Czkawka
Charakterystyka, pielęgnacja i opieka

Krztusiec (pertussis) to wysoce zakaźna infekcja dróg oddechowych wywołana przez Bordetella pertussis, charakteryzująca się napadami intensywnego kaszlu z charakterystycznym świstem („whoop”) podczas wdechu. Szczególnie narażone są niemowlęta poniżej 1. roku życia, u których około 50% przypadków wymaga hospitalizacji z powodu ryzyka powikłań takich jak zapalenie płuc, drgawki czy uszkodzenie mózgu. Diagnostyka pielęgniarska powinna obejmować ocenę szmerów oddechowych, rytmu i głębokości oddechów, obecności sinicy, stanu nawodnienia oraz charakteru kaszlu. Leczenie opiera się na antybiotykoterapii (preferowana azytromycyna u niemowląt <1 miesiąca i kobiet w ciąży, klarytromycyna, erytromycyna, trimetoprim/sulfametoksazol jako alternatywa), która skraca okres zakaźności z 21 do 5 dni, oraz terapii wspomagającej, w tym nawadnianiu, tlenoterapii i drenażu ułożeniowym. Leki przeciwkaszlowe nie są zalecane u dzieci <4 lat ze względu na ryzyko działań niepożądanych.

Czym jest czkawka (krztusiec)?

Czkawka, znana również jako krztusiec (pertussis), to wysoce zakaźna choroba układu oddechowego wywoływana przez bakterię Bordetella pertussis. Bakterie te przyczepiają się do rzęsek wyściełających drogi oddechowe i uwalniają toksyny, które uszkadzają rzęski i powodują obrzęk dróg oddechowych1. Choroba charakteryzuje się silnymi, gwałtownymi napadami kaszlu, często kończącymi się charakterystycznym „whoop” (świstem) podczas wdechu, stąd angielska nazwa „whooping cough”. Osoby chorujące na krztusiec mogą kaszleć tak mocno, że wywołuje to wymioty lub odkrztuszanie gęstej, przezroczystej wydzieliny2.

Krztusiec może dotknąć osoby w każdym wieku, jednak jest szczególnie niebezpieczny dla niemowląt poniżej 1. roku życia, które nie są jeszcze w pełni zaszczepione przeciwko tej chorobie i mają słabiej rozwinięty układ odpornościowy3. Około połowa niemowląt poniżej 1. roku życia, które zachorują na krztusiec, wymaga hospitalizacji4. W ciężkich przypadkach krztusiec może prowadzić do powikłań, takich jak zapalenie płuc, drgawki, uszkodzenie mózgu, a nawet śmierć5.

Ocena pielęgniarska pacjenta z krztuścem

Kompleksowa ocena pielęgniarska pacjenta z krztuścem jest niezbędna do ustalenia skutecznego planu opieki. Ocena ta powinna skupiać się przede wszystkim na stanie układu oddechowego pacjenta67. Kluczowe elementy takiej oceny obejmują:

  • Osłuchiwanie płuc w celu wykrycia prawidłowych lub nieprawidłowych szmerów oddechowych
  • Ocenę jakości, częstości, rytmu i głębokości oddechów
  • Obserwację objawów takich jak rozszerzanie nozdrzy, duszność wysiłkowa, użycie dodatkowych mięśni oddechowych
  • Monitorowanie pozycji ciała przyjmowanej przez pacjenta podczas oddychania
  • Ocenę kaszlu – częstotliwość, intensywność, charakter, obecność „whoop” podczas wdechu
  • Ocenę stanu nawodnienia, szczególnie u niemowląt i małych dzieci
  • Monitorowanie oznak sinicy (niebieskawego zabarwienia skóry) wokół ust i na palcach

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Na podstawie zebranych danych, główne diagnozy pielęgniarskie mogą obejmować:

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Leczenie krztuśca

Leczenie krztuśca obejmuje zarówno farmakoterapię, jak i leczenie wspomagające. Wczesne rozpoczęcie leczenia jest kluczowe, aby zmniejszyć nasilenie objawów i zapobiec rozprzestrzenianiu się infekcji9.

Farmakoterapia

Antybiotyki są podstawową metodą leczenia krztuśca. Są one najbardziej skuteczne, gdy zostają podane we wczesnym stadium choroby, najlepiej przed rozpoczęciem napadów kaszlu1011. Zalecane antybiotyki w leczeniu krztuśca to:

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Antybiotykoterapia pomaga:

  • Wyeliminować bakterie z organizmu
  • Zmniejszyć okres zakaźności z 21 dni do 5 dni
  • Zmniejszyć nasilenie objawów, jeśli jest rozpoczęta wcześnie
  • Zapobiec rozprzestrzenianiu się choroby na inne osoby

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Należy pamiętać, że jeśli antybiotyki są podawane później w przebiegu choroby, uszkodzenia spowodowane przez krztusiec są już dokonane i kaszel będzie utrzymywał się do czasu, aż płuca się zagoją11.

Leczenie wspomagające

Leczenie wspomagające jest istotnym elementem opieki nad pacjentem z krztuścem, szczególnie u niemowląt i małych dzieci14. Obejmuje ono:

  • Zapewnienie odpowiedniego nawodnienia – częste podawanie małych ilości płynów
  • Monitorowanie oddychania i podawanie tlenu w razie potrzeby
  • Odsysanie wydzieliny z nosa, jamy ustnej lub tylnej części gardła za pomocą gruszki lub cewnika
  • Zapewnienie odpoczynku w łóżku
  • Stosowanie nawilżacza z chłodną mgiełką, aby złagodzić podrażnione płuca i drogi oddechowe
  • Podawanie małych, częstych posiłków, aby zapobiec wymiotom

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Nie zaleca się stosowania leków przeciwkaszlowych bez zalecenia lekarza, szczególnie u dzieci poniżej 4 roku życia, ponieważ mogą one powodować potencjalne skutki uboczne i zazwyczaj nie łagodzą napadów kaszlu przy krztuścu1617.

