University:
Northwest College
Course:
VN420 | Child Health
Academic year:

2024
Views:

188

Pages:

2
Author:

Yesenia M.

CROUP (laryngotracheobronchitits)– PEDS Children 3mo-3yrs → affected MOST Rarely affects kids >6yrs old Inflammation and edema of the larynx, trachea and bronchi occur d/t VIRAL infection Parainfluenza is responsible for most cases * Inflammation and edema obstruct the airway→ result in s/s Mucus production also contributes to s/s Narrowing of subglottic area of trachea= inspiratory stridor Edema of laryns= hoarseness Inflammation of larynx and trachea= barking cough (key characteristic ) ** s/s most often occur at night – present suddenlt w resolution of s/s in morning usually self limiting- lasts 3-5 days complications are rare but include- worsening RR distress, hypoxia, bacterial superinfection corticosteroids (usually 1 dose) used to decrease inflammation racemic epi aerosols- for mucosal vasoconstriction, helps decreased edema nursing assessment : age → 3mo-3yrs cough that developed at night and that sounds like barking or a seal mild URI s/s mild elevation of temp inspiratory stridor suprasternal retractions lateral neck radiograph can be obtained to rule out epiglottitis ** nursing management: child usually managed at home – advise them to seek tx if the RR condition worsens humidied air (via cool mist humidifier or steamy bathroom) dexamethasone if rapid epi is used- tell parents that it lasts about 2 hrs and the child will occasionally worsen again, will need another aresol. HOME CARE: Keep kid quiet – discourage crying Allow them to sit up Rest Encourage fluids Stridor – take child into steamy restroom x10 mins Meds if needed CALL MD IF: tachypnea, retractions, flaring of nostrils, blue tint to lips/nails, cough or stridor doesn’t improve w exposure to moist air, restlessness, confusion, child begins to drool or cannot swallow.