University:
American Career College
Course:
NURS112 | Fundamentals of Nursing
Academic year:

2020
Views:

439

Pages:

1
Author:

ilikemyicons0y5

ACTIVE LEARNING TEMPLATE: System Disorder Epiglottitis 17 DISORDER/DISEASE PROCESS __________________________________________________________ REVIEW MODULE CHAPTER ___________ Alterations in Health (Diagnosis) may cause respiratory arrest and death. Epiglottitis is acute inflammation of the epiglottitis Pathophysiology Related to Client Problem Health Promotion and Disease Prevention cellulitis of the epiglottis, aryepiglottic folds, and other adjacent tissues. It results from bacteremia and/or direct invasion of the epithelial layer by the pathogenic organism make sure vaccinations are up-to-date. Children are particularly vulnerable to a Hib infection because they have an underdeveloped immune system ASSESSMENT SAFETY CONSIDERATIONS Risk Factors Expected Findings A muffled or hoarse voice. Abnormal, high-pitched sound when breathing in (stridor) Difficulty breathing. Difficulty swallowing. weak immune sys., undervaccinated Laboratory Tests Diagnostic Procedures X-ray may reveal what looks like a thumbprint in the neck, an indication of an enlarged epiglottis. Throat culture and blood tests. For the culture, the epiglottis is wiped with a cotton swab and the tissue sample is checked for Hib. direct visualization of the epiglottis using nasopharyngoscopy/laryngoscopy PATIENT-CENTERED CARE Nursing Care ensure that your or your child's airway is open and that enough oxygen is getting through Therapeutic Procedures oxygen therapy, breathing tube, cricothyroidotomy Avoid agitating the patient with acute epiglottitis. Let the patient take a position in which he or she feels comfortable. Orotracheal intubation may be required with little warning. Equipment for intubation, cricothyroidotomy, or needle-jet ventilation should be made available at the bedside. Complications Medications Third-generatio n cephalosporins are preferred as first-line agents because of increasing resistance to ampicillin Client Education emergency seek medical care right away Interprofessional Care doctor, respiratory therapy, speech therapy, dietician, phycho support, pharmacist Cellulitis. Cervical adenitis. Death. Empyema. Epiglottic abscess. Meningitis. Pneumonia. Pulmonary edema.