Hospitalizacja

Hospitalizacja może być konieczna w przypadku ciężkiego przebiegu krztuśca, szczególnie u niemowląt i małych dzieci18. Wskazania do hospitalizacji obejmują:

  • Niemowlęta poniżej 1 roku życia
  • Trudności w oddychaniu lub karmienia
  • Odwodnienie
  • Sinica (niebieskie lub szare zabarwienie skóry)
  • Bezdech (przerwy w oddychaniu)
  • Drgawki
  • Powikłania, takie jak zapalenie płuc

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Opieka szpitalna koncentruje się na utrzymaniu drożności dróg oddechowych, monitorowaniu oddychania, podawaniu płynów dożylnych w przypadku odwodnienia oraz leczeniu powikłań915.

Pielęgnacja pacjenta z krztuścem

Pielęgnacja pacjenta z krztuścem wymaga holistycznego podejścia, obejmującego nie tylko zarządzanie objawami oddechowymi, ale także wsparcie psychologiczne i emocjonalne podczas procesu zdrowienia21.

Utrzymanie drożności dróg oddechowych

Utrzymanie drożności dróg oddechowych jest priorytetem w opiece nad pacjentem z krztuścem7. Działania pielęgniarskie w tym zakresie obejmują:

  • Nauczenie pacjenta prawidłowych technik kaszlu i oddychania (np. wzięcie głębokiego wdechu, zatrzymanie na 2 sekundy i kaszel dwa lub trzy razy pod rząd)
  • Edukacja pacjenta na temat optymalnej pozycji (pozycja siedząca), stosowania poduszki lub podpórki ręcznej podczas kaszlu, wykorzystania mięśni brzucha do bardziej skutecznego kaszlu
  • Umieszczenie pacjenta w pozycji pionowej, jeśli jest to tolerowane
  • Regularne sprawdzanie pozycji pacjenta, aby zapobiec zsuwaniu się w łóżku
  • Zachęcanie pacjenta do zwiększenia podaży płynów do 3 litrów dziennie (w granicach wydolności serca i funkcji nerek)
  • Podawanie przepisanych leków, takich jak antybiotyki, leki mukolityczne, leki rozszerzające oskrzela, środki wykrztuśne, z obserwacją ich skuteczności i działań niepożądanych
  • Zapewnienie drenażu ułożeniowego, oklepywania i wibracji zgodnie z zaleceniami

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Zapobieganie przenoszeniu infekcji

Krztusiec jest wysoce zaraźliwy, dlatego ważne jest podjęcie działań zapobiegających rozprzestrzenianiu się infekcji23:

  • Izolacja pacjenta do czasu zakończenia 5 dni antybiotykoterapii lub przez 21 dni od początku wystąpienia kaszlu, jeśli nie jest stosowana antybiotykoterapia
  • Edukacja pacjenta i rodziny na temat prawidłowej higieny rąk
  • Instruowanie o zakrywaniu ust i nosa podczas kaszlu lub kichania (najlepiej w zgięcie łokcia)
  • Unikanie bliskiego kontaktu z niemowlętami i kobietami w ostatnim miesiącu ciąży
  • Stosowanie maseczki ochronnej przez osobę chorą, jeśli musi przebywać w pobliżu innych osób

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Wsparcie w zakresie odżywiania i nawodnienia

Pacjenci z krztuścem, szczególnie dzieci, mogą mieć trudności z przyjmowaniem pokarmów i płynów z powodu napadów kaszlu i wymiotów16. Działania pielęgniarskie w tym zakresie obejmują:

  • Podawanie małych, częstych posiłków, aby zapobiec wymiotom
  • Zachęcanie do przyjmowania dużej ilości płynów (woda, soki, zupy)
  • Monitorowanie oznak odwodnienia, takich jak zmniejszone oddawanie moczu, suchość błon śluzowych, zapadnięte oczy, brak łez podczas płaczu
  • W przypadku niemożności przyjmowania płynów doustnie – rozważenie podaży płynów dożylnie (w warunkach szpitalnych)

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Edukacja pacjenta i rodziny

Edukacja jest kluczowym elementem opieki nad pacjentem z krztuścem27. Powinna ona obejmować:

  • Informacje o chorobie, jej przebiegu i możliwych powikłaniach
  • Instruktaż dotyczący prawidłowego przyjmowania przepisanych antybiotyków (pełna kuracja zgodnie z zaleceniami lekarza)
  • Informacje o znaczeniu szczepień przeciwko krztuścowi dla pacjenta i osób z jego otoczenia
  • Instrukcje dotyczące monitorowania objawów i rozpoznawania oznak pogorszenia stanu zdrowia
  • Wskazówki dotyczące opieki domowej:
    • Utrzymanie odpowiedniej wilgotności powietrza za pomocą nawilżacza
    • Unikanie czynników drażniących, takich jak dym, kurz i chemiczne opary
    • Zapewnienie odpoczynku w łóżku
    • Techniki łagodzenia kaszlu

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W przypadku niemowląt, edukacja powinna dodatkowo obejmować:

  • Trzymanie dziecka w ciemnym i cichym pomieszczeniu, aby zmniejszyć stymulację i zapobiec silnym napadom kaszlu
  • Sposoby monitorowania oddychania i rozpoznawania oznak trudności w oddychaniu
  • Konieczność natychmiastowej pomocy medycznej w przypadku sinicy, bezdechów lub trudności w karmieniu

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Profilaktyka krztuśca

Szczepienia są najskuteczniejszą metodą zapobiegania krztuścowi2930. W ramach profilaktyki krztuśca zaleca się:

