Pediatric Nursing Demystified

Acute Laryngitis

What Went Wrong?

Acutelaryngitisis most common in older children and adolescents. Viruses

are usually the causative agents, and the disease is almost always self-limited

without extended duration or sequelae.

Signs and Symptoms

Hoarseness

Coryza

Sore throat

Nasal congestion

Fever

Headache myalgia

Malaise

Test Results

Virus are usually the causative agent.

Treatment

Treatment is supportive of the symptomatic presentation; fluids and humidified

are highly encouraged.

Nursing Interventions

Assist the patient to expectorate secretions adequately.

Avoid the spread of infection.

Maintain patent airway.

Infectious Mononucleosis

What Went Wrong?

Infectious mononucleosis is an acute common self-limiting infectious disease

among young people <25 years of age. The disease course is usually mild but

occasionally can be severe accompanied by serious complications.

Signs and Symptoms

Symptoms vary greatly in type, severity, and duration. The patient presents with

Malaise

Sore throat

Fever with

• Generalized lymphadenopathy


• Splenomegaly


• Skin rash over the trunk


• Tonsils enlarged and reddened


• Enlarged spleen


• Possible jaundice

2

1

5

4

3

2

1

CHAPTER 5/ Respiratory Conditions^79