influenza b

Hello everyone!

I added that pretty picture of the flu virus to get your attention!
I wanted to talk about the importance of getting your flu shot, and how it is actually a very selfless act.

I am a medical technologist at an urgent care. We are a step down from an emergency room. What’s interesting about being a lab tech in an urgent care is that you get to actually get to see and/or interact with our patients.

Positive Flu A, Flu B, and RSVs are considered a critical value in my urgent care (I don’t know if that is the case elsewhere). I know how dangerous they can be, but I never really put much thought into it until yesterday.

Yesterday, I was asked to run tests for a two year old baby boy for flu a, flu b, rsv, and strep a. He came out positive for flu b and strep a. As procedure, not only do I have to report it to our system, but I have to personally tell the doctor verbally that the patient is positive. As I am walking towards the nurses station to find the doctor, I quickly get a glimpse of the boy in room nine and he looks miserable. I tell myself “poor baby!” As I can feel his pain by looking at him. I tell the doctor and he confirms with me and I go back to my lab so I can continue to the next patient.

As I am documenting the exchange of results with the doctor on my systems, a nurse runs to my window, stressed out, throws the specimen she had, and runs back. I walk outside to see what’s going on and that same boy now has a suctioning tube down his throat, mom in tears, and the entire staff around his bed trying to get him to breathe again. I feel myself kind of losing my cool and the tears coming so I run back to the lab to shake it off and I go back outside to see if I can help in any way. The only help I could offer was to remind them he has flu b and strep a because with all the stress, documentation was a bit hard.

Paramedics finally come in to transport him to the nearest ER, but we couldn’t let the patient go until he was stable. It took 15 mins to stabilize him and clear out his airway from a lot of fluid that got loose from a cough attack he had prior to the incident. His O2 sat was dangerously low and our staff were unable to get a line in him, but once his airway was cleared the paramedics were able to do that on their way.

Edit:

There are three age groups who are at very high risk with the flu.
1) infants, babies, and small children
2) elderly 3) immunocompromised/immunodeficient patients.

Those are two very good reasons to get the flu shot.
It’s so easy to get one and is covered by almost every insurance.
You will literally be saving lives and that would be a very good deed to end 2016 with.

Croup vs. Epiglottitis (Peds.)

Pediatrics (neonates to school age; adolescence is another topic) is probably my least favorite specialty to deal with and they are one of the hardest to help at times with all the elements that go with the patient. Whether it is dealing with the sick child or the distraught parents, we must sift through the physical findings and the information from the parents to understand what is going on. This gets especially sticky when it comes to some upper airway complications in the younger group.

Two very common upper airway problems in the younger populations include Croup and Epiglottitis. Both can be dangerous, but require different management when treatment is concerned. This article will give you a brief overview of the pathophysiology, signs and symptoms, treatments, and key points to remember.

Croup

Pathophysiology: Commonly a viral infection (RSV, adenovirus, influenza A and B, etc.) of the upper respiratory system for ages 6 to 36 months. Major inflammation has occurred in the larynx, trachea, bronchi, bronchioles, and lung parenchyma; causing obstruction of the airway. As the swelling progresses supraglottic the patients with begin show signs of respiratory distress. Further along, the patient’s lower airway may begin to begin having atelectasis, due to the lack of air keeping the alveoli open.

Croup is a slow progression of inflammation. Noticing early that the patient has upper respiratory issue is key in the management. Due to the smaller airway of children, we must not hesitate to seat

Signs and Symptoms: The most common sign of croup will be the seal like bark with inspiratory stridor. With this means that the patient is in respiratory distress and quickly heading to failure. If you hear the seal like bark, check the lower lung fields for crackles, because possible atelectasis may have begun.

Commonly more serious during night, awakening them from sleep. Other signs to know include:

  • Tachypnea
  • Retractions
  • Cyanosis
  • Shallow respirations
  • Fever

Treatment: Emergency treatment for croup is a humidified air and a dose of corticosteroids. If in further destress, racemic epinephrine will assist with edema. ETCO2 and O2 readings will help determine if there is retention of gasses, which may lead to acidosis. ABGs will be needed to confirm this as well.

