Nurs 6501 Week six Post.docx - Main Post A Description of Croup The 6-year-old boy in scenario#2 presents with Croup Croup is a respiratory disorder

Nurs 6501 Week six Post.docx - Main Post A Description of...

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Main Post A Description of Croup The 6-year-old boy in scenario #2 presents with Croup. Croup is a respiratory disorder that affects the upper respiratory airway which includes laryngotracheitis, acute laryngotracheobronchitis or laryngotracheobronchopneumonitis ( Zoorob, Sidani, & Murray, 2011). Even though Croup usually occurs between the ages of 6 months and 5 years, it is not uncommon for it to happen in slightly older children or even in adolescents. Keven in scenario #2 presents with the classic symptoms which according to Huether & McCance (2017) include low grade temperature, barking cough, persistent cough that could last up to a week and coryza. Before a diagnosis of croup can be made, it is important for the primary care provider to screen for other conditions that may present similarly to croup such as bacterial tracheitis, epiglottitis, foreign body aspiration, peritonsillar abscess, retropharyngeal abscess, and angioedema ( Zoorob, Sidani, & Murray, 2011). In acute cases where the patient is in severe respiratory distress, treatment option may include intubation, administration of nebulized epinephrine and oxygen therapy, while stable cases could be easily treated with corticosteroids and humidification therapy (Huether & McCance, 2017). Pathophysiology of Croup Croup is usually caused by the paravirus in most cases, and in other less frequent cases caused by influenza A, respiratory syncytial virus and rhinovirus (Huether & McCance, 2017). The exposure to this virus triggers an inflammatory response and edema, which obstructs the airway by narrowing its diameter, hence causing an increased resistance to the airflow through the airway (Huether & McCance, 2012). This narrowing of the airway, along with the resulting increased resistance is responsible for the seal-like barky cough, unsettled airflow and chest wall
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retractions (Defendi, Muñiz, & Molodow, 2015). The most clinically significant development is
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