Epiglottitis

1. Symptoms:

    1. in 6-12 y/o

    2. very acute and dangerous course

    3. high grade fever

    4. sore throat

    5. dyspnea

    6. dysphagia

    7. drooling

    8. less common: croup like baring cough

    9. usually no prior URI symptoms

2. Orders:

    1. Neck x-ray AP and Lateral (for thumb sign)

    2. Intubation and proper airway as needed

    3. Amp ceftriaxone 50-75 mg/kg/day bid for 7 days

        1. or amp cefotaxime 100-200mg/kg/day q6h

        2. or amp meropenem 60 mm/kg/day q8h