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Reactive airway disease

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Term
Description
RAD definition   when tissues of the airways react to invasion by an irritant ( viral , bacyerial, allergen or other) with inflammation, edema, mucus production and bronchospasm  
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characteristics   reversible, usually self limiting, responsive to tx, occur in upper and lower airways  
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categories   croup syndromes, asthma, bronchiolotis  
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croup syn   category of UPPER airway illnesses resulting in swelling of the epiglottis and larynx. swelling may EXTEND to the trachea and bronchi, may be VIRAL or Bacterial  
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viral croups   spasmodic laryngitis( spasmodic sroup), laryngo-tracheitis, and laryngo- trache0-bronchitis (LTB)  
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Bacterial croups   bacterial tracheitis, eppiglottis  
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the croup cough;   (blank)  
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classic symptoms of croup syn   inspiratory, stridor, seal-like cough, hoarseness  
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acute spasmodic croup   LEAST serious , inspiratory stridor at the level of the vocal sords, laryngeal spasm, self limiting but tendency to recur( couple of hrs for several days)  
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characteristics   age group- 3mo-3yrs, allergic or viral, sudden onset usually at night, usually resolves by am  
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clinical manifestations   barking metallic cough, hoarseness, AFIBRILE, diminished breath sounds, labored respiration  
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management   supportive, cold mist, humidity  
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LARYNGOTRACHEITIS   MOST common, mild to moderate INFLAMMATION, and edema of larynx and trachea, gradual onset, self limiting, VIRAL  
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Characteristics   age group 3mo-8yrs, usually associated with UPPER resp infection  
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clinical manifestations   LOW grade fever, hoarse barking cough, sore throat, stridor  
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management   managed at HOME, oral hydration, OTC analgesics, OTC antipyretics, enery concervation  
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LARYNGO-TRACHEO-BRONCHITIS   Most SERIOUS viral croup syn, obstructive edema BELOW vocal cords, inflammation and swelling of subglottic tissues, self limited duration approx 1 wk, gradual onset, associated with URI  
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Clinical manifestaions   low grade fever, inspiratory stridor, hoarsness, croupy cough, sore throat, restless and irritable, may progress to =>severe resp distress, retrations, and cyanosis  
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tx   may req hospitalization , IV fluics, humidification, medication, oxygen  
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nursing care focus   assessment of resp status, vital signs, o2 sat, maintenance of patent airway-position, supplemental oxygen, conservation of energy-bed rest, hydration (increased RR increases metabolic fluid expd) and nutrition-maintenance plus replacement, discharge plan  
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Created by: meinmethoo
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