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10 Cards in this Set

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  • Back
Acute spasmodic laryngitis (spasmodic croup, "midnight croup," or twilight croup") is distinct from laryngitis and LTB and is characterized by?
paroxysmal attacks of laryngeal obstruction that occur chiefly at night
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?
How does acute spasmodic laryngitis present itself?
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
Most children with spasmodic croup can be managed at?
home
What is recommended for the child's room?
cool mist
What is recommended for the closed bathroom?
warm mist provided by steam from hot running water
How does a sudden cold air help the child?
spasm is relieved
What kind of air should the child sleep in?
humidified until the cough has subsided to prevent subsequent episodes
If the child has moderately severe symptoms, where should child go?
to the hospital for observation and therapy with cool mist and racemic epinephrine (same as for LTB)
What 2 drugs are helpful while hospitalized?
racemic epinephrine
corticosteroids