respiratory tract that is restrained from infecting the body by the immune system.
However, an upper respiratory viral infection weakens the immunesystem suf-
ficiently for the Coccobacillus H. influenza bacteria to penetrate the mucosal
tissue and enter the bloodstream.Signs and Symptoms
Signs and symptoms depend on which part of the body becomes infected.
Typically the infection results in bronchiolitis, epiglottiditis, meningitis, oti-
tis media, or laryngotracheobronchitis.Test Results
Culture and sensitivity test: Positive for Coccobacillus H. influenza.
Serologic test: Identifies Coccobacillus H. influenzatoxin.Treatment
Administer antibiotic (ceftriaxone [Rocephin], cefotaxime [Calforan],
chloramphenicol [Chloromycetin]).
Administer rifampin (Rifadin) prophylatically to others who have been
in close contact with the patient.Nursing Intervention
Place the child in droplet isolation to prevent transmission of the disease.
Provide cool humidification.
Explain the disorder and treatment to the family and to the patient.Nursing alert Isolation precautions remain in effect until after the first 24 hours
of antibiotic treatment.CHAPTER 14/ Infectious and Communicable Conditions^307
- A parent of a child who has a fever and is coughing is brought to the Emergency
Department (ED). You notice a lesion on the child’s tonsil. What is your best response?
a. Explain that the child probably has tonsillitis and will be fine in a couple of days
following antibiotic treatment.
b. Immediately place the child in droplet isolation until the child’s condition is
diagnosed.
c. Show the parent and child to a gurney located in the main area of the ED.
d. Show the parent and child to a gurney located in the main area of the ED and
make sure the curtain is pulled.
Answer:
✔ ROUTINE CHECKUP 1