cough Flashcards
(31 cards)
signs of effective coughing when choking
- crying/verbal response
- loud cough
- able to take a breath before coughing
signs of ineffective coughing when choking
- unable to vocalise
- quiet/silent cough
- cyanosis
- unable to breathe
- decreasing LoC
what should you do if the child in ineffectively coughing and reducing level of conscious, however, still conscious
- 5 back blows
- 5 thrusts
management if child ineffectively coughing and is unconscious
- open airways
- 5 rescue breaths
- CPR
most common inhaled bodies
- nuts
- seeds
80% foreign body inhalation occurs when
children < 3 years
inhalation of what foreign body can cause oesophageal perforation
- button batteries
most coughs are caused by what
upper respiratory viral infections
cause of barking cough
acute laryngotracheobronchitis
describe whooping cough
paroxysmal prolonged bouts of coughing, sometimes ending in a sharp intake of breath
4 causes of acute cough
- viral resp infection
- bronchiolitis
- pneumonia
- foreign body
4 causes of chronic cough
- asthma
- TB
- pertusis
- suppurative lung disease e.g CF
cause of stridor
narrowing of extra-thoracic airway; worse on inspiration which is when extra-thoracic airways naturally collapse
cause of wheeze
worse on expiration when the intra thoracic airways naturally collapse
caused by viral lower respiratory tract infection and asthma
due to narrowing of the tiny airways due to oedema and secretions
viral cause of croup
parainfluenza virus
other name for croup
viral layngotracheobronchitis
prodrome period of croup
coryza + fever; 2 days prior to cough
peak season of croup
late autumn
peak incidence of croup
6 months to 3 years
signs and symptoms of croup
- sea lion, barking like cough
- stridor: due to laryngeal secretions and oedema
- raised respiratory rate
- respiratory distress: nasal flaring, tracheal tug, intercostal and subcostal recessions
- hoarse voice
when are croup symptoms worse
at night
mild grading of croup
- occasional barking cough
- no audible stridor at rest
- no/mild recessions
- child is happy and prepared to eat and drink
moderate severity of croup
- frequent barking
- easily audible stridor at rest
- suprasternal and sternal wall recessions
- little distress on agitation
- child interested in surroundings
severe croup
- frequent barking
- prominent inspiratory stridor at rest
- marked sternal wall retractions
- significant distress and agitation, lethargy, restlessness
- tachycardia
- hypoxaemia
