Solutions
Spasmodic Laryngitis Symptoms
sudden onset, usually at night, with a barking, brassy cough and
respiratory distress
Spasmodic Laryngitis Treatment
increase humidity, provide fluids
Laryngotracheobronchitis (LTB) Pathophysiology
viral condition causing edema and destruction of respiratory
cilia, leading to obstruction
Laryngotracheobronchitis (LTB) Symptoms
starts as a mild URI followed by a barking cough, stridor,
respiratory distress, orthopnea (child prefers an upright position)
Laryngotracheobronchitis (LTB) Treatment
humidity, nebulized epinephrine, corticosteroids, oxygen
therapy if needed, IV fluids for dehydration
Laryngotracheobronchitis (LTB) Nursing Management
monitor breathing, administer oxygen, keep the child calm and
in an upright position
Epiglottis
a life threatening inflammation tissues above the vocal cords,
usually caused by Haemophilus influenzae type B
, Epiglottis Symptoms
abrupt onset, child sits up leaning forward with mouth open,
drooling saliva, tripod position, frog like croaking sound on
inspiration
Epiglottis Inspection
reddened, edematous epiglottis that appears cherry red
Epiglottis Treatment Emergency Intervention
immediate tracheotomy or endotracheal intubation, oxygen
therapy
Epiglottis Treatment Medications
IV antibiotics with significant improvement noticed within a few
days
Epiglottis Treatment Prevention
hib vaccine from 2 months of age
Tonsillitis and Adenoiditis
inflammation of the tonsils and adenoids, often leading to
difficulty in swallowing and breathing
Tonsillitis and Adenoiditis General Care
cool mist vaporizer, salt-water gargles, throat lozenges, cool
liquid diet, acetaminophen
Tonsillitis and Adenoiditis Surgical Intervention
tonsillectomy and adenoidectomy if there's persistent airway
obstruction or repeated infections