Nursing care of patients with respiratory failure due to severe infection of the deep cervical membrane beneath the chin : Case study 2 cases

Abstract

     The purpose of this comparative case study of 2 cases was to study and compare nursing care of patients with respiratory failure caused by severe infection of the deep cervical membrane beneath the chin. who were admitted to the intensive care unit Sirindhorn Hospital Khon Kaen Province.
     Results: Both case studies were caused by infection from tooth decay, but there were related factors. Case 1 was an elderly person and had a congenital disease, namely diabetes, and had symptoms of inflammation for several days. That is a factor that results in the severity of the disease. Case study 1 has pathology and is easily infected along with smoking, while case study 2 does not have any congenital disease. But they had the habit of smoking up to 20 cigarettes/day. Both patients came to the hospital with symptoms of shortness of breath, the first with a high fever, the second with no fever, and the first with antibiotics. The first received Augmentin 1.2 grams as an injection. Intravenously every 8 hours, received the antibiotic Clindamycin 600 milligrams, injected intravenously every 8 hours. The second person received Augmentin 1.2 grams, injected intravenously every 8 hours, received emergency ventilation using the Awake tracheal stylet Video method. laryngoscope assessment Respiratory tract via video laryngoscope through intraoral anesthesia LA 10% lidocaine spay by a team of anesthesia and ear, nose, and throat surgeons at the emergency room for both cases according to FASTHUG and BANDAIDS principles.