Usually, patients will be able to return home to be monitored. Family should watch for difficulty breath and be using humified air. Antipyretics will assist in keeping fevers down as well.

Epiglottitis

Pathophysiology: Influenza type B, streptococcus pneumoniae or aureus may cause epiglottitis. The epiglottis is a small flap above the glottic opening, which is used to prevent foreign objects entering the trachea. When the epiglottis is infected, with will swell, narrowing the airway for the patient. Increased work of breathing may occur and soon my might have a patient in respiratory failure.

Epiglottitis is a more acute problem, with sudden onset and quick changes to mentation form the restriction of airflow.

Signs and symptoms: As the epiglottis swells, the child may begin to develop stridor. When stridor occurs, we must ask the question is this an object or is this medical. Other signs that might point you towards epiglottitis will be:

  • Sore throat
  • fever
  • Odynophagia
  • Drooling
  • Irritability
  • Cyanosis
  • Tripoding or nasal flaring

Treatment: The most important thing with these patients is to ensure they have an airway. Do not try and examine the patient, especially if you are a paramedic on scene (Load and go). When gathering a medical history, it is especially important to ask for vaccination in the pediatric population. Today, Influenza vaccinations are given to children, but we do have a set population now that do not vaccinate their children. X-rays of neck will be done and a visual examination may be performed. Keep the patient calm at this time, further agitation may cause the airway to swell more.

Patient will commonly receive an antibiotic, such as ceftriaxone, to help with the bacteria. ET tubes may be places in severe cases and usually remain for 24 to 48 hours. Trachostomes may be required, if a ET tube cannot pass the glottic opening.

Key Points

  • Both Croup and Epiglottitis can be dangerous to pediatric patients. If you have a child that has stridor and any signs of distress, they will need immediate attention.
  • Out of hospital, assume epiglottitis and rule it out when you can. This load and go for you
  • Croup X rays may show steeple sign, but epiglottitis won’t

Written by: MEDDAILY

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anonymous asked:

Last year in May I came down with the worst case of influenza b my doctor had ever seen. My leg cramps were so terrible I was in tears, I also had cramps in my arms, back, hips, and neck. I was delirious from a fever + all the medication I had to be on. I couldn't even stay upright, let alone stand, when I went to the doctors office. They had me lay down in a same-day operations office and I was barely coherent throughout the whole visit. I hope you feel better soon, sending healing love 💖

omg that sounds awful! i hope youve been in good health since then!!

SCANDAL; “To Everyone” blogpost by MAMI☆

It’s been announced on the official HP and Twitter etc., but because I’d been careless with my health, I was infected with Type-B influenza. Therefore, I’ve been unable to participate in this round’s album’s release memorial events. Everyone who’d been looking forward to this, I really apologise. And then, for the change in the event’s contents, and for the sudden announcement, I am deeply apologetic. To everyone who’d gathered for the event at Asunal Kanayama in Nagoya yesterday, I am sorry for the lack of details to my『ill health』and for having announced my lack of attendance on the very day itself. I apologise for causing so much trouble and worry. Thank you for the many messages on Twitter! My fever has gone down and the symptoms have pretty much subsided. Please don’t worry, as I’m gradually getting better!

『YELLOW』is an album filled with songs that were naturally born from us, one in which the song production that had taken place in the past year had been close to ourselves. As part of the band and myself, it’s one that was produced when we were in very good condition. That is why, I’d wanted to meet with everyone’s faces in this event and to speak about YELLOW…I’m so sorry, it’s pathetic…m(_ _)m For ¾’s Kawasaki and 3/6’s Nishinomiya events, HARUNA, TOMOMI and RINA will represent me in conveying『YELLOW』at the scheduled event. Have fun!

I’ll also be checking up on everyone’s thoughts (regarding the album) at quick speed!

NEW ALBUM『YELLOW』. Using 10 years of time, we’d slowly come to be able to do all sorts of things. We did not intentionally mean for our 10th year to contain an album that has all of its songs, lyrics and composition made by the members, but to have been able to produce an album in this timing, it feels like a brand new start. I hope that it’ll reach many people.