Editing Pediatric Nursing (section)

=== Epiglottitis ===

A true airway emergency, now uncommon because of '''Haemophilus influenzae'''  type b vaccination. Onset is abrupt with high fever and a toxic appearance. Remember the '''four Ds: drooling, dysphagia, dysphonia, and distress''', plus the '''tripod position''' with the chin thrust forward, absence of a cough, and muffled voice.

'''Application note.''' '''Do not inspect the throat, do not obtain a throat culture, and do not place anything in the mouth''', including a tongue blade, because laryngospasm and complete obstruction can result. Keep the child upright in the caregiver's lap, keep the child calm, give nothing by mouth, administer oxygen if tolerated, and notify the provider immediately while emergency airway equipment and personnel are assembled.