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    Nursing Care Plan For A Person With Croup Nursing Diagnosis

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    Monica Rivera
    This nursing care plan is for a patient with croup. Croup is a condition that affects young children and causes a harsh barking cough. It is usually caused by a viral infection that causes swelling and obstruction in the voice box and airways. The nursing diagnosis is ineffective airway clearance due to thick mucus. The goal is for the patient to have clear airways, normal breathing, and the ability to cough up secretions within a week. Nursing interventions include monitoring the cough sound, increasing fluids, using positioning and humidifiers to ease breathing, and chest physiotherapy.

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    Nursing Care Plan For A Person With Croup Nursing Diagnosis

    Uploaded by

    Monica Rivera
    439 views2 pages
    This nursing care plan is for a patient with croup. Croup is a condition that affects young children and causes a harsh barking cough. It is usually caused by a viral infection that causes swelling and obstruction in the voice box and airways. The nursing diagnosis is ineffective airway clearance due to thick mucus. The goal is for the patient to have clear airways, normal breathing, and the ability to cough up secretions within a week. Nursing interventions include monitoring the cough sound, increasing fluids, using positioning and humidifiers to ease breathing, and chest physiotherapy.

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    croup

    Original Title

    Ncp for Croup

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    This nursing care plan is for a patient with croup. Croup is a condition that affects young children and causes a harsh barking cough. It is usually caused by a viral infection that causes swelling and obstruction in the voice box and airways. The nursing diagnosis is ineffective airway clearance due to thick mucus. The goal is for the patient to have clear airways, normal breathing, and the ability to cough up secretions within a week. Nursing interventions include monitoring the cough sound, increasing fluids, using positioning and humidifiers to ease breathing, and chest physiotherapy.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    439 views2 pages

    Nursing Care Plan For A Person With Croup Nursing Diagnosis

    Uploaded by

    Monica Rivera
    This nursing care plan is for a patient with croup. Croup is a condition that affects young children and causes a harsh barking cough. It is usually caused by a viral infection that causes swelling and obstruction in the voice box and airways. The nursing diagnosis is ineffective airway clearance due to thick mucus. The goal is for the patient to have clear airways, normal breathing, and the ability to cough up secretions within a week. Nursing interventions include monitoring the cough sound, increasing fluids, using positioning and humidifiers to ease breathing, and chest physiotherapy.

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    NURSING CARE PLAN FOR A PERSON WITH CROUP

    NURSING DIAGNOSIS
    Ineffective airway clearance related to presence of thick, tenacious mucus as
    evidenced by persistent barking (croupy) cough, thick secretions, diminished breath sounds,
    with diffuse crackles and rhonchi, dyspnea, tachypnea, and tachycardia.
    INFERENCE
    Croup refers to a variety of conditions characterized by a harsh “barking”
    (croupy) cough, inspiratory stridor, hoarseness, and marked respiratory retraction. The
    condition usually affects infants and small children between 3 months and 3 years of age
    and occurs during the cold weather.

    The most common form of croup is laryngotracheobronchitis (LTB). It is caused by an


    acute viral infection of the larynx, trachea, and bronchi resulting in the obstruction below
    the level of the vocal cords. Spasmodic croup is croup of sudden onset, developing at night
    and characterized by laryngeal obstruction at the level of the vocal cords caused by viral
    infections or allergens. Both occur as a result of upper respiratory infection, edema, and
    spasms that cause respiratory problems in varying degrees depending on the severity of
    obstruction.

    NURSING GOAL AND OBJECTIVE

    At the end 1week of nursing intervention, the client will:


     Be able to maintain clear, open airways
     Be able to have normal breath sounds
     Have normal rate and depth of respiration
     Have the ability to effectively cough up secretions after treatments and deep
    breaths.
    NURSING INTERVENTION AND RATIONALE

    NURSING INTERVENTION RATIONALE


    Observe the sound of cough. Grunting is produced during expiration by a
    premature glottic closure. It is an effort to
    maintain or increase functional residual
    capacity.
    Assess the use of accessory muscles with As the trachea and larynx become inflamed
    nasal flaring and swollen, a child with croup produces a
    bark-like cough and hoarse or muffled vocal
    sounds. When it progresses, the child may
    manifest further upper airway obstruction
    with severely compromised oxygenation.
    Advise the patient’s significant others to To maintain adequate hydration can help
    increase fluid intake and maintain loosen mucus in the oropharynx and
    intravenous fluid as prescribed. prevent dehydration.
    Place the child elevated in a semi- To facilitates breathing and maximal lung
    Fowler’s to high Fowler’s position; expansion by lowering the diaphragm.
    Reposition the child frequently. Frequent reposition prevents pooling and
    stasis of secretions.
    Use a cool mist humidifier or allow a hot To cool mist and humidity soothe inflamed
    shower to run for 10 minutes until the airways and decreases the viscosity of the
    bathroom becomes humid and steamy, mucus thus helps in clearing the airway.
    then let the child sit or stand in the
    bathroom.
    Perform chest physiotherapy as indicated. To promote expansion of the lungs,
    strengthen respiratory muscles and
    mobilization of secretions.

    EVALUATION
    After rendering nursing intervention, the client

     Have maintained clear, open airways


     Have normal breath sounds
     Have normal rate and depth of respiration
     Have the ability to effectively cough up secretions after treatments and deep
    breaths.
    Thus, the goal was totally met.

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