Epiglottitis (SOLVED)

What is the definition of epiglottitis? correct answers Acute infection of supraglottic structures resulting in edema and swelling cause the upper airway to be obstructed What is the etiology of epiglottitis? correct answers Hemophilus influenza, Type B Staph or strep infections How is epiglottitis diagnosed? correct answers Supraglottic swelling Enlarged epiglottis Thumb sign (lateral neck view) Physical exam What would a child with epiglottitis look like in a physical exam? correct answers Child in tripod with high fever Irritable Severe respiratory distress with stridor and barking cough Severe dysphagia and drooling Retractions are suprasternal, substernal, intercostal What are clinical manifestations for epiglottitis? correct answers True medical emergency Onset of symptoms within hours Complete airway obstruction in minutes or hours What is the mortality rate of epiglottitis? correct answers Adult- 7% Pediatric- 1% How would you treat this medical emergency? correct answers Respiratory arrest Bag ventilation Attempt to intubate Preform needle or surgical cricothyroidotomy Start IV- ceftriaxone or cefotaxime Racemic epi & steroids are ineffective What is the treatment for epiglottitis? correct answers All pts must be hospitalized due to need for intubation or trach Sedation and mechanical ventilation not needed if uncomplicated Humidity to tube may minimized irritation and mobilize secretions 02 not usually required unless a pneumonia sets in IV antibiotics to cover common causes Extubation within 24-48 hrs