laryngitis, epiglottis and sepsis and meningitis

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Author:
Ambestul
ID:
13624
Filename:
laryngitis, epiglottis and sepsis and meningitis
Updated:
2010-04-08 19:21:53
Tags:
laryngitis
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Description:
laryngitis
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  1. laryngitis (croup)
    laryngeal dyspnea, most common in young children, wake up having trouble breathing
  2. clinical presentation of laryngitis
    increasing stridor(high pitched sound), barking cough
  3. tx of laryngitis
    • o2, nebulized racemic epinephrine alpha (vasocontr and dec subglottic edema)and beta (bronchodilation)
    • and dexa 0.6mg/kg oral or IM x one dose after discharge
  4. epiglottis def
    rapid, progressive inflammation of epiglottis
  5. etiology of epiglottis
    H inf type b
  6. clinical presentation of epiglottis
    rapid onset, respiratory distress, tripod position, drooling, dysphagia, dysphonia, fever
  7. tx of epiglottitis
    • establish airway-usually in operating room
    • abx therapy for H inf type b
    • -cefuroxime 150mg/kg/d q 8 h
    • -cefotaxime 150-200 mg/kg/d 1 6 h
    • -ceftriaxone 100 mg/kg/d q 12 h
    • treat for 10 day
  8. early onset neonatal sepsis
    • 7 d
    • Group B strep
    • Gm - enterics
    • list mono
  9. late onset neonatal sepsis
    nonhosp
    • 7-30 d
    • group b strep
    • gm - enterics
    • list mono
  10. late onset neonatal sepsis
    hosp
    • group b step
    • gm - enterics
    • list mono
    • staph aur
    • staph epid
    • pseudo aeru
  11. pts older than 1 month of age-organisms
    • strep pneu
    • hae inf-Type B
    • neiss menin
  12. clinical presntation of sepsis and mening
    • ha, fever, stiff neck
    • fontanelles allow pressure so no stiff neck, rather
    • feeding difficulty, irritability, apnea, temp instability
  13. tx for early onset neonatal sepsis
    • amp + gent
    • or
    • amp + cefotaxime
  14. tx late onset neonatal sepsis nonhosp
    • amp + gent
    • amp + cefotaxime, same as early
  15. tx late onset neonatal sepsis hosp
    • vanco + gent
    • or
    • vanco + cefotaxime
  16. tx for pts older than 1 month
    • ceftriaxone + vanco
    • **consider dexa if pt is >2mo old, b4 or w 1st dose of abx, prevents compications and hearing loss

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