Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners
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Viral croup is the most common cause of upper airway obstruction in children 6 months to 6 years of age. Parainfluenza virus accounts for the majority of cases. The disease is characterized by varying degrees of inspiratory stridor, barking cough, and hoarseness because of laryngeal and/or tracheal obstruction. ⋯ For those who do not tolerate the oral preparation, nebulized budesonide or intramuscular dexamethasone are reasonable alternatives. Nebulized epinephrine should be reserved for patients with moderate to severe croup. Simultaneous administration of corticosteroid and epinephrine reduces the rate of intubation in patients with severe croup and impending respiratory failure.
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J Pediatr Health Care · Nov 2004
A qualitative study of older first-time mothering in the first year.
The number of older first-time mothers has increased significantly during the past 30 years. The purpose of this study was to create a phenomenologic text explicating the experience of older, first-time mothering during the first year. ⋯ Pediatric practitioners have unparalleled access to mothers during the first postpartum year. An increased understanding of the uniqueness of older primiparas as expressed in this narrative will enable nurses to more effectively address the needs and concerns of this growing population of women.