DGI:Laryngitis supraglottica/Therapie: Difference between revisions

Revision as of 11:21, 27 June 2021

Therapie

Antibiotische 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
Laryngitis supraglottica	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.

@@ Line 1: / Line 1: @@
 == Therapie ==
 <span style="font-family:&quot;Arial&quot;,sans-serif">'''Antibiotische Therapie:'''</span>
-{| class="wikitable sortable MsoTableGrid" border="1" cellspacing="0" cellpadding="0" width="633" style="margin-left:-.25pt;border-collapse:collapse;mso-table-layout-alt:fixed;
- border:none;mso-border-alt:solid black .5pt;mso-yfti-tbllook:1184;mso-padding-alt:
+'''Antibiotische Therapie'''
-cm 5.4pt 0cm 5.4pt"
+{| class="wikitable
 |+
-| 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>
 |}