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CROUP Concept Map

The document discusses croup, a viral illness that causes inflammation in the voice box and windpipe in young children. It lists predisposing factors like gender (male), age (3 years old), and viral infections. The main symptoms are a barking cough, inspiratory stridor, and hoarseness due to swelling narrowing the airway. Treatment involves humidified oxygen, IV fluids, dexamethasone, and ensuring the child is in a comfortable upright position. Nursing care focuses on fever reduction, hydration, rest, and preventing stress.

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920 views3 pages

CROUP Concept Map

The document discusses croup, a viral illness that causes inflammation in the voice box and windpipe in young children. It lists predisposing factors like gender (male), age (3 years old), and viral infections. The main symptoms are a barking cough, inspiratory stridor, and hoarseness due to swelling narrowing the airway. Treatment involves humidified oxygen, IV fluids, dexamethasone, and ensuring the child is in a comfortable upright position. Nursing care focuses on fever reduction, hydration, rest, and preventing stress.

Uploaded by

ingrid
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Precipitating Factors

Predisposing Factors
 Exposure to viral infection
 Gender: Male
parainfluenza
 Age: 3 y.o.
 Direct contact with the infected person
 Inciting Viral Infection
 Immunocompromised

Droplet
Transmission

Inciting viral From other disease e.g.


infection GERD, SGS, other
subglottic narrowing
disease process/obstruction

Diffuse mucosal
edema and mucus
production cause Baseline localized
obstruction airway narrowing

Airway irritation (e.g.


Subglottic trachea
URI, Laryngopharyngeal
narrowing, swelling
reflux)
of the vocal cord,
further obstruction
by fibrous
exudates Localized reaction over
the existing subglottic
narrowing
Inspiratory stridor,
Fever (38°C hoarseness and Cough
above) barking cough

Ineffective Airway
Hyperthermia Clearance related to
related to viral CROUP ineffective cough
infection

 Administer humidified

 Provide tepid sponge bath oxygen and IV fluids


If treated: If not treated:  Place child in
 Remove excess clothing and covers
Recovery causes other
 Encourage client to increase oral fluid intake comfortable upright
breathing problems
 Maintain bed rest like epiglottitis position (semi-fowlers)

 Administer antipyretic as indicated  Reduce stress


 Avoid citrus, carbonated
Formation of
and/or extremely hot/cold
abscesses
products
 Administer

DEATH Dexamethasone as
indicated
LEGEND
 Antiviral  Encourage client to perform handwashing at Precipitating and
 Steroids all times Predisposing Factors
 Mechanical Ventilation  Instruct client to cover his/her mouth when Disease Process
coughing or sneezing; use sleeves; paper
Signs and Symptoms
tissues
 Blood tests  Client infected with the disease should wear Nursing Diagnosis
 Chest and Neck X-ray mask always Nursing Interventions
 Culture or assays (nasal and  The patient should have yearly vaccination of
Medical Management
throat swabs) the influenza virus (for older than 6 months)
 Physical Assessment  Environmental cleaning and disinfection Nursing Management
(Auscultation of breathing) techniques should be followed Diagnostic and
Laboratory Tests

Complications

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