الجمعة، 22 يونيو 2018

27-Epiglottitis

About
An infection of the epiglottis, usually as a result of ineffective treatment of throat infections. Can be life-threatening!
Assess
Airway, monitor for signs and symptoms of airway obstruction, including stridor ( audible harsh wheezing), lack of respirations. Monitor for s/s of aspiration when swallowing.
Previous infection or illness, visualize oral pharynx, assess for airway obstruction.
Complications
Airway obstruction, death if an immediate airway is not established.
Diagnosis
  • Impaired gas exchange related to airway partial or complete obstruction
  • Pain related to inflammation of epiglottis
  • Impaired swallowing related to inflammation of the oral pharynx

Goals
  • The client will maintain a patent airway.
  • The client ( with throat infections) will be able to list signs and symptoms needing urgent medical treatment.

Interventions
  • Monitor respirations, pulse oximetry, breathing pattern for changes necessitating an immediate artificial airway.
  • Encourage clients to take all antibiotics until completely gone with infections of the throat.
  • Administer antibiotics as ordered and scheduled by physician
  • Teach client signs and symptoms of complications of sore throat, pharyngitis, tonsillitis.
  • Notify physician and prepare for immediate intubation or tracheotomy if airway obstruction occurs.
  • Monitor for signs/ symptoms of complications.

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