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Janey had a 102.8°F fever, difficulty of breathing, and drooling. She also
always sits on a tripod position because this position makes her breathe
easier. Her parents brought her in for a check-up and was informed that their
child has epiglottitis.
Contents [hide]
1 Description
2 Pathophysiology
3 Statistics and Incidences
4 Causes
5 Clinical Manifestations
6 Assessment and Diagnostic Findings
7 Medical Management
o 7.1 Pharmacologic Management
8 Nursing Management
o 8.1 Nursing Assessment
o 8.2 Nursing Diagnosis
o 8.3 Nursing Care Planning and Goals
o 8.4 Nursing Interventions
o 8.5 Evaluation
o 8.6 Documentation Guidelines
9 Practice Quiz: Epiglottitis
10 See Also
11 Further Reading
Description
Pathophysiology
The use of the Haemophilus influenzae type b (Hib) vaccine has reduced
incidence of epiglottitis in the United States, making this a rare condition in
children.
Causes
Commonly caused by Haemophilus influenzae type B, epiglottitis most often
affects children 2 to 7 years.
Clinical Manifestations
The child may have been well or may have had a mild upper respiratory
infection before the development of the symptoms.
Medical Management
Pharmacologic Management
Nursing Management
Nursing management of a child with epiglottitis include:
Nursing Assessment
Nursing Diagnosis
Nursing Interventions
Anxiety control. The child and the family should display personal
actions to eliminate or reduce feelings of apprehension and tension
from an unidentifiable source.
Learning facilitation. The nurse should promote the ability to
process and comprehend information, and encourage improvement
of the ability and willingness to receive information.
Medications. Administer antibiotics as prescribed, such
as cefuroxime.
Hydration. Regulate IV fluid accordingly, since the child could not
swallow.
Evaluation
Documentation Guidelines