣ perform needle or surgical NEVER USE A TONGUE DEPRESSOR
cricothyroidotomy TO ASSESS AIRWAY! THIS COULD
‣ start IV - ceftriaxone or cefotaxime CAUSE SPASMS AND FURTHER BLOCK
‣ racemic epi & steroids are ineffective THE AIRWAY!
‣ protect airway
‣ avoid throat culture or using tongue blade
‣ prepare for intubation
‣ provide humidified oxygen
‣ monitor pulse ox
‣ administer corticosteroids and IV fluids
‣ administer abx therapy starting with IV then
transition to oral to complete 10 day course
‣ droplet isolation precaution first 24 hr after
IV initiation
1
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller anyiamgeorge19. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
79373 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now