  • Szczepienie wszystkich dzieci zgodnie z kalendarzem szczepień (szczepionka DTaP – błonica, tężec, krztusiec bezkomórkowy)
    • 5 dawek szczepionki DTaP dla maksymalnej ochrony przed krztuścem, podawanych w wieku: 6-8 tygodni, 3-4 miesięcy, 6 miesięcy, 15-18 miesięcy i 4-6 lat
  • Dawkę przypominającą szczepionki Tdap dla nastolatków w wieku 11-12 lat
  • Szczepienie dorosłych szczepionką Tdap, szczególnie jeśli mają kontakt z niemowlętami
  • Szczepienie kobiet w ciąży szczepionką Tdap w każdej ciąży, najlepiej między 27 a 32 tygodniem ciąży – to pozwala na przekazanie przeciwciał ochronnych dziecku przed urodzeniem

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Dodatkowo, w przypadku kontaktu z osobą chorą na krztusiec, może być zalecana profilaktyczna antybiotykoterapia, szczególnie dla osób z grupy wysokiego ryzyka, takich jak11:

  • Niemowlęta poniżej 1 roku życia
  • Kobiety w ciąży
  • Osoby z obniżoną odpornością
  • Osoby, które mają kontakt z osobami z grupy wysokiego ryzyka

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Pracownicy ochrony zdrowia, którzy mieli kontakt z osobą chorą na krztusiec, również powinni otrzymać profilaktyczną antybiotykoterapię, szczególnie jeśli pracują z niemowlętami lub kobietami w ciąży33.

Ocena efektywności opieki pielęgniarskiej

Ocena efektywności opieki pielęgniarskiej nad pacjentem z krztuścem powinna być przeprowadzana regularnie, aby określić postęp w leczeniu i konieczność modyfikacji planu opieki34. Cele opieki są osiągnięte, gdy:

  • Pacjent utrzymuje drożne drogi oddechowe, co potwierdza prawidłowy szmer oddechowy, prawidłowa częstość i głębokość oddechów oraz zdolność do efektywnego odkrztuszania wydzieliny po zabiegach i głębokich oddechach
  • Pacjent wykazuje zwiększoną wymianę powietrza
  • Pacjent zna i stosuje metody poprawiające usuwanie wydzieliny
  • Pacjent rozpoznaje znaczenie zmian w plwocinie, w tym koloru, charakteru, ilości i zapachu
  • Pacjent identyfikuje i unika konkretnych czynników, które hamują efektywne oczyszczanie dróg oddechowych

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Dokumentacja opieki pielęgniarskiej nad pacjentem z krztuścem powinna obejmować:

  • Indywidualne ustalenia, w tym czynniki wpływające na stan pacjenta, interakcje, charakter wymiany społecznej, specyfikę indywidualnego zachowania
  • Przekonania i oczekiwania kulturowe i religijne
  • Plan opieki
  • Plan edukacji
  • Odpowiedzi na interwencje, nauczanie i wykonywane działania
  • Osiągnięcie lub postęp w kierunku pożądanego wyniku

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Kiedy szukać pomocy medycznej

Ważne jest, aby wiedzieć, kiedy należy szukać pomocy medycznej w przypadku podejrzenia krztuśca20. Należy skontaktować się z lekarzem, jeśli:

  • Dziecko nie jest na bieżąco ze szczepieniami przeciwko krztuścowi
  • Dziecko miało kontakt z osobą chorą na krztusiec
  • Kaszel jest nasilony, pogarsza się lub powoduje wymioty
  • Kaszel występuje wraz z gorączką
  • Dziecko nie jest w stanie przyjmować mleka, mieszanki lub jedzenia

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Należy natychmiast wezwać pogotowie ratunkowe (numer 999 lub 112) lub udać się do najbliższego szpitalnego oddziału ratunkowego, jeśli dziecko20:

  • Ma trudności z oddychaniem
  • Ma sinawą lub szarą skórę (sprawdź usta i opuszki palców)
  • Ma napady kaszlu tak silne, że powodują duszność lub krztuszenie się
  • Przestaje oddychać na krótki czas (bezdech)
  • Ma drgawki
  • Jest bardzo ospałe lub trudno je obudzić
  • Wykazuje oznaki odwodnienia (zmniejszone oddawanie moczu, suche usta, zapadnięte oczy)

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Rola pielęgniarki w zespole interdyscyplinarnym

Opieka nad pacjentem z krztuścem wymaga współpracy interdyscyplinarnego zespołu medycznego, a pielęgniarka pełni w nim kluczową rolę37. Zadania pielęgniarki w zespole interdyscyplinarnym obejmują:

  • Ocenę stanu pacjenta i monitorowanie postępów w leczeniu
  • Realizację zaleceń lekarskich, w tym podawanie przepisanych leków
  • Edukację pacjenta i jego rodziny na temat choroby, leczenia i profilaktyki
  • Koordynację opieki i komunikację między członkami zespołu medycznego
  • Wdrażanie procedur kontroli zakażeń, aby zapobiec rozprzestrzenianiu się choroby
  • Wsparcie emocjonalne dla pacjenta i jego rodziny

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Pielęgniarki pracujące w różnych środowiskach, w tym na oddziałach ratunkowych, w podstawowej opiece zdrowotnej, jako pielęgniarki szkolne czy środowiskowe, powinny być wyczulone na objawy krztuśca i aktywnie promować szczepienia jako najskuteczniejszą metodę profilaktyki39.

Aktualne wyzwania związane z opieką nad pacjentami z krztuścem

Mimo dostępności skutecznych szczepionek, krztusiec pozostaje jedną z najczęściej występujących chorób zakaźnych, którym można zapobiegać przez szczepienia40. Obecnie obserwuje się wzrost liczby zachorowań na krztusiec w wielu krajach41. Wyzwania związane z opieką nad pacjentami z krztuścem obejmują:

  • Zmniejszającą się z czasem ochronę po szczepieniu, co powoduje, że nawet zaszczepione osoby mogą zachorować na krztusiec, choć zwykle przebieg choroby jest u nich łagodniejszy
  • Trudności w rozpoznaniu krztuśca we wczesnym stadium, gdy objawy przypominają przeziębienie
  • Opóźnienia w rozpoczęciu leczenia, co zmniejsza jego skuteczność
  • Ryzyko przeniesienia infekcji na niemowlęta i inne osoby z grupy wysokiego ryzyka
  • Potrzebę ciągłej edukacji społeczeństwa na temat znaczenia szczepień i wczesnego rozpoznawania objawów krztuśca

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Pielęgniarki odgrywają kluczową rolę w sprostaniu tym wyzwaniom poprzez edukację pacjentów, promocję szczepień oraz wczesne rozpoznawanie i leczenie krztuśca44.

