What are some nursing interventions stridor?
Stridor is a high-pitched, musical sound produced during inspiration, usually caused by a partial airway obstruction. It can be a sign of a serious medical condition, such as croup, epiglottitis, or a foreign body in the airway.
Nursing interventions for stridor include:
Assessment:
- Auscultate breath sounds for the presence and location of stridor.
- Note the pitch, quality, and duration of the stridor.
- Assess for other signs of respiratory distress, such as tachypnea, dyspnea, and retractions.
Oxygenation:
- Administer oxygen by facemask or nasal cannula to maintain oxygen saturation above 94%.
- Monitor pulse oximetry continuously.
Positioning:
- Elevate the head of the bed to 30-45 degrees to facilitate breathing.
- Encourage the child to sit in an upright position.
Hydration:
- Offer fluids frequently to help thin secretions and reduce swelling.
Cool Mist:
- Use a cool-mist humidifier or nebulizer to help loosen secretions and reduce airway irritation.
Medications:
- Administer medications, such as bronchodilators and steroids, as prescribed to reduce inflammation and improve airflow.
Suctioning:
- Perform gentle suctioning of the airway as needed to remove secretions and relieve obstruction.
Observation and Monitoring:
- Monitor the child's respiratory status closely, including respiratory rate, effort, and oxygen saturation.
- Be prepared to intervene if the stridor worsens or the child develops signs of respiratory distress.
Patient and Family Education:
- Provide education to the child and family about the condition, its causes, and treatment.
- Teach them how to recognize signs of worsening respiratory distress and when to seek medical attention.
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