Nursing Care.

Nursing Care.

1. severe croup

   • Modified Wesley Scoring System
     • Above 6
       • croup policy (2014)

2. Drugs administered.

   • Atrovent x2
     • Broncodialattor
       • keep airways open
   • Adrenaline.
     • 1:1000 solution
       • 2x nebulisers
         • 6 Litres O2
           • Oxygen policy (2013)
     • acts as Vasoconstrictor upper airways
       • reduce swelling
         • world federation antithesists (2011)
   • Ibuprofen and Paracetamol
     • Anti-pyretic
   • IV Dexamethasone.
     • 150mcg/kg
     • Corticosteroid
       • Reduces swelling
         • Oxford medical dictionary
     • Instead of Prednisolone
       • conflicting evidence of effectivness
         • NICE Guidelines (2012)
   • All checked in BNF (2015/2016)
   • 5 Litres O2
     • Simple face mask
     • Must be prescribed
     • Local Oxygen policy (2013)

3. Nursed near nurses station

   • Bed with rails
   • on his right hand side

4. score of 9 on PEWS chart

   • observations carried out every 15 minutes
     • Documented on PEWS chart
     • Concerns escalated
       • paediatric monitoring and observation policy (2013)
         • Continuous monitoring
           • heart rate and O2 sats
             • Alarms set at appropriate levels
   • was 12 in resus.