Grupa wiekowa Zalecana szczepionka Harmonogram szczepień Szczególne zalecenia
Niemowlęta i dzieci do 6 lat DTaP (błonica, tężec, krztusiec bezkomórkowy) 5 dawek: 6-8 tygodni, 3-4 miesięcy, 6 miesięcy, 15-18 miesięcy, 4-6 lat Kluczowe dla ochrony niemowląt przed ciężkim przebiegiem choroby
Dzieci 11-12 lat Tdap (dawka przypominająca) Jedna dawka Wzmocnienie ochrony, która mogła osłabnąć z czasem
Dorośli Tdap Jedna dawka, jeśli nie otrzymali wcześniej w dorosłym życiu Szczególnie ważne dla osób mających kontakt z niemowlętami
Kobiety w ciąży Tdap Jedna dawka w każdej ciąży, najlepiej między 27 a 32 tygodniem Przekazanie przeciwciał ochronnych dziecku przed urodzeniem
Pracownicy ochrony zdrowia Tdap Jedna dawka, następnie dawka przypominająca co 10 lat Ochrona personelu i pacjentów, szczególnie tych z grupy wysokiego ryzyka

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Kolejne rozdziały

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Wybierz kolejny rozdział z menu poniżej, aby otworzyć nową podstronę kompedium wiedzy i uzyskać szczegółowe informację o leku, substancji lub chorobie.

