Pediatrics Flashcards
Compared to epiglottitis, which findings are MORE likely to occur with laryngotracheobronchitis? (select 3)
a. age affected <2 years
b. high fever
c. tripod position
d. steeple sign
e. onset between 24-72 hours
f. more likely to require anesthesia for urgent airway control
a. age affected <2 years
d. steeple sign
e. onset between 24-72 hours
Epiglottitis is _______ in nature.
bacterial
Epiglottitis affects ages ________
2-6 yrs
Epiglottitis is a _______ onset
rapid
Clinical presentation of epiglottitis includes
the 4 D’s: drooling, dyspnea, dysphonia, dysphagia, & high fever
tripod position
Treatment of epiglottitis includes
O2
urgent airway management antibiotics
With epiglottitis, _______ must be present for induction
ENT
Laryngeotracheobronchitis is otherwise known as
croup
Croup is _________ in nature
viral
Croup affects ages __________
<2 yrs
The onset of croup is
gradual
Clinical presentation of croup includes
mild fever
inspiratory stridor
barking cough
retractions- suprasternal, substernal, or intercostal
Croup should be treated with
O2
racemic epi
steroids
humidification
and fluids
________ is rarely required with croup
Intubation
The region affected with epiglottitis includes
supraglottic structures: epiglottis, vallecula, arytenoids, aryepiglottic folds
The region affected with croup includes
laryngeal structures below the vocal cords
Describe the neck XR of epiglottis
Thumb sign (lateral XR)
Describe the neck XR of croup
Steeple sign (frontal XR)
When diluted into 2.5 mL of 0.9% sodium chloride, what is the most appropriate dose of racemic epinephrine to administer to a 30-kg child with postintubation croup?
a. 0.5 mL of 0.25% solution
b. 0.5 mL of 2.25% solution
c. 5 mL of a 0.25% solution
d. 5 mL of a 2.25% solution
b. 0.5 mL of a 2.25% solution
Post-intubation laryngeal edema can occur with
cuffed or uncuffed endotracheal tubes