Bacterial Croups
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| Bacterial Croups | bacterial tracheitis, Eppiglottitis
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| 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
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| characteristics | age 1mo - 13yrs, gaurded prognosis(untreated will not do well) , progression from URI
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| clincal manifestations | HIGH fever, initial croupy cough, progressive stridor, airway compromise, purulent (pus) secretions , general lethargy
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| tx | dx confirmed by BLD CLUTURE often misdiagnosed early as LTB, Antibiotics- staphylococcus sensitive, IV fluids, oxygen
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| 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
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| meds | antibiotics, antipyrectics; the rapid changes in temp causes febrile seizures, analgesics(non narcotics ONLY)
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| 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
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