  1. 09.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Pertussis (Whooping Cough) | Florida Department of Health
    https://www.floridahealth.gov/diseases-and-conditions/vaccine-preventable-disease/pertussis/index.html
    Pertussis, also known as whooping cough, is a very contagious respiratory illness caused by a type of bacteria called Bordetella pertussis. The bacteria attach to the cilia (tiny, hair-like extensions) that line part of the upper respiratory system and release toxins that can damage the cilia and cause airways to swell. […] Individuals that receive the vaccine may still contract pertussis, however the infection is generally milder. […] Anyone can get pertussis, but it can be more severe for infants and people with weakened immune systems. […] Immunizations received during childhood for pertussis may lose effectiveness over time. A pertussis booster may increase protection for vulnerable populations, including older children and adults. […] Symptoms of pertussis usually develop within 5-10 days after exposure to the bacteria. Sometimes symptoms can take as long as three weeks to develop.
  • #2
    http://www.bccdc.ca/health-info/diseases-conditions/whooping-cough-pertussis
    Pertussis, or whooping cough, is a very contagious (easy to catch) disease of the respiratory tract. It is caused by a bacterium (germ) found in the mouth, nose and throat of a person who is infected. […] Pertussis starts like a common cold, with sneezing, runny nose, low-grade fever and a mild cough. But over the next week or 2 the cough gets worse and worse, leading to really bad coughing spells that often end with a whoop (which is where the name whooping cough came from). The coughing may be so bad that it makes a child gag or throw up. Sometimes a thick, clear mucous is spit out. This cough can last up to a month or 2, and happens more at night. […] A person with pertussis is usually given an antibiotic, called erythromycin. Also, people who may have been in close contact with someone who has pertussis are also given this medicine. This includes people living in the same house, and other household and day care contacts. The treatment usually takes 10 days.
  • #3 When to Seek Care for Walking Pneumonia and Whooping Cough Symptoms
    https://www.medstarhealth.org/blog/when-to-seek-care-for-walking-pneumonia-and-whooping-cough-symptoms
    Respiratory illnesses are surging across the country, especially among school-aged children. […] We’re also seeing five times as many patients with whooping cough than we did this time last year consistent with reports from the Center for Disease Control (CDC). […] That’s why it’s important to know when and where to seek care for walking pneumonia and whooping cough symptoms. […] Whooping cough is most dangerous for babies under one year, as they haven’t been fully vaccinated yet against the disease and have underdeveloped immune systems. […] Anyone who cares for or is in close contact with an infant should get the Tdap vaccine, if they haven’t already. […] Both respiratory illnesses typically can be treated with antibiotics. […] In severe cases, babies and other patients who have a high risk of complications may need to be hospitalized.
  • #4 Immunizations: Whooping Cough (Pertussis) | Wisconsin Department of Health Services
    https://www.dhs.wisconsin.gov/immunization/pertussis.htm
    Whooping cough is caused by bacteria that attach to the lining of the lungs. […] Pertussis can affect people of all ages. However, it can be very serious, even deadly, for babies less than 1 year old. […] Half of all babies with whooping cough need care in a hospital. Some even die. […] The infection can be less severe if treatment is started before the coughing begins. […] If treatment begins three weeks after the illness started, its unlikely to be effective. […] A vaccine is your best protection against catching whooping cough. […] Getting vaccinated is the best way to protect yourself and your loved ones against whooping cough. […] The CDC (Centers for Disease Control and Prevention) recommends whooping cough vaccines for everyone, but especially: All babies and children.
  • #5 Whooping Cough (Pertussis) Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/15661-whooping-cough-pertussis
    Whooping cough is a highly contagious upper respiratory infection that affects babies, children and adults of all ages. Early on, it might feel like a common cold. But after a week or two, a persistent cough develops. […] If your baby has a severe cough, has a bluish discoloration around their mouth and/or trouble breathing, seek emergency care right away. […] Providers treat whooping cough with antibiotics like azithromycin, clarithromycin or erythromycin. Take your medicine exactly as your provider tells you to. The sooner you start taking antibiotics, the more they can help you. […] If your child is very sick, they may need to be monitored in the hospital. There, a team of healthcare providers can keep a close eye on your child’s breathing and give them oxygen and fluids if necessary.
  • #6 Pertussis Basics for Nursing Students – Straight A Nursing
    https://straightanursingstudent.com/pertussis/
    Pertussis (also known as “whooping cough”) is a respiratory tract infection caused by the bacteria Bordetella pertussis. It is a highly contagious disease that predominantly impacts children. […] The key assessments you will conduct for a patient with pertussis are related to their respiratory status. […] Studies show that antibiotics are most effective in the early stages of the disease, and may have no effect if started in later stages. Not only do they shorten the duration of illness, but can reduce the risk of transmission. […] Education regarding the care of infants with pertussis includes: Infants should be kept in a dark and quiet room in order to decrease stimulation and prevent severe coughing fits. […] Proper hand hygiene is an essential and important way to stop the spread of disease.
  • #7 Pertussis (Whooping Cough) – Nurseslabs
    https://nurseslabs.com/pertussis-whooping-cough/
    Pertussis Nursing Care Management […] Nursing management of a patient with pertussis include the following: […] Continuous assessment is necessary in order to know possible problems that may have led to concerns that may occur during nursing care. […] Maintaining patent airway is always the first priority. Auscultate lungs for presence of normal or adventitious breath sounds. Assess respirations, note quality, rate, pattern, depth, flaring of nostrils, dyspnea on exertion, evidence of splinting, use of accessory muscles, and position for breathing. […] Based on the assessment data, the major nursing diagnosis are: Ineffective airway clearance related to copious and tenacious bronchial secretions. Impaired breathing pattern related to decreased airway patency. […] The major nursing care planning goals for pertussis:
  • #8 Whooping Cough: Symptoms, Causes, Treatment, Vaccine & Side Effects
    https://www.emedicinehealth.com/whooping_cough_pertussis/article_em.htm
    Whooping cough is an infectious bacterial illness that affects the respiratory passages. […] When Should I Seek Medical Care for Whooping Cough? […] If you suspect you or your child has whooping cough […] If your child has exposure to someone with whooping cough, regardless of whether the child has received immunization shots […] If your child has a fever that cannot be controlled with over-the-counter medication […] If your child is unable to keep solids and liquids down (vomits) […] What Are Whooping Cough Treatment Options? […] Antibiotics lessen the severity of whooping cough and make the person taking them noncontagious. Antibiotics are most effective if given early in the first phase of the illness. […] What Is the Follow-up Care for Whooping Cough? […] Notify schools and daycare facilities of whooping cough illnesses. Healthcare providers should evaluate children who later develop a cough.
  • #9 Treatment of Whooping Cough | Pertussis (Whooping Cough) | CDC
    https://www.cdc.gov/pertussis/treatment/index.html
