Page 182 - 2021 IDMT Digital
P. 182
LUDWIG’S ANGINA CONTINUED
Objective:
• 3K\VLFDO ([DP
o &RPSOHWH 96 ZLWK HPSKDVLV RQ WHPSHUDWXUH
o 3DLQ VFDOH ±
o &RPSOHWH +((17 H[DP
6XEPHQWDO DQG VXEOLQJXDO LQGXUDWLRQ
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Assessment:
• 'LIIHUHQWLDO
o 7RRWK LQIHFWLRQ PD\ KDYH ORFDOL]HG FHOOXOLWLV RI WKH VXUURXQGLQJ VRIW WLVVXHV
o 3HULFRURQLWLV HU\WKHPD VZHOOLQJ DQG SDLQ ORFDOL]HG WR WKH HUXSWLQJ ZLVGRP WRRWK
DQG ORFDOL]HG VRIW WLVVXH XVXDOO\ ZLOO QRW H[WHQG EH\RQG WKLV
o 3HULWRQVLOODU DEVFHVV XYXOD ZLOO QRW ULVH PLGOLQH ZLWK SKRQDWLRQ HU\WKHPD DQG
LQGXUDWLRQ W\SLFDOO\ ZLOO QRW H[WHQG WR WKH IORRU RI WKH PRXWK
o 6WUHS SKDU\QJLWLV SDLQ LV JHQHUDOO\ ORFDOL]HG WR WKH WKURDW DQG HOHYDWHG ZLWK
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o 7UDXPD KLVWRU\ RI WUDXPD PD\ SUHGLVSRVH WR LQIHFWLRQ
Plan:
• 7KLV LV D PHGLFDO HPHUJHQF\
o 3UHSDUH IRU $&/6 LQWHUYHQWLRQ
o ,9 R[\JHQ PRQLWRU
• 0HGLFDWLRQV
o ,9 DQWLELRWLFV LI DYDLODEOH XQGHU SUHFHSWRU JXLGDQFH
&OLQGDP\FLQ $PSLFLOOLQ
o ,I ,9 DQWLELRWLFV XQDYDLODEOH
3HQ 9. $XJPHQWLQ &OLQGDP\FLQ 32
• 0DLQWDLQ ,9 K\GUDWLRQ QXWULWLRQ SDLQ FRQWURO DQG LQIHFWLRQ PDQDJHPHQW
• 3UHYHQW VDOLYD DFFXPXODWLRQ LQ VXSLQH SRVLWLRQ DQG PDLQWDLQ DLUZD\ SDWHQF\
• (9$& RU WUDQVIHU 67$7
Patient Education:
• &RQWLQXH JRRG RUDO K\JLHQH DV SRVVLEOH
• 5HSRUW DQ\ ZRUVHQLQJ RI V\PSWRPV $6$3
• )ROORZ XS $FWLRQV
o 3DWLHQW VKRXOG UHPDLQ LQ FOLQLF IRU REVHUYDWLRQ XQWLO (9$&
Preceptor Directive:
• Red Directive: Immediate Evacuation; Contact Preceptor ASAP
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