Treatment FAQ

which treatment is appropriate for the child with epiglottitis and severe respiratory distress?

by Marcelo Schoen PhD Published 3 years ago Updated 2 years ago
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Treating Children in Respiratory Distress. The airway of the child with epiglottitis is best managed in the ED or operating room. If respiratory failure presents in the field, the airway can be managed with a BVM, maintaining proper head position and a tight seal. Extreme cases may require a surgical airway.

Call 911 if you think your child has epiglottitis. Treatment involves emergency care and the opening the child's airway with a breathing tube. Your child may also get antibiotics or other medicines. The Hib vaccine can prevent most cases of epiglottitis.

Full Answer

What are the nursing goals for a child with epiglottitis?

Treatments with epinephrine and steroids have been used but are not generally effective. As with the child with croup, interventions that could upset the child, such as IV therapy, should be...

What is epiglottitis in children?

Treatment involves emergency care and the opening the child’s airway with a breathing tube. Your child may also get antibiotics or other medicines. The Hib vaccine can prevent most cases of epiglottitis. Next steps Tips to help you get the most from a …

When should I Have my Child evaluated for epiglottitis?

Which treatment is appropriate for the child with epiglottitis and severe respiratory distress? 1 Antibiotics 2 Corticosteroids 3 Humidified oxygen via mask 4 …

What is the respiratory rate of a 4 year old with epiglottitis?

A 5 year old with acute epiglottitis is intubated for airway management. As the nurse you know that all of the following can be prescribed as treatment for this condition EXCEPT? * A. Intravenous fluids B. Antipyretics C. Corticosteroids D. Cough suppressants (NOTE: When you hit submit, it will refresh this same page.

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When it is generally recommended that a child being treated for acute streptococcal pharyngitis may return to school?

Patients with streptococcal pharyngitis are considered contagious until they have been taking an antibiotic for 24 hours. 2 Children should not go back to their day-care center or school until their temperature returns to normal and they have had at least 24 hours of antibiotic therapy.Apr 15, 2001

Which medical device is appropriate for a 4 year old boy who Cannot coordinate his breathing?

2: Nebulizers and pressurized metered-dose inhalers (pMDIs) with valved holding chambers are suggested for use with children ≤ 4 years of age and adults who cannot coordinate the use of pMDI or dry-powder inhaler (DPI).Apr 1, 2012

Which clinical manifestations are appropriate for acute epiglottitis?

What are the symptoms of epiglottitis?
  • Severe sore throat.
  • Difficulty and pain when swallowing (a main symptom in older children and adults)
  • Difficulty breathing (a main symptom in children), which may be helped by sitting up and leaning forward, or breathing with an open mouth and protruding tongue.
Jun 18, 2018

Which clinical manifestations are appropriate to identify in a child that indicates the need for an adenoidectomy?

The most common indications for adenoid surgery have been recurrent upper airway infections, acute otitis media, otitis media with effusion, and otitis and adenoid hypertrophy [6].Mar 2, 2018

Which purpose is appropriate for palivizumab medication?

Palivizumab injection is used to help prevent respiratory syncytial virus (RSV; common virus that can cause serious lung infections) in children less than 24 months old who are at high risk for getting RSV.Dec 15, 2016

Which intervention is appropriate for the infant hospitalized with bronchiolitis?

Sumner et al, using data from the Canadian Bronchiolitis Epinephrine Steroid Trial, found epinephrine and dexamethasone to be the most cost-effective treatment for bronchiolitis in infants aged 6 weeks to 12 months. Corticosteroids may be useful in patients with history of reactive airway disease.May 17, 2021

How do you treat a child with epiglottitis?

How is epiglottitis treated in a child?
  1. IV (intravenous) therapy with antibiotics if the cause is a bacterial infection.
  2. Steroid medicine to ease airway swelling.
  3. IV fluids until the child can swallow again.

How is epiglottis treated?

What is the treatment for epiglottitis?
  1. intravenous fluids for nutrition and hydration until you're able to swallow again.
  2. antibiotics to treat a known or suspected bacterial infection.
  3. anti-inflammatory medication, such as corticosteroids, to reduce the swelling in your throat.

Does amoxicillin treat epiglottitis?

Usually therapy is begun with antibiotics like ampicillin/sulbactam, amoxicillin/clavulanic acid or cephalosporin group of drugs like ceftriaxone (given intravenously), cefuroxime (can be given both intravenously and orally) and cefotaxime (given intravenously).

How are adenoids treated?

Treatment of Enlarged Adenoids

If your child has minimal symptoms, no treatment is typically needed. Your doctor may recommend a nasal spray to help reduce swelling and potentially an antibiotic if the infection is bacterial. Another treatment for more severe cases is an adenoidectomy.

What is the treatment for adenoid hypertrophy?

In cases of severe or persistent enlargement, surgical removal of the adenoids (also known as an adenoidectomy), may be required. Similarly, if an individual presents with persistent otitis media or a buildup of fluid in the middle ear (i.e. middle ear effusion), adenoidectomy may also be required.

What antibiotics treat adenoiditis?

Infection is the main cause of adenoid hypertrophy. Amoxicillin with potassium clavulanate and ciprofloxacin should be considered as the drugs of choice for all adenotonsillar diseases.

What Is Epiglottitis?

Pathophysiology

Statistics and Incidences

Causes

Clinical Manifestations

Assessment and Diagnostic Findings

Medical Management

  • Treatment in patients with epiglottitis is directed toward relieving the airway obstruction and eradicating the infectious agent. 1. Manage respiratory arrest. When a child has respiratory arrest, the first step is to administer bag-valve-mask ventilation with 100% oxygen; once the child is oxygenated and ventilated, the airway can be secured with ...
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Practice Quiz: Epiglottitis

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