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CROUP - Coggle Diagram

- - - - take care not to frighten the child as agitation may worsen symptoms
        
        ensure child is seated comfortably, do not reposition child from posture they have naturally adapted as this will be one that minimises airway obstruction
  - - - mild - seal like barking cough, but no stridor or sternal/intercostal recession at rest
      - moderate - seal like barking cough with stridor and sternal recession at rest; no or little agitation or lethargy
      - severe - seal like barking cough with stridor and sternal/intercostal recession associated with agitation or lethargy
      - impending respiratory failure - minimal barking cough, stridor may become harder to hear, increasing upper airway obstruction, sternal/intercostal recession, asynchronous chest wall and abdominal movement, fatigue, pallor or cyanosis, decreased level of consciousness or tachycardia. the degree of chest wall recession may diminish with onset of respiratory failure as the child tries. a respiratory rate over 70 BPM