    Early antibiotic treatment for pertussis (whooping cough) may make the infection less serious. […] Sometimes treatment in a hospital may be necessary if symptoms become serious. […] Most whooping cough symptoms can be managed at home. […] Healthcare providers generally treat whooping cough with antibiotics. […] It’s very important to treat whooping cough early, before coughing fits begin. […] Treating whooping cough early can make the illness less serious. […] Whooping cough can sometimes be very serious and can cause complications, especially for babies. […] People with serious illness or complications need care in the hospital. […] Hospital treatment of whooping cough usually focuses on keeping breathing passages clear. […] Most people with whooping cough can manage their symptoms at home. […] Don’t take cough medicine unless your healthcare provider recommends it.
  • #10 Pertussis: The Whooping Cough – PubMed
    https://pubmed.ncbi.nlm.nih.gov/30115332/
    Bordetella pertussis can cause serious and potentially fatal complications, especially in very young infants. Early diagnosis and treatment of pertussis with a macrolide antibiotic, such as azithromycin, before the paroxysmal stage of disease can help mitigate complications and reduce the spread of this highly contagious disease. […] Whooping cough. Danthis M. Danthis M. Nurs Stand. 2014 May 13;28(36):53. doi: 10.7748/ns2014.05.28.36.53.s51. Nurs Stand. 2014. PMID: 24802470 […] Whooping Cough / drug therapy […] Whooping Cough / prevention control.
  • #11 Pertussis (Whooping Cough) Facts – MN Dept. of Health
    https://www.health.state.mn.us/diseases/pertussis/pfacts.html
    Pertussis can be treated with antibiotics, but treatment may not cure the symptoms. However, antibiotics will reduce the spread of disease to others. […] Antibiotics lessen the symptoms if given during the early stages of illness. When antibiotics are started later in the illness, the damage from pertussis is already done and the cough will last until the lungs heal. […] Antibiotics are sometimes also given to close or high-risk contacts of persons with pertussis to prevent or lessen the symptoms. Antibiotics to prevent pertussis are generally limited to those who are household contacts or high-risk contacts of the pertussis case. High-risk contacts include infants less than 1 year of age, pregnant persons, other immunocompromised people, and those who have contact with high-risk people.
  • #12 Pertussis | Infection Control | CDC
    https://www.cdc.gov/infection-control/hcp/healthcare-personnel-epidemiology-control/pertussis.html
    excluding potentially infectious HCP from work. […] Symptomatic persons who receive effective antimicrobial therapy for pertussis are no longer contagious after 5 days of appropriate treatment. […] Vaccinated HCP may still be susceptible to pertussis due to waning immunity, lack of response to the vaccine, immunosuppression, or other factors. […] Because vaccinated HCP may still be at risk for pertussis infection, vaccination does not preclude the need for PEP, when indicated. […] The preferred agents for postexposure prophylaxis are azithromycin, erythromycin, and clarithromycin.
  • #13 Whooping Cough Treatment
    https://plushcare.com/whooping-cough-treatment/
    According to the Centers for Disease Control and Prevention, these antibiotics are recommended for treatment of pertussis: Azithromycin, Clarithromycin, Erythromycin, Trimethoprim/sulfamethoxazole. […] The most effective cough suppressant for whooping cough is dextromethorphan, a common cough suppressant available over the counter in various forms. […] Visit a doctor if you suspect that you or your child has whooping cough. Early treatment of pertussis is critical for infants or unvaccinated people. […] The earlier a person, especially an infant, starts treatment (first 1 to 2 weeks before coughing fits), the symptoms may be reduced, and there may be less damage done by the bacteria. […] If you have symptoms suggestive of whooping cough and a close exposure to someone recently confirmed to have whooping cough, or have no symptoms but live with someone who has confirmed whooping cough, you may be a candidate for antibiotic treatment without first requiring confirmation testing.
  • #14 Whooping Cough (Pertussis) in Children
    https://healthlibrary.inova.org/Search/90,P02533
    Whooping cough (pertussis) is a contagious illness. It causes intense fits (paroxysms) of coughing. It mainly affects babies and young children. […] Treatment will depend on your child’s symptoms, age, and general health. It will also depend on how severe the condition is. […] In some cases, your child may need to go to the hospital for treatment. This is for supportive care and monitoring. Your child may also take antibiotic medicine. Antibiotics work best if given early in the disease. […] Home treatment may include: Keeping your child comfortably warm, Feeding your child small meals often, Giving your child plenty of fluids, Preventing things that cause coughing, such as smoke. […] The CDC recommends that children get 5 DTaP shots for maximum protection against pertussis.
  • #15 Whooping Cough (Pertussis) (for Parents) | Nemours KidsHealth
    https://kidshealth.org/en/parents/whooping-cough.html
    Whooping cough can make some people very sick. Babies younger than 1 years old and people with medical conditions that affect the immune or respiratory systems are most at risk for getting really sick from the illness. […] Some kids with whooping cough need care in a hospital. Babies and younger children are more likely to be hospitalized because they’re at greater risk for problems like pneumonia. Other possible problems include trouble breathing, periods of apnea, needing oxygen (usually during a coughing spell), and dehydration. […] Whooping cough can be life-threatening for babies younger than 1 year, so they often need hospital treatment. In the hospital, children may need mucus and fluids removed from the nose, mouth, or back of the throat with a bulb syringe or a catheter. This is called suctioning and helps to clear the airways. Breathing will be watched closely, and children will get extra oxygen if needed.
  • #16 Whooping Cough (Pertussis) (for Parents) | Nemours KidsHealth
    https://kidshealth.org/en/parents/whooping-cough.html
    If your child is being treated for pertussis at home, follow the schedule for giving antibiotics exactly as your doctor prescribed. Do not give cough medicine unless your doctor recommends it, and never give it to children younger than 4 (it can cause potential size effects). Giving cough medicine usually doesnt ease the coughing spells of whooping cough. The cough is actually the body’s way of trying to clear the airways. […] During recovery, let your child rest in bed and use a cool-mist humidifier to help soothe irritated lungs and breathing passages. […] Kids with whooping cough may throw up or not eat or drink much because of the coughing. Offer smaller, more frequent meals and encourage your child to drink lots of fluids. Watch for signs of dehydration, such as: thirst, irritability, restlessness, lack of energy or sunken eyes; a dry or sticky mouth and tongue or dry skin; crying without tears; fewer trips to the bathroom to pee (or in babies, fewer wet diapers).
  • #17 Whooping Cough: Causes, Symptoms, Treatment and Prevention
    https://www.webmd.com/children/whooping-cough-symptoms-treatment
    Whooping cough (also known as pertussis) is a bacterial infection that affects your respiratory tract, especially your nose and throat. It causes long stretches of severe coughs that sometimes end with a whooping sound. […] Whooping cough is milder in adults and can occur in those whose immunity has worn off. […] If you find out you have whooping cough early on, antibiotics can help cut down coughing and other symptoms. They can also help prevent the infection from spreading to others. […] Don’t use over-the-counter cough medicines, cough suppressants, or expectorants (medicines that make you cough up mucus) to treat whooping cough. They don’t work. […] If your coughing spells are so bad that they keep you from drinking enough fluids, you can get dehydrated. If this happens, call your doctor right away.
  • #18 Whooping cough – Diagnosis & treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/whooping-cough/diagnosis-treatment/drc-20378978
