Pathophysiology:

EPIGLOTTITIS

Upper respiratory infection haemophilus influenzae, type B (most common)
Group A streptococcus

Inflammation/edema of epiglottis and surrounding area

Severe, rapid progression of infection and symptoms of obstruction
Airway obstruction with severe respiratory distress



Dysphagia inspiratory stridor cough fever hoarseness





assessment Diagnosis Planning intervention Rationale evaluation

Subjective:






Objective:
BP: 60/40
PR: 167 bpm
Temp: 37.2CRR:
71cpm
Tachypneac
Dyspneac
Tachycardiac
With DOB
Ineffective
airway
clearance
related to
obstruction
associated
with edema
and mucous
secretions of
the upper
airway

After 8 hours of
nursing intervention
the patient would be
able to Maintain
airway patency
Independent

Assess signs and
symptoms of respiratory
disorders of children,
including dyspnea,
Tachypnoea, cyanosis,
Prepare emergency
means of intubation and
tracheostomy child's bed
side at all times.
avoid direct stimulation
of the airway by pressing
the tongue, culture
swabs, suction catheter,
or laryngoscope.
Let the child in a position
comfortable as possible
from the horizontal
position (head higher
above the bed).
Monitor continuously run
private child's skin color,
respiratory status, and
heart rate to ensure free
airway.


Monitor infant/child for
feeding intolerance,
abdominal distention
and emotional stressors

Elevate head of the bed/
change position every 2hours
and prn.





Assessment is needed to determine
the child's condition and prevent
respiratory failure perfectly.

Emergency equipment that is
required intubation and
tracheostomy beside the bed when
there is a case obnstruksi airway
completely.

different handling of the epiglottis
that can cause laryngeal spasm and
swelling, is likely to cause
obstruction perfect.
Direct examination can be
performed during surgery or an
emergency section
Allow the child to obtain a pleasant
psosisi will help alleviate anxiety
and reduce the risk of increased
respiratory problems. Penempatkan
children in horizontal position can
cause rapid deterioration of the
network.
Continuous monitoring allows to
detect the occurrence of a perfect
obstruction
To maintain anatomical position of
tongue and natural airway
especially when tongue/laryngeal
edema or thick secretions may
block airway
to take advantage of gravity decreasing
pressure on the
diaphragmandenhancingdrainageof/ventila
tion o f different lung segment

Goal met:
After 8 hours of
nursing intervention the
patient Maintained air
way patency

Administer analgesics as
ordered


Dependent:
Assist with appropriate
testing

Suction
naso/tracheal/oral











Provide supplemental
humidification, if needed






Educative:
Assess clients SO
knowledge of
contributing causes
treatment plan specific
medication, and
therapeutic procedures
Provide information
about the necessity of
raising and
expectorating secretions
versus swallowing them





to improve cough when pain is
inhibiting effort



to identify causative/precipitating
factor


to clear airway when excessive or
viscous secretion are blocking
airway or client is unable to swallow
or cough effectively








hydration can help liquefy viscous
secretion and improve secretion
clearance






modalities to manage secretions
and improve airflow vary according
to clients diagnosis



to report changes in color and
amount in the event that medical
intervention may be needed to
prevent or treat infection