DGI:Laryngitis supraglottica/Therapie: Difference between revisions

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== Therapie ==
==Therapie==
<span style="font-family:&quot;Arial&quot;,sans-serif">'''Antibiotische Therapie:'''</span>
'''Antibiotische Therapie'''
{| class="wikitable sortable MsoTableGrid" border="1" cellspacing="0" cellpadding="0" width="633" style="margin-left:-.25pt;border-collapse:collapse;mso-table-layout-alt:fixed;
{| class="wikitable "
border:none;mso-border-alt:solid black .5pt;mso-yfti-tbllook:1184;mso-padding-alt:
0cm 5.4pt 0cm 5.4pt"
|+
|+
| style="width:78.0pt;" width="104" valign="top" |'''<span style="font-family:&quot;Arial&quot;,sans-serif;mso-fareast-font-family:Arial">Klinische Situation</span>'''
!Klinische Situation
| style="width:63.75pt;" width="85" valign="top" |'''<span style="color: black">Präferenz</span>'''
!Präferenz
| style="width:120.5pt;" width="161" valign="top" |'''<span style="color: black">Substanz</span>'''
!Substanz
| style="width:3.0cm;" width="113" valign="top" |'''<span style="color: black">Dosierung</span>'''
!Dosierung
| style="width:49.6pt;" width="66" valign="top" |'''<span style="color: black">Dauer</span>'''
!Dauer
| style="width:78.0pt;" width="104" valign="top" |'''<span style="color: black">Kommentar</span>'''
!Kommentar
|- style="height:27.7ptpx;"
|-
| rowspan="2" style="width:78.0pt;" width="104" valign="top" |<span style="font-family:&quot;Arial&quot;,sans-serif;mso-fareast-font-family:
| rowspan="2" |
  Arial">Laryngitis supraglottica</span>
Laryngitis supraglottica
| style="width:63.75pt;" width="85" valign="top" |<span style="font-family:&quot;Arial&quot;,sans-serif;mso-fareast-font-family:
|1. Wahl
  Arial">1. Wahl</span>
|Ampicillin/Sulbactam
| style="width:120.5pt;" width="161" valign="top" |<span style="font-family:&quot;Arial&quot;,sans-serif;mso-fareast-font-family:
|3 x 2g/1g i.v.
  Arial">Ampicillin/Sulbactam</span>
|10 d
| style="width:3.0cm;" width="113" valign="top" |<span style="font-family:&quot;Arial&quot;,sans-serif;mso-fareast-font-family:
|Oralisierung nach 4-7 Tagen erwägen
  Arial">2g/1g q8h i.v.</span>
|-
| style="width:49.6pt;" width="66" valign="top" |<span style="font-family:&quot;Arial&quot;,sans-serif;mso-fareast-font-family:
|Alternativ
  Arial">10d</span>
|Ceftriaxon
| style="width:78.0pt;" width="104" valign="top" |<span style="font-family:&quot;Arial&quot;,sans-serif;mso-fareast-font-family:Arial">Oralisierung nach 4-7 Tagen erwägen</span>
|1 x 2g i.v.
|- style="height:4.9ptpx;"
|10 d
| style="width:63.75pt;" width="85" valign="top" |<span style="font-family:&quot;Arial&quot;,sans-serif;mso-fareast-font-family:
| -
  Arial">alternativ</span>
| style="width:120.5pt;" width="161" valign="top" |<span style="font-family:&quot;Arial&quot;,sans-serif;mso-fareast-font-family:
  Arial">Ceftriaxon</span>
| style="width:3.0cm;" width="113" valign="top" |<span style="font-family:&quot;Arial&quot;,sans-serif;mso-fareast-font-family:
  Arial">2g q24h i.v.</span>
| style="width:49.6pt;" width="66" valign="top" |<span style="font-family:&quot;Arial&quot;,sans-serif;mso-fareast-font-family:
  Arial">10d</span>
| style="width:78.0pt;" width="104" valign="top" |<span style="font-family:&quot;Arial&quot;,sans-serif;mso-fareast-font-family:Arial">-</span>
|}
|}


