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 care planning goals for a child with croup include maintaining airway clearance, demonstrating increased air exchange, relieving anxiety, decreasing fatigue, and (parental) management of the condition.
Here are five (5) nursing care plans (NCP) and nursing diagnosis (NDx) for croup:
May be related to
Possibly evidenced by
- Inability to eat
- Emotional lability or irritability
- Exhausted appearance
- Lethargy or listlessness
- Child will sleep adequately without interruption.
- Child will be able to eat and drink sufficiently.
|Assess for weakness and fatigue, ability to rest, sleep, and eat.||Dyspnea and work of breathing create exhaustion over a period of time affecting the ability to rest, eat, drink.|
|Explain the importance of conserving energy and avoiding fatigue to parents and child.||Promotes understanding of infant/young child’s response to respiratory distress and
importance of rest and support to prevent fatigue.
|Provide rest periods in a quiet, comfortable environment.||Rest decreases fatigue and respiratory distress.|
|Disturb only when needed, perform all care at one time instead of spreading over a long period of time.||Conserves energy and prevents interruptions in rest.|
|Encourage quiet activities that do not require exertion.||Quiet play prevents excessive activity, which depletes energy and increases respiration.|
|Instruct parents to maintain a calm, deliberate manner when providing care; Avoid any activities that stimulate crying and not allow the infant to cry longer than 1 to 2 minutes.||Crying and tension can trigger coughing. Prolonged crying aggravates airway obstruction.|
|Suggest energy-saving comfort measures such as rocking infant/young child slowly, singing lullabies, playing with the child, feeding in small amounts.||Provides support to infant/small child and conserves energy.|
|Assist parents in formulating a plan on bathing, feeding, changing diaper around rest periods.||Prevents interruption in rest or sleep.|
You may also like the following posts and care plans:
- Nursing Care Plan: The Ultimate Guide and Database – the ultimate database of nursing care plans for different diseases and conditions! Get the complete list!
- Nursing Diagnosis: The Complete Guide and List – archive of different nursing diagnoses with their definition, related factors, goals and nursing interventions with rationale.
Pediatric Nursing Care Plans
Nursing care plans for pediatric conditions and diseases:
- Acute Glomerulonephritis | 4 Care Plans
- Acute Rheumatic Fever | 4 Care Plans
- Apnea | 4 Care Plans
- Brain Tumor | 3 Care Plans
- Bronchiolitis | 5 Care Plans
- Cardiac Catheterization | 4 Care Plans
- Cerebral Palsy | 7 Care Plans
- Child Abuse | 4 Care Plans
- Cleft Lip and Cleft Palate | 6 Care Plans
- Congenital Heart Disease | 5 Care Plans
- Congenital Hip Dysplasia | 4 Care Plans
- Croup Syndrome | 5 Care Plans
- Cryptorchidism (Undescended Testes) | 3 Care Plans
- Cystic Fibrosis | 5 Care Plans
- Diabetes Mellitus Type 1 (Juvenile Diabetes) | 4 Care Plans
- Dying Child | 4 Care Plans
- Epiglottitis | 5 Care Plans
- Febrile Seizure | 4 Care Plans
- Guillain-Barre Syndrome | 6 Care Plans
- Hospitalized Child | 5 Care Plans
- Hydrocephalus | 5 Care Plans
- Hypospadias and Epispadias | 4 Care Plans
- Intussusception | 3 Care Plans
- Juvenile Rheumatoid Arthritis | 4 Care Plans
- Kawasaki Disease | 6 Care Plans
- Meningitis | 7 Care Plans
- Nephrotic Syndrome | 5 Care Plans
- Osteogenic Sarcoma (Osteosarcoma) | 4 Care Plans
- Otitis Media | 4 Care Plans
- Scoliosis | 4 Care Plans
- Spina Bifida | 7 Care Plans
- Tonsillitis and Adenoiditis | 4 Care Plans
- Umbilical and Inguinal Hernia | 4 Care Plans
- Vesicoureteral Reflux (VUR) | 5 Care Plans
- Wilms Tumor (Nephroblastoma) | 4 Care Plans