Page 131 - 2021 IDMT Digital
P. 131
EPIGLOTTITIS
Introduction:
• (SLJORWWLWLV PRUH FRUUHFWO\ NQRZQ DV VXSUDJORWWLWLV VKRXOG EH VXVSHFWHG LI D SDWLHQW
SUHVHQWV ZLWK SDLQ RQ VZDOORZLQJ RXW RI SURSRUWLRQ WR DSSDUHQWO\ PLQLPDO RURSKDU\QJHDO
ILQGLQJV RQ H[DP
• 'DQJHURXV FRQGLWLRQ PD\ OHDG WR DLUZD\ FRPSURPLVH DQG GHDWK
Subjective:
• 6LJQV DQG 6\PSWRPV
o 5DSLGO\ GHYHORSLQJ VRUH WKURDW
o 3DLQ DQG GLIILFXOW\ ZLWK VZDOORZLQJ
o 3RVVLEOH GLIILFXOW\ EUHDWKLQJ HVSHFLDOO\ VXSLQH
o 3DWLHQW PD\ EH GURROLQJ DQG OHDQLQJ IRUZDUG ³WULSRG SRVLWLRQ´
• 7RROV
o /DWHUDO SODLQ UDGLRJUDSK RI QHFN PD\ GHPRQVWUDWH ³WKXPESULQW VLJQ´
Objective:
• 3K\VLFDO ([DP
o 3DWLHQW PD\ EH XVLQJ DFFHVVRU\ PXVFOHV WR EUHDWKH
o $VVHVV IRU VWULGRU
o &DUHIXO LQVSHFWLRQ RI WKH RUDO SKDU\Q[ ZKLFK ZLOO OLNHO\ ORRN QRUPDO
Assessment:
• 'LIIHUHQWLDO
o 3KDU\QJLWLV XVXDOO\ VKRZV HU\WKHPD DQG LV OHVV VHYHUH
o 3HULWRQVLOODU DEVFHVV XQLODWHUDO WRQVLOODU VZHOOLQJ XYXOD PD\ GHYLDWH DZD\ IURP
DIIHFWHG VLGH
o 5HWURSKDU\QJHDO DEVFHVV SRVWHULRU SKDU\QJHDO ZDOO PD\ EXOJH WR RQH VLGH
Plan:
• ,PPHGLDWH (9$& RU WUDQVIHU ZLWK ,9 DQWLELRWLFV FHIWULD[RQH
• ,QGLFDWLRQV IRU LQWXEDWLRQ DUH G\VSQHD RU SURJUHVVLRQ RI DLUZD\ FRPSURPLVH LI QRW
LQWXEDWHG WKH SDWLHQW VKRXOG KDYH FRQWLQXRXV R[\JHQ PRQLWRULQJ
Patient Education:
• )ROORZ XS $FWLRQV
o (YDFXDWH RU WUDQVIHU LPPHGLDWHO\ LI VXVSHFWHG
Preceptor Directive:
• Red Directive: Immediate Evacuation; Contact Preceptor ASAP
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