Assessment of a child with croup is ideal in a hospital situation because of the chance of airway resistance. Pulse oximeters are essential in the assessment, but the article stresses that direct observation is more important. There are times that the child's oxygen saturation may be sufficient, but might have increased work of breathing and respiratory distress regardless of their saturation. Primary assessment should be taken for each identified problem then resolved before moving on to the next. Assessment of a child should be ongoing.
There are differential diagnoses that a nurse should be aware of. Children with croup symptoms under the age of four months probably have congenital abnormality. Most concerning is epilglottitis, which is rare now because of the HIB immunization. Epiglottis causes signs and symptoms of drooling, dysphagia, dysphonia, distress, and stridor.
There are various treatments for croup and it has evolved throughout the years. Humidity and adrenaline are not used as much anymore. They have found that humidity is more of a placebo than a treatment. Adrenaline usage causes the need for ECG monitoring and severe side effects. The most used now are steroids. They do not show much difference between inhaled, injected or oral steroids, but oral steroids seems more compliant with the child. .
Through treatment it is essential for the child to remain calm and rest. If the child is restless, there is an increase for hypoxia. Also hydration and reduction of pyrexia are needed. If the patient has a temperature, the respiratory rate increases which can make the situation worse. Antipyretics are also indicated for pain management in children for symptoms like a sore throat. Input and output, skin assessment and heart rate should be monitored for signs of dehydration and need for IV therapy.
Education for the family is needed to teach them the warning signs and when to contact their physician.
... ; tapered muzzle, large nostrils and rounded jowls. The body is clean with a, moderately refined throat latch and neck; well-angulated shoulder; broad chest and loins; short back; deep flanks; round croup; straight, sound legs with dense bone and an appearance of overall hardiness; round, hard hooves; adequate mane and tail. The Chincoteague Pony can be found in all common colors, with ... ...
... the Postwar Decade. Rev. ed. New York: Free Press, 1965. Pg. 53. Johnson, Claudia. Understanding the Scarlet Letter: A Student Casebook for Issues, Sources, and Historical Documents. New York: Greenwood Publishing Croup Inc., 1995. Pg.2. Leone, Bruno. Readings on the Scarlet Letter. San Diego: Green Haven Press Inc., 1998. Pg. 93. Matthiessen, F. O. "The Scarlet Letter." American Renaissance: Art and Expression in the ... ...
... not seem to be a man that is easily intimidated. Parris is complaining about his wages, that it is not enough for him. He is paranoid and believes that there is a croup of people plotting against him. The dialogue begins with Parris saying, " There is either obedience or the church will burn like hell is burning!" Proctor replies, " Can you speak one ... ...
... more particles than mainstream smoke and has higher concentrations of some toxic substances including carcinogens, and benzene. For children that have to be around it get illnesses such as, Bronchitis, Croup, Pneumonia, Chronic Cough, and Wheezing. In Addition to ill effects, Short Term effects are enough to trigger within weeks even if you don't smoke all the time. These include coughing ... ...
... -line. The eyes are medium size, almond shaped, and set slanted. Not wide opened. They come in any colors. The body is of medium length, dense, muscular, strong, with wide croup, hot on the touch. Straight forelegs, and long toes. The tails are long, straight, strong and flexible. There skin is elastic, "excessive"; wrinkled on the head, neck, under legs and ... ...
... of very contagious infections that are spread by air or contact with the infected individual. Some diseases requiring Strict Isolation are: 1) Anthrax, inhalation (pulmonary) 2) Bronchiolitis in infants, unknown etiology 3) Laryngotracheobronchitis (croup) 4) Rabies 5) Pneumonic plaques 6) Smallpox 7) Burn patients infected with Staphylococcus or Streptococcus 8) Rubella Specified protective equipment must also be worn during Strict Isolation. Private rooms are indicated and the door must ... ...
... against bacterial infections, such as most ear and sinus infections, Strep throat, Whooping cough and some types of pneumonia. Antibiotics will not work against infections caused by a virus, including colds, croup, most coughs, fevers and sore throats, and 99% of diarrhea and vomiting. After a cold, only around 10 percent of children will develop an ear infection and another one percent will ... ...
... Pearl lost contact with all of her relatives. The sixth year of their marriage they had their first son, Cody, which make it more difficult to continue moving. Cody developed croup, a serious disease, back then. Pearl's fear of losing Cody, resulted in two more children, Ezra and Jenny. Trouble one Sunday evening in 1944. Beck told Pearl that he did not ... ...
