Croup 1
True or False, croup is often referred to as having a seal-like bark.
True
Acute epiglottis is typically caused by _____.
H. influenza Type B
True or False, tonsilitis is only viral.
False, can be viral or bacterial
False, no ibuprofen (antiplatelet)
True or False, a peak flow meter measures the amount of air inhaled in 1 breath.
False
measures the amount of air that can be forcefully exhaled in 1 breath
True or False, you can use a tongue blade when examining acute epiglottis.
False
Therapeutic management includes (select all that apply):
cool mist humidification
hot showers
steamy bathroom
nebulized epinephrine
antibiotics
corticosteroids
cool mist humidification
steamy bathroom
nebulized epinephrine
corticosteroids
True or false, Management of tonsilitis may include warm mist vaporizer & laying flat when sleeping.
False
COOL mist vaporizer & add a pillow or 2
True or false, an increase in bleeding is normal after a T&A.
False, go to the ED
True or false, a child should never use a spacer.
false
True or False, LTB is typically caused by bacteria.
False
Typically caused by a virus
Symptoms of acute epiglottis include:
appear extremely ill
cherry red epiglottis
high fever
stridor
no cough
When should a T & A not be performed?
During an acute infection
What should be avoided after a T & A.
red-colored foods
citrus foods
hot foods
crunchy/hard foods
want a soft, cool, clear diet
Events are set off by ___
triggers, often environmental
True or false, laryngotracheobronchitis (LTB) is the most common croup syndrome
True
suprasternal
Indications for a tonsillectomy include (select all that apply):
sleep apnea
sore throat
bronchitis
recurrent strep
enlarged tonsils
sleep apnea
recurrent strep
enlarged tonsils
It is very important to promote ___ after a T & A.
fluids
Croup syndrome includes (select all that apply):
acute epiglottis
otitis media
bronchiectasis
RSV
laryngotracheobronchitis (LTB)
acute epiglottis
LTB
Worsening LTB signs & symptoms include (select all that apply):
increased stridor
bradycardia
nasal flaring
unexcitable
cyanosis
bradypnea
increased stridor
nasal flaring
cyanosis
What is often done along with a tonsillectomy?
Adenoidectomy (removal of adenoids)
What teaching is important when managing acute otitis media?
Finish antibiotic course & may have N/V/D with antibiotics
keep water out of the ear - may need to use earplugs
What are the s/s of an impending asthma attack? (Select all that apply):
chest tightness
fatigue
headache
rhonchi
increased sputum production
chest tightness
fatigue
increased sputum production