Epiglottitis — NCLEX Cheat Sheet
4 D's — airway EMERGENCY
👤 By the CinnaRN Clinical Content Team
🕐 Updated 2026-07-11
🏷️ Physiological Adaptation
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Use this quick-reference guide to spot, treat, and prevent Epiglottitis on the NCLEX. Keep it handy during review and on exam day!
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- H. influenzae type B (Hib)
- Sudden onset, looks toxic
- 4 D's: Drooling, Dysphagia, Dysphonia, Distress
- Tripod position, high fever
- Muffled voice, NO cough
- NEVER inspect throat / tongue blade
- No supine, keep upright
- Keep calm → 100% O2 ready
- Intubation tray at bedside
- IV abx, prevent w/ Hib vaccine
✨Quick Tip
Onset is abrupt with high fever, sore throat, and a toxic, ill appearance.
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