    Most often, infants need treatment in the hospital for whooping cough. That’s because the illness is more dangerous for babies. If your child can’t keep down liquids or food, fluids given through a vein may be needed. Your child is cared for away from others. This prevents the infection from spreading. […] Treatment for older children and adults often can be given at home, since the illness tends to be milder. […] Antibiotics kill the bacteria that causes whooping cough. When you take them early, they might make your illness less serious. They also may shorten the amount of time you’re at risk of spreading the illness. If you live with other people, they may be given antibiotics to help prevent them from getting sick. […] Not much is available to relieve the cough itself. Cough medicines that are sold without a prescription, for instance, do not help treat whooping cough. Do not take them unless your healthcare professional tells you to.
  • #19 Whooping cough: factsheet on nursing childhood infectious diseases | Nursing Times
    https://www.nursingtimes.net/public-health/whooping-cough-factsheet-on-nursing-childhood-infectious-diseases-17-03-2025/
    Whooping cough (pertussis) is a highly contagious bacterial infection of the lungs and airways that can cause serious complications and death. Babies aged 6 months are at high risk of severe illness and mortality. […] Whooping cough should be considered if the child has been in contact with someone who has had the infection in the previous 21 days, or if it is circulating at their nursery or school. […] Vaccination is considered the best way to prevent whooping cough. Children should receive the 6-in-1 vaccine at 8, 12 and 16 weeks old, followed by the pre-school booster at 3 years 4 months to provide high levels of protection against serious disease. […] Babies aged under six months old may require hospital admission. Children with substantial breathing difficulties, severe coughing fits, cyanosis (blue/grey skin) or complications, such as seizures or pneumonia, should also be admitted to hospital.
  • #20 Whooping Cough (Pertussis) Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/15661-whooping-cough-pertussis
    Contact your pediatrician if your child: Isn’t up to date on their pertussis vaccines, Was exposed to whooping cough, Has a cough that’s severe, getting worse or causing vomiting, Has a cough along with a fever, Can’t keep down milk, formula or food. […] Call 911 or your local emergency services number if your child has trouble breathing or their skin looks blue or gray (check their lips and fingertips). […] Pertussis vaccines can reduce your risk of getting an infection or having severe symptoms if you do get sick. The vaccines that help prevent pertussis are the DTaP in children and Tdap in teens, pregnant women and adults. […] Providers prescribe preventive (prophylactic) antibiotics in some cases. These are medicines you take after exposure to whooping cough even if you don’t yet have symptoms. They can help you avoid coming down with whooping cough.
  • #21 Nursing Care Plan For Whooping Cough – Made For Medical
    https://www.madeformedical.com/nursing-care-plan-for-whooping-cough/
    Our approach to caring for patients with whooping cough is holistic, encompassing not only the management of respiratory symptoms but also the psychological and emotional support needed during the recovery process. […] Throughout this care plan, we will emphasize the importance of infection control measures to prevent the spread of pertussis to vulnerable populations. This includes proper hand hygiene, respiratory etiquette, and isolation precautions where necessary. […] In summary, whooping cough is a preventable and treatable respiratory infection that requires a comprehensive and compassionate approach to care. Our nursing care plan will serve as a guide to delivering effective care, reducing the severity of symptoms, and preventing further transmission of pertussis within the community.
  • #22 Pertussis (Whooping Cough) – Nurseslabs
    https://nurseslabs.com/pertussis-whooping-cough/
    Patient will maintain clear, open airways as evidence by normal breath sounds, normal rate and depth of respirations, and ability to effectively cough up secretions after treatments and deep breaths. Patient will demonstrate increased air exchange. Patient will classify methods to enhance secretion removal. Patient will recognize the significance of changes in sputum to include color, character, amount, and odor. Patient will identify and avoid specific factors that inhibit effective airway clearance. […] The nursing interventions for a patient with pertussis include: […] Teach the patient the proper ways of coughing and breathing. (e.g., take a deep breath, hold for 2 seconds, and cough two or three times in succession). Educate the patient about optimal positioning (sitting position), use of pillow or hand splints when coughing, use of abdominal muscles for more forceful cough, use of quad and huff techniques, use of incentive spirometry, and importance of ambulation and frequent position changes. Position the patient upright if tolerated. Regularly check the patients position to prevent sliding down in bed. Encourage patient to increase fluid intake to 3 liters per day within the limits of cardiac reserve and renal function. Give medications as prescribed, such as antibiotics, mucolytic agents, bronchodilators, expectorants, noting effectiveness and side effects. Provide postural drainage, percussion, and vibration as ordered.
  • #23 Pertussis (Whooping Cough) | County of Monterey, CA
    https://www.countyofmonterey.gov/government/departments-a-h/health/diseases/pertussis-whooping-cough
    Pertussis (whooping cough) is a very contagious disease caused by a type of bacteria called Bordetella pertussis. Among vaccine-preventable diseases, pertussis is one of the most commonly occurring ones in the United States. It can cause serious illness—especially in infants who are too young to be fully vaccinated. […] Pertussis can cause serious illness in children and adults. The disease starts like the common cold, with runny nose or congestion, sneezing, and maybe mild cough or fever. After 1 to 2 weeks, severe coughing begins. Children with the disease cough violently and rapidly, over and over, until the air is gone from their lungs and they’re forced to inhale with a loud “whooping” sound. […] It is important that individuals who have been diagnosed with pertussis take antibiotics. Antibiotics reduce transmission of the disease to others if they are taken for 5 days. Infected individuals should stay home from work or school until they have taken 5 days of antibiotic treatment for pertussis. It is especially important to avoid being around babies and pregnant women until your antibiotic treatment is finished to keep from spreading the disease to them.
  • #24 Whooping cough | UM Health-Sparrow
    https://www.uofmhealthsparrow.org/departments-conditions/conditions/whooping-cough
    The following tips can help you deal with coughing spells while you recover from whooping cough at home: Get plenty of rest. A cool, quiet and dark bedroom may help you relax and rest better. Drink plenty of fluids. Water, juice and soups are good choices. Be aware of dehydration symptoms, especially if your child is sick. The symptoms include dry lips, crying without tears and urinating much less often. Eat smaller meals. To help prevent vomiting after coughing, eat smaller, more-frequent meals rather than large ones. Clean the air. Keep your home free of irritants that can trigger coughing spells. These include dust, tobacco smoke and fumes from fireplaces. Prevent the spread of whooping cough. Cover your cough or sneeze with a tissue or the inside of your elbow. Throw away used tissues right away. Wash your hands often and for at least 20 seconds. If you must be around others, wear a mask.
  • #25
    https://www.health.nsw.gov.au/Infectious/whoopingcough/Pages/workers-managing-cases.aspx
