Infection Being male Haemophilus influenzae type b (Hib) bacteria Having a weakened immune system Streptococcus pneumoniae (pneumococcus) Lacking adequate vaccination Streptococcus A, B and C Staphylococcus aureus Injury Diagnostic Test direct blow to the throat Throat examination burns from drinking very hot or caustic liquids Chest or neck X-ray Swallow a chemical that burns your throat Throat culture and blood tests Swallow a foreign object Smoke drugs, such as crack cocaine Nursing Diagnosis Ineffective Airway Clearance: Inability to clear secretions or obstructions from the respiratory tract to maintain a clear airway Organ Involved: Epiglottis related to obstruction associated with edema and excessive mucus production in the upper airways Complications Respiratory failure Nursing Independent Interventions Spreading infection Signs and Symptoms Assess oxygen status and vital signs Abnormal breathing position (tripod) Keep child with parent and on lap during treatments, if Dysphagia…leads to drooling possible Difficulty speaking (muffled/soft) Don’t restrain child Never leave child alone Apprehension Provide a calm environment Increased temperature (HIGH) Prevent doing things that make the child cry Rapid onset Allow the child to be in a comfortable positon that allows them to breathe (NO SUPINE because it impedes respiratory Nasal flaring effort). Using accessory muscles Keep the child nothing by mouth. Retractions (chest) Stridor (inspiratory) Nursing Dependent Interventions Enlarged epiglottis Medications per MD order: IV fluids, antibiotics, antipyretics, corticosteroids (decreases swelling)