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학습 자료 둘러보기 →The primary threat in an infant with pertussis is apnea and complete airway obstruction from thick secretions and bronchospasm during a paroxysm. The nurse's highest priority is continuous monitoring of oxygenation and readiness for emergency airway intervention.
Antibiotics like azithromycin are indicated to limit transmission but do not alter the clinical course once the paroxysmal stage has begun. Supportive care like hydration is secondary to the immediate risk of respiratory failure.
Never perform chest physiotherapy on an infant with pertussis. The mechanical stimulation can trigger a severe, life-threatening coughing paroxysm and worsen airway compromise.
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