croup

Question 1

what is croup?

Answer 1

laryngotracheobronchitis, a subglottic viral infection that casuses increased a/w swelling that can advanced to obstruction

Question 3

which age groups tend to be affect most by croup?

Answer 3

> /=6months to 3 years

Question 4

s/s of croup

Answer 4

hx of or current URTI, slow onset Low fever, runny nose, narking cough at night and symptoms worsen at night, tachy cardia, tachypnea

Question 5

severe croup can have

Answer 5

alt loa, accessory muscle use, inspiratory and expiratory stridor, cyanosis and all the other s/s.

Question 6

epiglottis

Answer 6

supraglottic bacterial infection twith a quick onset of high fever in ages 2-7 yrs old.

Question 7

s/s of epiglotitis

Answer 7

drooling, sudden high fever, cyanosis, sniff position, can progress to complete a/w blockage ( don not inspect the a/w)

Question 8

managment of croup

Answer 8

blow-by o2, NEB epi, cold/humidfy,

Question 10

Croup conditions: directive

Answer 10

Epi= >/=6mth-<8yrs, hr<200bpm, stridor at rest

Dex:>/=6mth-<8yrs, Unaltered, mild-moderate, to severe croup

Question 11

Treatment for croup Medical directive?

Answer 11

Epi:
<10kg, 2.5mg NEB 1
>/= 10kg, 5.0mg NEB, 1

dex:
-Po, 0.5mg/kg, 8mg (max), 1 dose

Question 12

Croup contraindications

Answer 12

Epi: a/s
dex: a/s and pt on po or parenteral steroids in the last 48hrs

Question 13

O2 setting for NEB?

Answer 13

6-8L

Question 14

you should not examine the pt throat if you suspected croup or epiglottis (t/f)

Answer 14

True