cay
“Workohop
Croup - 2y.o. with Croup
NURSE’s ROLE .
gat
2 year old boy — accompanied by his mother / father 0
Boy has a barking cough and breathing difficulties .
Worse at night eM ¥
Has had cough for 2 nights /3 days
Very anxious parent — wants answers
TASKS:
— .
.
-
.
~
~
eee eee
Take the child’s medical history “?
Examine the child - High temp- 38.5°C
Examination reveals chest wheeziness;_prolonged inspiration
You diagnose croup
Explain what the parents can do to make the child’s breathing easier:
- Take him outside to breathe the cool night air;
- Use an overnight cooling device such as an ostillating fan — to help bring down
child’s temperature and cool the air in the bedroom
- Take chid into 2 steamy room such as steamy shower room
Moke sure no-one smokes inside thehome Oxoxs ore Arrmol
‘You want parents to give you a phone call tomorrow to tell you how Tom
is getting on - if no improvement, may need to introduce medication
ROLEPLAYER - Parent with child
Your 2 y.0. son, Tom, has been “barking” at night with a “hacking” cough
He is having trouble breathing
Has been going on now for the last 2 nights / 3 days
What is the problem?
How long before it goes away?
Will he die?
What can you, the parent, do to make things easier for Tom ?