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Updated on January 27, 2009



– Is the most common cause of a croup and typically affects children younger than 5 years old

– Inflammation of the larynx, trachea, and bronchi

– Most common type of croup and may be viral or bacterial

– Gradual onset that may be preceded by an upper respiratory infection.


– fever, low-grade to high

– irritability and restlessness

– hoarse voice

– seal bark and brassy cough

– inspiratory stridor and suprasternal retraction

– use of accessory muscles for breathing

– crackles and wheezing on lung auscultation

– anorexia, nausea, and vomiting

– cyanosis

           – upper respiratory infection


– maintain a patent airway

– assess respiratory status, monitoring for nasal flaring, sternal reaction, and inspiratory stridor

– monitor for pallor or cyanosis

– elevate the head of the bed and provide bed rest

– provide humidified oxygen via cool-mist tent for the hospitalized child

– instruct the parents to use a cool-air vaporizer or humidifier at home; other measures include having the child breathe in the cool night air or air from an open freezer or taking the child to a cool basement or garage.

– provide and encourage fluid intake; intravenous fluids may be prescribed to maintain hydration status if the child is unable to take fluids orally.

– administer nebulized epinephrine (racemic epinephrine) as prescribed for children with severe disease, stridor at rest, retractions, or difficlty breathing.

– administer antibiotics as prescribed, nothing that they are not indicated unless a bacterial infection is present have resuscitation equipment available


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      Cid Rusiana 8 years ago from Cebu.Philippines

      hello my dear readers..we would like to thank you for viewing our hub, we hope to impart some of our knowledge on the needed information of yours..we wish you to come back again and say something anout our hub..any comment will do to help us improve our hubs..thanks a lot and GOdbless..