Info

Reduce fever often present in LTB

Antibiotics

Varies with drug

Type of antibiotic depends on the causative organism

Fight bacterial infections

Independent

Ongoing, continuous observation of the patency of the child's airway is essential to identify impending obstruction. Prop infants up on pillows or place them in an infant seat; older children should have the head of the bed elevated so that they are in Fowler's position. Sore throat pain can be decreased by soothing preparations such as iced pops or fruit sherbet. If the child has difficulty swallowing, avoid thick milkshakes.

Children should be allowed to rest as much as possible to conserve their energy; organize your interventions to limit disturbances. Provide age-appropriate activities. Crying increases the child's difficulty in breathing and should be limited if possible by comfort measures and the presence of the parents; parents should be allowed to hold and comfort the child as much as possible. If the child is in a cool mist tent, parents may need to be enclosed with the child, or the child may need to be held by the parents with the mist directed toward them. Children sense anxiety from their parents; if you support the parents in dealing with their anxiety and fear, the children are less fearful. A child's anxiety and agitation will most likely exacerbate the symptoms and need to be avoided if possible. Careful explanation of all procedures and allowing the parents to participate in the care of the child as much as possible help relieve the anxieties of both child and parents.

Provide adequate hydration to liquefy secretions and to replace fluid loss from increased sensible loss (increased respirations and fever). The child also might have a decreased fluid intake during the illness. Clear liquids should be offered frequently. Apply lubricant or ointment around the child's mouth and lips to decrease the irritation from secretions and mouth breathing.

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