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10 Cards in this Set
- Front
- Back
Acute spasmodic laryngitis (spasmodic croup, "midnight croup," or twilight croup") is distinct from laryngitis and LTB and is characterized by?
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paroxysmal attacks of laryngeal obstruction that occur chiefly at night
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Signs of inflammation are to what degree?
1 to 3 years |
absent or mild
often a history of previous attacks lasting 2 to 5 days, followed by uneventful recovery... and this condition usually affects children of what ages? |
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How does acute spasmodic laryngitis present itself?
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child goes to bed feeling well or with very mild respiratory symptoms but awakes suddenly with characteristic barking, metallic cough, hoarseness, noisy inspirations, and restlessness...dyspnea is aggravated by excitement; but there is no fever, the attack subsides in a few hours, and the child appears well the next day
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Most children with spasmodic croup can be managed at?
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home
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What is recommended for the child's room?
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cool mist
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What is recommended for the closed bathroom?
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warm mist provided by steam from hot running water
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How does a sudden cold air help the child?
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spasm is relieved
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What kind of air should the child sleep in?
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humidified until the cough has subsided to prevent subsequent episodes
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If the child has moderately severe symptoms, where should child go?
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to the hospital for observation and therapy with cool mist and racemic epinephrine (same as for LTB)
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What 2 drugs are helpful while hospitalized?
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racemic epinephrine
corticosteroids |