Laryngitis
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ScribdTranslationsNursing Care Plan.
CLINICAL CASE:
Male pediatric patient, in preschool age (5 years), presents with aphonia, dysphonic cough.
(from dog), tachypnea, transient respiratory difficulty, headache, minimal discharge
nasal, general discomfort, lack of appetite, restless, sleepless, irritable, fever for 12 hours
evolución, dolor al pasar líquidos, dolor en garganta, diaforesis, dolor abdominal,
mild dehydration.
No previous surgeries, no transfusions, no allergies, normal somatometry, inspiratory stridor.
VITAL SIGNS.
120 x '
36 x´
38.8°
89%
RADIOLOGICAL FINDINGS:
LABORATORY FINDINGS:
PEDIATRICS.
1
DOMAIN: 4 ACTIVITY/REST.
CLASS: 4 CARDIOVASCULAR/RESPIRATORY RESPONSES
DIAGNOSTIC LABEL: Impaired gas exchange R/C Difficulty
respiratory M/P tachycardia, tachypnea, diaphoresis, dyspnea, abnormal respiratory rhythm.
Effective breathing. Saturation above 90%.
INDICATORS: Ease of Breathing. O2 Saturation. Findings in the
chest X-ray.
LIKERT SCALE: Substantially committed (2).
Not committed (5).
TARGET SCORE: Maintain (2).
Increase (4).
INTERVENTIONS:
Airway Management.
ACTIVITIES: -Perform thoracic physiotherapy if indicated. -Encourage breathing
slow and deep. - Auscultate the respiratory sounds and detect adventitious sounds. -
Administer humidified oxygen. –Position the patient in a way that alleviates the discomfort.
dyspnea. – Monitor respiratory status and oxygenation if applicable.
Oxygen therapy.
ACTIVITIES: -Administration of supplementary oxygen through a system
Heating. Monitor the effectiveness of Oxygen Therapy. -Watch for any data on
Oxygen-induced hypoventilation. - Observe if there are signs of oxygen toxicity and
atelectasis due to absorption. - Periodically check the O2 delivery device for
ensure that it is properly managed.
Respiratory monitoring.
ACTIVIDADES:-Vigilar disnea, frecuencia, profundidad y esfuerzo de las respiraciones.–
Monitor and record the type of breathing. - Auscultate lung sounds and record results.
Establish respiratory therapy treatment and oxygen supplementation.
ACTIVITIES:
PEDIATRICS.
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DOMAIN:. 11 SECURITY/PROTECTION.
CLASS: 6 THERMOREGULATION.
Hyperthermia R/C disease M/P temperature
corporal above normal level, warm body surface, increased frequency
respiratory.
EXPECTED RESULT:
INDICADORES:Hipertermia. Cefalea. Irritabilidad. Deshidratación.
LIKERT SCALE: Substantially committed (2).
Not committed (5).
TARGET SCORE: Maintain (2).
Increase (4).
INTERVENTIONS:
Temperature Regulation.
ACTIVIDADES: -Vigilar signos y síntomas de hipertermia. –Control térmico por medios
Physicals. -Take temperature at least every 2 hours. -Control of vital signs.
Treatment of Fever.
ACTIVIDADES: -Controlar ingreso y egreso de Líquidos. –Vigilar signos vitales. –
Administer antipyretics. - Strict temperature control to prevent hypothermia.
induced by the treatment. -Monitor for any convulsion activity.
ACTIVITIES:
PEDIATRICS.
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DOMAIN: 9 COPING/STRESS TOLERANCE
CLASS: 2 COPING RESPONSE.
DIAGNOSTIC LABEL: Anxiety R/C health status M/P anxiety,
insomnia, irritability, restlessness.
EXPECTED RESULT:
INDICATORS: Verbalized anxiety, sleep pattern disorder, changes in
the dietary guidelines.
LIKERT SCALE: Moderately committed (2).
Not compromised (5).
TARGET SCORE: Maintain (2).
Increase (4).
INTERVENTIONS:
Reduction of anxiety.
