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학습 자료 둘러보기 →For a hospitalized child with rubeola complications, the ABC (Airway, Breathing, Circulation) framework dictates that monitoring respiratory status and ensuring airway patency is the absolute priority. The measles virus directly invades the respiratory epithelium, causing laryngotracheobronchitis, pneumonia, and potentially ARDS.
Assess for early signs of deterioration: stridor, barking cough, tachypnea, nasal flaring, retractions, and dropping SpO2. Rare but critical complications like air leak syndrome (pneumomediastinum, subcutaneous emphysema) can develop from severe coughing paroxysms.
Do not delay airway assessment for other interventions. While vitamin A is recommended to reduce morbidity, and oral care provides comfort, they are secondary to stabilizing the airway. Position the child to optimize breathing and keep emergency airway equipment immediately available.
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