CROUP SYNDROME Flashcards
- A group of symptoms characterized by
“barking” or “brassy” cough, hoarseness,
inspiratory stridor and varying degrees of
respiratory distress
croup syndrome
Croup refers to an infection of the upper airway that affects the ___, ___, and ___
larynx, trachea, and bronchi
croup that happens to 1-3 years old
midnight or twilight croup
etiology of midnight croup
viral with allergic component
paroxysmal attacks of laryngeal
obstruction that occur chiefly at night
acute spasmodic laryngitis
acute spasmodic laryngitis clinical manifestations
croupy cough
stridor
hoarseness
dyspnea
symptoms awaken child
therapeutic management for acute spasmodic laryngitis
cool mist
warm mist
humidifiers
- Inflammation of the mucosa lining the larynx and trachea causes a narrowing of the airway
- Primarily affects children less than 5 y/o
acute laryngotracheobronchitis (LTB)
etiology of LTB
parainfluenza type 1,2,3
influenza type A and B
RSV
M. pneumoniae
LTB clinical manifestations
gradual fever
brassy cough
stridor
retractions
nasal flaring
WORST AT NIGHT
LTB therapeutic management
high humidity with cool mist
cool air (night air, freezer)
parent’s comforting measures
medical treatment for LTB
nebulized epinephrine
corticosteroids
helium and oxygen
IV fluids
- Serious obstructive
inflammatory process that
occurs principally in children
between 2 and 5 years of age
acute epilottitis
etiology of acute epiglottitis
haemohilius influenzae
clinical manifestation of acute epiglottitis
sore throat
dysphagia
fever
tripod position
retractions
hypoxia
edematous epiglottis
in acute epiglottitis, what is contraindicated?
tongue depressor
therapeutic management of acute epiglottitis
intubation / tracheostomy
IV infusion
oxygen
antibiotics
corticosteroids
how to prevent acute epiglottitis
h influenza type B conjugate vaccine
- pediavax HIB / comvaxis
- dtap/hib combination products
- An infection of the mucosa and
soft tissues of the upper trachea - 1 month to 6 years
bacterial tracheitis
most common sign of bacterial tracheitis
steeple sign: anteroposterior or lateral neck xrays show narrowing
etiology of bacterial tracheitis
viral or bacterial with allergic components
clinical manifestation of bacterial tracheitis
URI
croupy cough
purulent secretions
fever
no response to LTB therapy
therapeutic management for bacterial tracheitis
antipyretics
fluids
antibiotics
bronchodilators
may require intubation and mechanical ventilation
