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NURP 532 Respiratory Exam Study Guide with Complete Solutions $9.99   Add to cart

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NURP 532 Respiratory Exam Study Guide with Complete Solutions

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NURP 532 Respiratory Exam Study Guide with Complete Solutions Croup - Answer-acute viral infection of infants and children with obstruction of the larynx, accompanied by barking cough and stridor Recognize that child has stridor and stridor=airway obstruction. They may appear very ill/toxic w/ ...

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  • October 6, 2024
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EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024




NURP 532 Respiratory Exam Study
Guide with Complete Solutions

Croup - Answer✔✔-acute viral infection of infants and children with obstruction of the larynx,

accompanied by barking cough and stridor




Recognize that child has stridor and stridor=airway obstruction. They may appear very ill/toxic w/

abscess, drooling




Croup is common in children age 6 to 36 months, peaks in the second year of life, and is rare prior to 3

months of age. In the Northern hemisphere, incidence rises in the late fall and early winter.




Parainfluenza (types I, III) account for nearly 70% of cases, but respiratory syncytial virus (RSV), influenza

A, adenovirus, metapneumovirus, and measles can also cause croup


stridor w/ croup - Answer✔✔--Inspiratory stridor is caused by pathology at or above the level of the

vocal cords (due to collapse of upper airway soft tissue with negative pressure of inspiration), while

expiratory stridor is caused by pathology below the level of the cords (due to decreased airway

diameter).




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, EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024


-Biphasic stridor is indicative of a fixed lesion (due to unchanging airway diameter).


Croup Tx - Answer✔✔-Therapy recommendations are based on severity:




Mild=(no symptoms at rest, no respiratory distress, able to remain hydrated)


Home management with emphasis on hydration


Consider single oral dose in office of Dexamethasone




Moderate=(symptoms at rest, mild respiratory distress but normal mental status, no hypoxia)


Single dose in office of Dexamethasone is indicated, may need IM


Consider racemic epinephrine; must be evaluated 3-4 hours later if given


Needs follow up in 24 hours




Severe=(severe symptoms at rest, moderate respiratory distress, change in mental status, inability to

maintain oral intake, or hypoxia)


Admission




Cool mist is controversial, no definitive evidence


Epiglotitis - Answer✔✔-severe stridor, hyperextended neck, drooling. Prevented by HIB vaccine


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