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RAD #2

Bacterial Croups

QuestionAnswer
Bacterial Croups bacterial tracheitis, Eppiglottitis
bacterial tracheitis inflammation and infectio of the upper TRACEA, swelling inflamed tissues, likely began as viral or other preexisting lesion, develops into bacterial super-infection
characteristics age 1mo - 13yrs, gaurded prognosis(untreated will not do well) , progression from URI
clincal manifestations HIGH fever, initial croupy cough, progressive stridor, airway compromise, purulent (pus) secretions , general lethargy
tx dx confirmed by BLD CLUTURE often misdiagnosed early as LTB, Antibiotics- staphylococcus sensitive, IV fluids, oxygen
nursing care focus ongoing AIRway assessment and support, airway maintenance keep secretions Liqufied suction as needed have resuscitation equipment ready, monitor for oxygenation, keep sats greater tha 93%, assess for work of breathing position FLAT to conserve energy
meds antibiotics, antipyrectics; the rapid changes in temp causes febrile seizures, analgesics(non narcotics ONLY)
family support and prog shildren are v. ill and most will need artificial airways and ventilatory support, children with resp distress need their conscious effort to breathe
Created by: meinmethoo
 

 



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