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Croup: coughs that go bark in the night

Croup is a common childhood illness that can be very frightening to a parent or child. It often starts with the symptoms of a mild cold, such as a runny nose, or sore throat. The child goes to bed as usual and then wakes suddenly in the middle of the night with a barking cough. Often they gasp in between the coughs and make a high-pitched noise called stridor when they breathe in.

Thankfully, croup is rarely dangerous. Most children can be treated at home. But it can be a scary illness for both the parent and the child.

It is important to know how to treat croup at home and when to seek help from your doctor or the emergency room....

Nothing to Sneeze At: Allergy prevention and management for the whole family

“Cough, cough!” “Achooooo!” “Wheeeeeeze!” The sounds of spring are all around us and the woes of allergy season are plaguing many of us. With the weather warming, you and your loved ones are likely spending a lot of time outside. Though the stuffy nose, dry throat and scratchy eyes may seem like a seasonal nuisance you and your family just have to get through, there are solutions. Here are some tips to keep you from suffering through this beautiful but allergy-ridden time of year (to watch the video click here).

Seasonal allergies, often called hay fever or allergic rhinitis (swelling of the nasal passages) vary season to season but can be brought on by pollens, grasses, molds and dust. Right now, in Western Washington the culprit is likely pollen from the trees that have exploded with fresh foliage. Of course, there are many other allergens and the only true way to know what is causing your, your partner’s or your children’s sniffles and sneezes is to talk to a health-care provider. However, if hay fever is getting the best of you this spring, you may find some relief from the following:

Increasing Your Child’s Comfort with Nitrous Oxide

You may be familiar with “laughing gas” as something you find at the dentist’s office but did you know it can also be used when your child is a patient at Swedish? Laughing gas is a mix of nitrous oxide and oxygen, but you might hear your pediatric nurses just call it “nitrous.” In pediatrics, we use it to help a patient relax and feel more comfortable during certain procedures such as IV placement or urinary catheterization.

Once your doctor or nurse has determined that your child is a good candidate for nitrous (without any contraindications such as conditions where air may be trapped in the body, pregnancy, or impaired level of consciousness), your nurses and certified child life specialist (CCLS) will explain the process: Your child will choose a flavor for the inside of their mask used to administer the gas. They will be on a stretcher or bed and have a saturation probe attached to a finger to monitor their oxygenation. One nurse will administer oxygen, then the nitrous, gradually increasing the amount until your child is suitably relaxed for the procedure, while remaining responsive to directions. Another clinician will perform the procedure, e.g., place the IV. A doctor is also available.

As a parent ...

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