0100: The client was brought to the ED by his parents because they were awakened by the child crying and because 'his throat hurt.' The parents indicated that he was sick the night before, but the symptoms were not severe, and this change was sudden. The child was drooling, hot to the touch, and their voice was muffled. On assessment, the child is alert and restless. Pain was endorsed in the throat. Voice is muffled and excessive secretions were noted in his mouth. Visualization of the throat was difficult because of the excessive secretions but the throat was significantly erythemic. The child was resistant to lying supine and maintained a tripod position. Low-pitch inspiratory stridor was heard in upper lung fields, and the client had tachypnea. Peripheral pulses were 2+. Skin was hot and dry. Vital signs: T 103.4° F (39.7° C), P 141, RR 34, pulse oximetry reading 89% on room air. No significant past medical or surgical history.
➢ For each assessment finding below, click to specify if the finding is consistent with the disease process of epiglottitis, laryngotracheobronchitis, or streptococcal pharyngitis. Each finding may support more than one (1) disease process
- A. throat pain
- B. inspiratory stridor
- C. sudden onset of symptoms
- D. restlessness
- E. tripod position with drooling
- F. muffled voice
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