CRUP

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	CRUP
	*CRUP*

CRUP

Crup

Infection, inflammation and tumefacción of the larynx (prudent vowels) and woven surrounding.

It produces arduous breathing and a noise of "characteristic bark" with each inhalation or cough.

It can be confused with epiglotitis, a lethal emergency.

It affects smaller children of 6 years.

Prognosis

Crup can seem terrible because the attacks usually begin at night and the boy has difficulties to breathe.

In most of the cases, it has little seriousness and the symptoms improve.

If the attacks happen during the day and they are accompanied by fever, the disease is more serious.

Causes

Contagious infection by virus (most frequent) or bacteria.

Signs and symptoms

Cough like of bark and respiratory difficulty, mainly at night.

Annoyances and pain in chest or throat.

Factors of risk

Allergies

Prevention

In order to prevent the repetition with the attacks, it has a vaporizer in march next to the bed of the boy several nights after the first attack.

If crup is a recurrent problem in its family, would have to incorporate a humidificador to the system of heating and conditioned air of its house.

Diagnosis and treatment

Diagnosis

File and physical examination by a doctor.

Sometimes the doctor will explore the bottom of the throat of the boy to discard a epiglotitis.

Raxos X of the chest.

Treatment

General Measures

Maintain the calm. The anxiety increases the difficulties respiratory of the boy.

Take to the boy to the bathroom and close the door.

Completely open to the faucet of the hot water in the washbasin and the bathtub to saturate the humidity air.

Open the windows so that between the fresh air.

Wait for 10 minutes to that the steam and the fresh air they alleviate the symptoms.

If the serious symptoms do not improve after 10 minutes, takes to the boy to the next service of urgencies hospitable.

Remain in the bathroom until they are ready to go away. Nonsubject to remove to the boy to the cold air - it could help him to breathe.

If the breathing improves in 10 minutes, calls or goes to the doctor without leaving the boy.

While they hope to him, it uses a vaporizer in the room.

Maintain the comfortable boy in seated average position.

Use the television or the radio or a story to distract to him and to relax to him.

If the breathing returns to get worse, takes again to the boy to the bathroom with the steam.

After the attack, he maintains the vaporizer in the nursery during several nights, although the boy seems to be well.

The attacks usually are repeated during several nights.

Medication

If crup is caused by a bacterial infection, the doctor can prescribe antibiotic.

Nevertheless, most of the cases they are produced by virus and the antibiotics are ineffective.

Activity

The boy must reduce his activities and rest while the attacks last.

It does not allow that it plays outside night if is cold because it could cause new attacks (although the fresh air aid to reduce the symptoms DURING an attack).

Diet

Crup usually depresses the appetite.

It must give him to often take small amounts from liquid, like water, tea, juices or refreshments (milk NOT).

The cough can produce vomits, reason why the boy will not have to take solid foods during an attack.

Call to the doctor if...

To its son it costs to him to breathe and it cannot swallow the saliva or the water. Go closest to the hospitable service of urgencies. It is an emergency!

The rate of the breathing increases to 80 breathings per minute.

There is disnea and the retraction (to incline the neck and the chest with each inhalation) is pronounced.

The nails or the lips are put bluish or dark.

The slight symptoms do not improve with 30 to 60 minutes of treatment with vaporizations.

Complications

Obstruction of the routes of air and death (rarely).

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