Nonaspirin analgesics and antipyretics.
If left untreated, GABHS infections can lead to
- Scarlet fever
- Otitis media
- Suppurative infections of surrounding tissues
Tonsillectomyis recommended for recurrent streptococcal infections
and massive hypertrophy.
Tonsillectomies are reserved for children >3 years of age due to
excessive blood loss and a potential for the tonsils to grow back.
Nursing Interventions
Baseline assessment prior to the procedure.
Postsurgical assessments include close monitoring with high alert for
bleeding and infection.
Nursing alert Frequent swallowing following a tonsillectomy is a cardinal
sign of bleeding at the surgical site.
Croup Syndrome
What Went Wrong?
Croup syndromeis a very common viral syndrome applied to a symptom
complex characterized by hoarseness and a cough described as “barking” that
results from an inspiratory stridorsound produced when there is obstruction
of the larynx and trachea. Croup syndrome affects the
Larynx
Trachea
Bronchi to varying degrees, resulting in
- Laryngotracheobronchitis (LTB)
- Epiglottitis
- Laryngitis
Signs and Symptoms
Manifestation of croup include a “barking” cough, nasal drainage, sore throat,
and low-grade fever.
Acute Laryngotracheobronchitis
What Went Wrong?
Laryngotracheobronchitis (LTB)is the most common type of croup and
primarily affects children <5 years of age. The disease process is an inflam-
mation of the mucosa lining the larynx and trachea causing a narrowing of
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(^76) Pediatric Nursing Demystified