L3 Unwell Infant Child V8 November 2022 (1)-pages-6.pdf

Unwell Infant and Child - Component 10 Croup Inflammation around the larynx and trachea from viruses Acute, usually self-limiting 6 months – 3 years Peaks in spring & autumn, and worsens nocturnally Croup may follow a cold, but can appear 'out of t...

Unwell Infant and Child - Component 10 Croup Inflammation around the larynx and trachea from viruses Acute, usually self-limiting 6 months – 3 years Peaks in spring & autumn, and worsens nocturnally Croup may follow a cold, but can appear 'out of the blue'. Other cold or flu type symptoms may also occur. ©Department of Clinical Education & Standards  Unwell Infant and Child - Component 10 Signs and symptoms Cough (harsh and ‘barking’), Croup Mild fever and runny nose, sore throat, Stridor, Respiratory distress, such as increased RR, increased work of breathing, nasal flaring, grunting, accessory muscles and stridor. Reduced hydration levels (check - skin tug, cap-refill, wet nappies/fluid intake. ©Department of Clinical Education & JRCALC PLUS – Guidelines Standards Respiratory illness in children croup  Unwell Infant and Child - Component 10 Management Keep the child upright and in a comfortable position. Avoid any intervention likely to distress the child such as BM ,nebulisation, and also do not examine ENT as this can cause complete airway obstruction. Hospital admission for any: Time critical ABCD Moderate-severe croup RR >40bpm All children under