Pead upper airway obstruction CPG Flashcards
what is more likley to indicate epigoltitis over croup?
presenting with a stridor and increased work of breathing, drooling and absense of cough, paitnt in sniffing or tripod position
cough and absence of drooling more likley to be croup
what is the managment of partial upper airway obstructions?
effective cough - encourage to cough, utalise gravaty, maintain BLS
Ineffective cough
- utalise gravity, back slaps and chest thrusts alternating
unconcious - chest compressions, suction, magils, forced ventilations
If loss CO - cardiac arrest
what is the treatement for suspected epiglotits?
do not inspect airway and transport
what may indicate paitnet deterioration with croup?
dreacesed cough/stridor and increased lethargy
what indicates mild croup as per the RCH severity table?
behvaiour - normal
stridor - barking cough, stridor only when active
resp rate - normal
acessary muscle use- none or minila
oxygen - no requirement
what indicate moderate croup?
behaviour - some irratability
stridor - some at rest
resp rate - increased naseal flaring and tracheal tugging
acessory muscle use - moderate chest wall retraction
oxygen - no requirement
what indicates sevre croup?
behaviour - increased irritability and lethargy
stridor - present at rest
resp rate - marked increase or decrease with treacheal tugging and nasal laring
acessory muscles - marked chest wall rretraction
oxygen - hypoxemaia
what is the action for mild croup?
BLS
prepare for deterioration
what is the managment for moderate croup?
dethamethasone 600mcg/kg mas 12mg
transport
what is the mangment for sevre croup?
either increased resp distress
increased lethargy
decreasing stridor
Adrenaling 5mg - 5ml nebulised and dexamethasone 600mcg/kg max 12mg orally
repeate adrenalin at 5 minutes untill improvment
