Croup syndrome test 2

Card Set Information

Author:
amber1026
ID:
34525
Filename:
Croup syndrome test 2
Updated:
2010-09-13 17:29:40
Tags:
Croup syndrome test
Folders:

Description:
Croup syndrome test 2
Show Answers:

Home > Flashcards > Print Preview

The flashcards below were created by user amber1026 on FreezingBlue Flashcards. What would you like to do?


  1. Croup Syndromes charactarized by:
    • - Hoarseness
    • – Brassy, barky cough
    • – Inspiratory stridor
    • – Varying degrees of respiratory distress
  2. Classifications of Croup
    • Acute Epiglottitis or Acute Supraglottitis

    • Acute Laryngitis

    • Acute Laryngotracheobronchitis (Viral croup)

    • Acute Spasmodic Laryngitis

    • Bacterial Tracheitis
  3. Acute Epiglottitis
    • Occurs primarily in
    • Requires
    • Onset is _________ and can progress QUICKLY to
    children ages 2‐5 as a result of H flu

    immediate attention

    abrupt; respiratory distress
  4. if suspected epiglottitis then treat as
    EPIGLOTTITS
  5. Clinical manifestations of epiglottitis
    - Child awakens with a sore throat and pain when
    • Sudden onset
    - how do they look
    • Insists on sitting in
    • how will they act?
    • Voice is
    • may be visible
    • Mild hypoxia may progress to
    • Throat is
    - cherry red epiglottis is
    • swallowing
    • Fever (102), “toxic‐looking”
    • “tripod” position
    • Drooling, irritability, restless, anxious
    • muffled, froglike croaking on inspiration
    • Retractions
    • cyanosis
    • red and inflamed,
    • visible
  6. Therapeuitc Mgt for epiglottitis
    - Presumptive diagnosis constitutes
    • Emergency equipment must be
    • Examination of throat with a tongue depressor is
    • Intubation for _________, most often done in
    • Swelling usually decreases after
    • consider...
    • Key to management is
    • an emergency
    • readily available
    • contraindicated
    • severe respiratory distress, OR (IV, labs, etc done in OR as well)
    • 24 hours of antibx.
    • Corticosteroids, Antipyretics
    • prevention
  7. position for epiglottitis
    whatever position they are most comfortable in
  8. emergency equipment to have available with epiglottitis
    CR monitor, crash cart, ambubag
  9. Nursing Consideration with epiglottitis
    • Intensive observation
    • • Know the warning signs
    • • Provide support to family members
    • • Allow child to remain in a position of comfort
    • • Continuous respiratory monitoring
    • • Maintain IV
  10. Acute Laryngitis
    - Usually caused by
    • S/Sx include
    • Disease is
    • Treatment is
    • viruses
    • hoarseness, coryza, sore throat, nasal congestion, fever, headache, malaise
    • self‐limiting
    • symptomatic care with humidified air and fluids
  11. Acute Laryngotracheobronchitis
    • Most often affects children
    • Most often caused by
    • Usually is preceded by
    • <5 yrs old
    • parainfluenza virus, RSV, Flu A and B, and mycoplasma pneumoniae
    • URI
  12. Clinical Manifestations of Acute Laryngotracheobronchitis
    - Gradual onset
    • Significant narrowing of the airway leading to
    • cough
    • Can lead to
    • of low grade fever
    • inspiratory stridor and suprasternal retractions
    • Barky, seal‐like
    • respiratory failure
  13. Therapeutic Mgt of Acute Laryngotracheobronchitis
    • Children with no stridor at rest are managed________; parents taught...
    • Children with stridor at rest, retractions, labored breathing need
    • for oxygen administration and humidification
    • pharm
    • hydration
    • Position of
    • at home and parents are taught signs and symptoms of respiratory distress
    • medical attention
    • Cool mist humidifier, croup tents
    • Racemic epinephrine, corticosteroids, bronchodilators
    • IV fluids or PO as indicated
    • comfort, comfort care by parents
  14. Nursing considerations with Acute Laryngotracheobronchitis
    • Continuous observation and accurate assessment
    • • Cardiorespiratory monitoring is preferred
    • • Intubation equipment must be readily available
    • • Rest
    • • Croup tent vs. parents lap or arms
    • • Parental reassurance
    • • Adequate hydration, nutrition, and EDUCATION!
  15. Acute Spasmodic Laryngitis
    •AKA
    • Characterized by
    • Occurs primarily
    • Signs of inflammation are
    • Occurs in children ages
    •_________ may be implicated
    • “Spasmodic croup”
    • paroxysmal attacks of laryngeal obstruction
    • at night
    • absent
    • 1‐3 primarily
    • Allergies
  16. Clinical manifestations of Acute Spasmodic Laryngitis
    • Child goes to bed feeling
    • Awakes suddenly with
    • Child is
    • Dyspnea aggravated by
    • Attack subsides and child appears well
    • well for the most part
    • barking, metallic cough, hoarseness, noisy inspirations, restlessness
    • anxious and frightened
    • excitement
    • the next day
  17. Therapeutic Management and Nursing Considerations of Acute Spasmodic Laryngitis
    • Most children managed
    • Cool mist in
    • Warm mist from shower may
    • If hospitalized, treatment similar to
    • Close observation by
    • at home
    • child’s room
    • alleviate
    • LTB with humidity and possibly O2, racemic epi and corticosteroids
    • parents, nursing staff
  18. Bacterial Tracheitis
    • Infection of the
    • Most often occurs
    • Most often caused by
    • mucosa of the upper trachea
    • in children 1 month to 6 years
    • staph aureus, H flu and group A ß‐hemolytic strep have been implicated
  19. clinical manifestations in Bacterial Tracheitis
    • Airway obstruction can be
    • Other signs and symptoms similar to
    • History of
    • Thick purulent tracheal secretions most often
    • severe enough to cause respiratory arrest
    • LTB but are unresponsive to treatment
    • URI with stridor that is unaffected by position, fever, and toxicity
    • the cause of respiratory difficulty

What would you like to do?

Home > Flashcards > Print Preview