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| == Therapie == | | == Therapie == |
| <span style="font-family:"Arial",sans-serif">'''Antibiotische Therapie:'''</span> | | <span style="font-family:"Arial",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''' |
| 0cm 5.4pt 0cm 5.4pt"
| | {| class="wikitable |
| |+ | | |+ |
| | style="width:78.0pt;" width="104" valign="top" |'''<span style="font-family:"Arial",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:"Arial",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:"Arial",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:"Arial",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:"Arial",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:"Arial",sans-serif;mso-fareast-font-family: | | |Alternativ |
| Arial">10d</span>
| | |Ceftriaxon |
| | style="width:78.0pt;" width="104" valign="top" |<span style="font-family:"Arial",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:"Arial",sans-serif;mso-fareast-font-family: | | | - |
| Arial">alternativ</span>
| |
| | style="width:120.5pt;" width="161" valign="top" |<span style="font-family:"Arial",sans-serif;mso-fareast-font-family: | |
| Arial">Ceftriaxon</span>
| |
| | style="width:3.0cm;" width="113" valign="top" |<span style="font-family:"Arial",sans-serif;mso-fareast-font-family: | |
| Arial">2g q24h i.v.</span>
| |
| | style="width:49.6pt;" width="66" valign="top" |<span style="font-family:"Arial",sans-serif;mso-fareast-font-family: | |
| Arial">10d</span> | |
| | style="width:78.0pt;" width="104" valign="top" |<span style="font-family:"Arial",sans-serif;mso-fareast-font-family:Arial">-</span>
| |
| |} | | |} |
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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
|
| 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.
