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학습 자료 둘러보기 →The hallmark of respiratory diphtheria is a pseudomembrane that is firmly attached to the pharynx. The priority nursing action is to prepare for airway obstruction and asphyxiation, as this is the most immediate cause of death. Do not attempt to dislodge the membrane due to the risk of bleeding and further obstruction.
Immediately implement strict droplet precautions with a private room and surgical masks for all contacts. Corynebacterium diphtheriae is highly contagious. Notify the public health department for contact tracing and antitoxin release, as the disease is a reportable condition.
While antibiotics (e.g., penicillin, erythromycin) and diphtheria antitoxin are definitive treatments, they are secondary to airway stabilization. Antitoxin neutralizes circulating toxin but does not affect toxin already bound to tissues.
A patient with dysphagia and a visible pharyngeal membrane is at high risk for aspiration. Do not give oral fluids, medications, or food until the airway is secured. Keep emergency airway equipment (suction, endotracheal intubation kit, tracheostomy tray) at the bedside.
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