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Major types of Croup
Croup
Lifespan 3
4 Major types
Acute spasmodic croup
Laryngotracheobronchitis (LTB)
Bacterial tracheitis
Epiglottitis
Characteristics of Croup
Harsh Cough
Hoarseness
Respiratory Distress
What precedes croup usually?
(what do parents report in the days leading up to development of croup?)
How does it sound?
Nursing Diagnosis
Interventions
Causes of Croup
Acute spasmodic croup
Unknown
Seen in anxious or excitable children
Could be hereditary
Laryngotracheobronchitis (LTB)
Manifestations
Parainfluenza virus causes most cases viral croup
Other viral causes include:
adenovirus, respiratory syncytial virus, rhinovirus,
enterviruses, and influenza A and B
What do you suspect Tommy's diagnosis will be?
Why?
Bacterial tracheitis
Case Study
secondary bacterial infection of the trachea
i.e.: group A strep
Sore throat
What would be your highest priority nursing diagnosis?
Why? What interventions would you provide?
Agitation
Hoarseness
Use of accessory muscles
retractions
Frightened appearance
Inspiratory stridor
Cyanosis
What interventions would you expect to be prescribed for Tommy?
Tommy, age 3 is brought to the ED by his mother. She reports that he has had a low grade fever when he went to bed but woke up 4 hours later with a barky, brassy cough.
The nurse notes that Tommy has inspiratory stridor and suprasternal retractions. On further assessment, it is noted that Tommy has an inflamed mucosal lining of the larynx and trachea. He is now coughing loudly and has a hoarse voice. His mom reports that he had a runny nose beginning 3 days ago.