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Desk with Stethoscope

Nurses Notes

by Dianne McClure

Clinic Dates: Thursdays 11 am - 3 pm

Nursing Clinic at the Judith Fisher Centre

Email: LasquetiHealthCentre@gmail.com

Dianne’s cell: 250-240-5712 | Clinic phone: 250-333-8891

 

CROUP

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This month I will briefly cover a common condition of the upper respiratory tract that predominately affects infants and children. The common name of this condition is Croup. A virus produces inflammation and swelling in the larynx (voice box) and upper trachea (windpipe). The inflammation narrows the space available for air to enter the lungs and causes the typical signs and symptoms of croup, which include hoarseness, a barking cough, and stridor (high-pitched, noisy breathing). Symptoms usually start gradually, beginning with nasal stuffiness, runny nose, and fever, followed by development of a barking cough. The viruses that are known to cause croup are the parainfluenza virus, respiratory syncytial virus (RSV), the flu (influenza virus), adenovirus, enteroviruses as well as Covid-19.

   

Symptoms of croup aren’t always the same as the illness can move from the nose to the lungs. It can start with a runny or stuffy nose and slight cough that turns into a bark-like cough. Sometimes a high-pitched whistling sound can be heard when breathing in called stridor. Symptoms often worsen at night and if the child becomes tired and anxious.

   

Milder cases of croup can be treated at home. Rest, fluids and sleeping in the same room as your child (to monitor breathing) and propping an older child on pillows may help. Breathing steam or cool night air and staying calm can also help relieve symptoms.

   

Treatment in the hospital or emergency room may include medications such as steroids and nebulized breathing treatments. There are immunizations that prevent illnesses that can lead to croup.

   

Croup is contagious and a child should be kept at home until after they no longer have a fever. If symptoms persist for more than a week or are worsening, seek the attention of a health care provider.

 

Best,  dianne

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