08-25-2010, 07:31 AM
You have a child in the ED who is toxic appearing with
the sudden onset of high fever, drooling, and stridor.
You suspect epiglottitis
What is the FIRST step in the treatment of this
patient?
A) Draw blood work including a CBC.
B) Place an IV for access and fluids.
C) Give a dose of IM steroids (eg, dexamethasone
0.6 mg/kg) to help shrink the epiglottis.
D) Put a face mask on the child and administer
albuterol via face mask.
E) Leave the child on the mother’s lap and do not
upset the child (you don’t want a temper tantrum
in the ED).
Which of the following is NOT needed in the
optimal diagnosis and treatment of epiglottitis?
A) “Thumb sign” on radiograph.
B) Antibiotics to cover Haemophilus influenza.
C) Antibiotics to cover Streptococcus pneumonia.
D) An operating room.
E) Personnel able to emergently manage the airway.
the sudden onset of high fever, drooling, and stridor.
You suspect epiglottitis
What is the FIRST step in the treatment of this
patient?
A) Draw blood work including a CBC.
B) Place an IV for access and fluids.
C) Give a dose of IM steroids (eg, dexamethasone
0.6 mg/kg) to help shrink the epiglottis.
D) Put a face mask on the child and administer
albuterol via face mask.
E) Leave the child on the mother’s lap and do not
upset the child (you don’t want a temper tantrum
in the ED).
Which of the following is NOT needed in the
optimal diagnosis and treatment of epiglottitis?
A) “Thumb sign” on radiograph.
B) Antibiotics to cover Haemophilus influenza.
C) Antibiotics to cover Streptococcus pneumonia.
D) An operating room.
E) Personnel able to emergently manage the airway.