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'''<span style="font-family:&quot;Arial&quot;,sans-serif">Zusätzliche Therapie:</span>'''
'''<span style="font-family:&quot;Arial&quot;,sans-serif">Zusätzliche Therapie:</span>'''


* <span style="font-family:&quot;Arial&quot;,sans-serif">Inhalation mittels Feuchtvernebler:</span>
*<span style="font-family:&quot;Arial&quot;,sans-serif">Inhalation mittels Feuchtvernebler:</span>
** <span style="font-family:&quot;Arial&quot;,sans-serif">Epinephrin (Adrenalin) in 1:1000 Verdünnung</span>
**<span style="font-family:&quot;Arial&quot;,sans-serif">Epinephrin (Adrenalin) in 1:1000 Verdünnung</span>
*** <span style="font-family:&quot;Arial&quot;,sans-serif">Beispiel: 2 ml mit 2 ml NaCl 0,9% verdünnen</span>
***<span style="font-family:&quot;Arial&quot;,sans-serif">Beispiel: 2 ml mit 2 ml NaCl 0,9% verdünnen</span>
** <span style="font-family:&quot;Arial&quot;,sans-serif">oder mit Fertigprodukt Inhalationslösung je nach Herstellerangabe</span>
**<span style="font-family:&quot;Arial&quot;,sans-serif">Oder mit Fertigprodukt Inhalationslösung je nach Herstellerangabe</span>
* <span style="font-family:&quot;Arial&quot;,sans-serif">systemische Glukocorticoid-Stoßtherapie</span>
*<span style="font-family:&quot;Arial&quot;,sans-serif">systemische Glukocorticoid-Stoßtherapie</span>
** 3 – 4 mg/kg KG Prednisolon i.v.
**3 – 4 mg/kg KG Prednisolon i.v.
*** <span style="font-family:&quot;Arial&quot;,sans-serif">Beispiel:              Kinder bis 15 kg = 50 mg Prednisolon i.v.</span>
***<span style="font-family:&quot;Arial&quot;,sans-serif">Beispiel:              Kinder bis 15 kg = 50 mg Prednisolon i.v.</span>


Kinder 15 – 30 kg = 100 mg Prednisolon i.v.
Kinder 15 – 30 kg = 100 mg Prednisolon i.v.
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Kinder 30 – 60 kg = 150 mg Prednisolon i.v.
Kinder 30 – 60 kg = 150 mg Prednisolon i.v.


ab 60 kg = 250 mg Prednisolon i.v.  
Ab 60 kg = 250 mg Prednisolon i.v.  
<br />
<br />

Latest revision as of 11:52, 26 July 2021

Therapie

Antibiotische Therapie

Klinische Situation Präferenz Substanz Dosierung Dauer Kommentar

Laryngitis supraglottica

1. Wahl Ampicillin/Sulbactam 3 x 2g/1g i.v. 10 d Oralisierung nach 4-7 Tagen erwägen
Alternativ Ceftriaxon 1 x 2g i.v. 10 d -


Zusätzliche Therapie:

  • Inhalation mittels Feuchtvernebler:
    • Epinephrin (Adrenalin) in 1:1000 Verdünnung
      • Beispiel: 2 ml mit 2 ml NaCl 0,9% verdünnen
    • Oder mit Fertigprodukt Inhalationslösung je nach Herstellerangabe
  • systemische Glukocorticoid-Stoßtherapie
    • 3 – 4 mg/kg KG Prednisolon i.v.
      • Beispiel: Kinder bis 15 kg = 50 mg Prednisolon i.v.

Kinder 15 – 30 kg = 100 mg Prednisolon i.v.

Kinder 30 – 60 kg = 150 mg Prednisolon i.v.

Ab 60 kg = 250 mg Prednisolon i.v.