EPIGLOTITIS

Inflammation on the Epiglotis

Epiglotitis

Description

– Epiglottitis is a bacterial form of Croup

– Epiglottitis is an inflammation of the epiglottis, which may be caused by Haemophilus influenza type B or Streptococcus pneumonae.

– administer acetaminophen (Tylenol) as prescribed to reduce fever.

– avoid dry cough syrups and cold medicines, which may dry or thicken secretions.

– administer broncodilators if prescribe to relax the smooth muscle and relieve stridor. Administer corticosteroids if prescribed for antiinflamatory effect

– Epiglotitis occurs most frequently between 2 to 5 years of age.

– The onset is abrupt, and the condition occurs most often in the winter.

– Epiglottitis is considered an emergency situation.

Assessment

– high fever

– sore, red and inflamed throat

– absence of spontaneous cough

– Drooling

– difficulty in swallowing

– muffled voice

– inspiratory stridor

– Agitation

– Tripod positioning, while supporting the body with a hands, the child thrust the chin forward and open the mouth in an attempt to widen the airway

Interventions

– maintain patent airway

–  assess respiratory status and breath sounds, noting nasal flaring, the use of accessory muscle, and the presence of stridor.

– assess the temperature by axillary route and not the oral route. To prevent spasm of the epiglottis and airway occlusion, no attempts should be made to visualize the posterior pharynx or to obtain a throat culture.

–       administer analgesics and antipyretics  acetaminophen [Tylenol]) to reduce fever and throat pain as prescribed. 

–    provide cool-mist oxygen therapy as prescribed 

–       provide high modification to cool the airway and decrease the swelling

–       have the resuscitation equipment available, and prepare for endotracheal intubation or tracheotomy for severe respiratory distress. 

–       ensure that the child is up-to-date with immunization schedule including haemophilus influenzae type b (Hib) conjugate vaccine

 

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