ACTIVITIES: -Try to understand the patient's perspective on a situation
stressful, create an environment that fosters trust, use a calm approach that gives
security, observe for verbal and non-verbal signs of anxiety.
Presence..
ACTIVITIES: - Be sensitive to the patient's beliefs. - Listen to the
patient concerns. -Stay with the patient to foster safety and
reduce fears. -Show an attitude of acceptance. -Reaffirm and support parents
in their role of supporting their child.
ACTIVITIES:
PEDIATRICS.
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6. Laryngitis, laryngotracheitis, and bronchitis.
Although laryngitis and tracheitis could be considered respiratory infections
lowered often accompany upper respiratory syndromes, particularly
to rhinitis or common cold. Hoarseness or complete loss of voice is the sign
characteristic of LARYNGITIS, while the cough accompanied by retrosternal pain
it is a data on tracheitis. In both cases, the etiology is almost always of viral origin, about
everything in the absence of acute respiratory failure; the most common viruses are
parainfluenza, rhinovirus, adenovirus, and influenza.
The diagnosis of bronchitis is primarily established by the presence of productive cough.
without other specific data on acute respiratory infection; the agents associated with these
the viruses have been parainfluenza, respiratory syncytial virus, and influenza15 (III,C).
PEDIATRICS.
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Algorithm 1. Identification of acute respiratory infections in children under 5
years
Nasal discharge of less than 15 days of evolution and infectious syndrome (attack on the state
general and/or fever and/or hyporexia.
-YES-
Acute respiratory infection
Presence of tachypnea
FR* > 60 per minute in children under 2 months
> 50 per minute in children from 2 to 11 months
40 per minute in children aged 1 to 5 years.
-NO-
Without respiratory failure
Dysphonia
Laryngitis
Algorithm 2. Therapeutics for acute respiratory infections without insufficiency
respiratory in children under 5 years old
General measures. Increase fluid intake. Maintain proper nutrition.
(if there is hyporexia, offer food in small portions more times a day). No
suspend breastfeeding. In case of otorrhea, clean the external auditory canal with
gauze dressings three times a day. Do not apply eye drops. Control of pain, fever and
general discomfort: Acetaminophen 60 mg/kg/day, in 4 to 6 doses.
Educate the mother about: Do not apply acetaminophen suppositories in minors.
from 1 year (the dose that can cause intoxication 'hepatitis' is easily exceeded
fulminant). The inconvenience of using antihistamines in children. Coughing is a
defense mechanism that should be encouraged by increasing liquid intake to
liquefy the secretions and not try to suppress them with syrups.
How to identify the early signs of pneumonia or worsening (in which case
must return to the doctor immediately:
Increased respiratory rate.
Respiratory difficulty.
Difficulty drinking.
That the child looks serious.
PEDIATRICS.
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Laryngitis. Do not prescribe antibiotics. General measures. Treat fever or discomfort.
with Acetaminophen. Education to the mother
Improvement in 4 days
-No-
If fever persists and clinical signs of any complication appear.
Treat with antibiotic according to the clinical entity
Tachypnea or other signs of respiratory failure
Treat as pneumonia with respiratory failure
Identification of predisposing factors: Attendance at daycare centers. Sudden changes in
temperature. Lack of ventilation in the home. Overcrowding. Passive smoking
Environmental pollution inside and outside the home. Incomplete immunization schedule.
Malnutrition.
Health education: Adequate intake of liquids and yellow or orange fruits
(contain vitamins A and C). Provide the appropriate diet according to age.
Frequent handwashing by the mother or caregiver if in contact with sick individuals.
IRA* Promote exercise and outdoor activity. Attend regular check-ups.
of the healthy child.
Control of predisposing factors: Adjust the recommendations according to
Age and literacy of the mother and/or the caregiver of the child.
Avoid: - Sudden changes in temperature. - Smoking near children.
The use of firewood or braziers in closed rooms.
Look for good ventilation in the dwelling. Recommendations to reduce the
Overcrowding. Implementation of the complete vaccination schedule. Promote healthy eating.
in the womb
PEDIATRICS.
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