Acute Infectious Laryngitis
Not yet clinically reviewed
This protocol was migrated from the earlier Pharmapedia and Ward Guide apps for educational use. Follow your hospital's own policies and consult seniors when in doubt.
Clinical features
- Sore throat, cough, croup
- Mild course
- Respiratory distress unusual
Treatment
- IVF: Isolyte-P maintenance
- Complete bedrest
- O2 for hypoxia
- Intubation when respiratory distress increases
- Drugs not useful
Acute Bronchitis
- Usually does not exist as such in children as in adults. But seen associated with other conditions like asthmatic bronchitis and bronchiolitis
Clinical Features
- History of preceding URI
- Hacking unproductive cough
- Chest pain
On Examination
- Whistling sound during respiration
- Signs of nasopharyngitis
- Rhinitis and conjunctivitis
- Bilateral wheeze
Treatment
- No specific treatment
- Frequent shift of position
- Judicious use of cough suppressants
- Antihistamines are contraindicated (Note: When repeated attacks occur investigate for congenital anomalies of respiratory tract, foreign body aspiration, bronchiectasis, tuberculosis, cystic fibrosis, etc.