    Good management of whooping cough includes: […] Early antibiotic treatment to reduce transmission […] Educating and informing your patient about whooping cough […] Preventing transmission by keeping infectious patients home from childcare, school or work […] Managing contacts of infectious patients in collaboration with your public health unit. […] All neonates with whooping cough should be urgently referred for specialist assessment. […] Antibiotics reduce the period of communicability and should be initiated as soon as possible and within three weeks of the onset of the cough. […] Patients are no longer infectious after five days of appropriate antibiotic therapy. […] Three key things you should tell your patients with whooping cough: […] Stay away from infants and pregnant women. […] If your patient is infectious, explain that it’s important to not attend work, school, preschool, and childcare until after 5 days of effective antibiotic treatment.
  • #26 Pertussis (Whooping Cough) | Florida Department of Health
    https://www.floridahealth.gov/diseases-and-conditions/vaccine-preventable-disease/pertussis/index.html
    Keep your home free from irritants that may trigger coughing, such as smoke, dust, and chemical fumes. […] Use a clean, cool mist humidifier to help loosen mucus and soothe the cough. […] Eat small meals every few hours to help prevent vomiting. […] Hydrate with water, juices, soups, and/or fruits to prevent dehydration. Report signs of dehydration, such as decreased urination or wet diapers, to your health care practitioner immediately.
  • #27 Nursing Care Plan For Whooping Cough – Made For Medical
    https://www.madeformedical.com/nursing-care-plan-for-whooping-cough/
    In conclusion, the nursing care plan for whooping cough (pertussis) revolves around providing comprehensive care and support to individuals affected by this highly contagious respiratory infection. […] Patient and family education have played a central role, with a strong emphasis on promoting pertussis vaccination among eligible individuals and close contacts. […] Infection control measures, including isolation precautions and antibiotic administration, have been implemented to prevent further transmission within healthcare settings and communities. […] By addressing the physical, emotional, and educational aspects of care, we aim to promote a complete recovery, minimize complications, and contribute to the prevention of further pertussis cases within the community.
  • #28 Whooping Cough (Pertussis): Care Instructions | Kaiser Permanente
    https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.whooping-cough-pertussis-care-instructions.abl2490
    Whooping cough (also called pertussis) is a disease that causes severe coughing. You may have a cough for weeks or even months. Your doctor may give you antibiotics to control the spread of the bacteria. Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. Take your medicines exactly as prescribed. If your doctor prescribed antibiotics, take them as directed. Call your doctor now or seek immediate medical care if you have new or worse trouble breathing. Watch closely for changes in your health, and be sure to contact your doctor if you do not get better after 2 weeks. […] You need to take the full course of antibiotics. Avoid contact with smoke and dust. Have frequent, small sips of fluids and nutritious foods. Keep away from other people, especially children, while you are ill. Wash your hands often to help prevent the spread of infection. Create a calm, quiet, restful place for yourself. Lie on your side or stomach instead of your back.
  • #29 Whooping cough (Pertussis) | Better Health Channel
    https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/whooping-cough
    Whooping cough (pertussis) is a very contagious respiratory infection. […] Early diagnosis and treatment are important and helps reduces the risk of spread to babies. […] Immunisation is the best way to reduce the risk of whooping cough. […] Whooping cough is particularly dangerous for babies less than 6 months of age. […] Immunisation is the best way to reduce the risk of whooping cough. […] Antibiotic treatment can help prevent spread of infection to other people and reduce the severity of symptoms if started early in the illness. […] People with whooping cough should limit their contact with infants and women in the last month of pregnancy. […] Pregnant women should be vaccinated for pertussis during each pregnancy, preferably between 20 and 32 weeks gestation. […] Vaccination of pregnant women before delivery has been reported to reduce pertussis disease in infants by 80% to 91%.
  • #30 Whooping Cough | Health Topics
    https://www.ihs.gov/forpatients/healthtopics/WhoopingCough/
    Pertussis – whooping cough – is a disease that causes severe coughing and breathing problems, especially in infants. […] It can be prevented by vaccination. […] The best way to prevent pertussis is for children, pre-teens, and adults to get vaccinated. […] All children should be vaccinated with the DTaP vaccine at: 6-8 weeks, 3-4 months, 6 months, 15 to 18 months, 4-6 years. […] Pertussis can be treated with antibiotics. It is important to take all of the antibiotics that are prescribed and to stay home from school or work for at least 5 days after treatment is started, even if the person is feeling better. […] The DTaP and Tdap vaccines are very safe and effective at preventing disease.
  • #31 Pertussis (Whooping Cough) | Children’s Hospital of Philadelphia
    https://www.chop.edu/conditions-diseases/pertussis-whooping-cough
    If your child has been diagnosed with pertussis, call your doctor or nurse practitioner if she: Has a temperature above 101-102 F (38.9 C) that is not relieved by Tylenol; Is vomiting often; Is not eating or drinking fluids; Is urinating less often or has dry lips or sunken eyes; Has frequent coughing that gets worse; Does not seem to be improving. […] Preventing the spread of whooping cough is important. […] The best way to prevent whooping cough is by making sure your family is vaccinated. […] Vaccines are very effective at preventing pertussis in young infants when given to pregnant mothers with each pregnancy. […] Because immunity from the childhood pertussis vaccination series declines over time, keeping up to date on booster vaccination (called Tdap) is important in adolescents starting at 11-12 years of age, and adults, particularly to reduce exposure to disease in vulnerable infants. […] If your child has been diagnosed with whooping cough, he or she cannot return to school/daycare until the prescribed medication course has been completed.
  • #32
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=abl2490
    Whooping cough (also called pertussis) is a disease that causes severe coughing. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. […] Take your medicines exactly as prescribed. Call your doctor or nurse advice line if you think you are having a problem with your medicine. […] If your doctor prescribed antibiotics, take them as directed. Do not stop taking them just because you feel better. You need to take the full course of antibiotics. […] Call your doctor or nurse advice line now or seek immediate medical care if: You have new or worse trouble breathing. […] Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if: You do not get better after 2 weeks.
  • #33 Pertussis | Infection Control | CDC
    https://www.cdc.gov/infection-control/hcp/healthcare-personnel-epidemiology-control/pertussis.html
    For asymptomatic healthcare personnel, regardless of vaccination status, who have an exposure to pertussis and are likely to interact with persons at increased risk for severe pertussis: […] Administer postexposure prophylaxis. […] If not receiving postexposure prophylaxis, restrict from contact (e.g., furlough, duty restriction, or reassignment) with patients and other persons at increased risk for severe pertussis for 21 days after the last exposure. […] For asymptomatic healthcare personnel, regardless of vaccination status, who have an exposure to pertussis and are not likely to interact with persons at increased risk for severe pertussis: […] Administer postexposure prophylaxis, OR […] Implement daily monitoring for 21 days after the last exposure for development of signs and symptoms of pertussis.
  • #34 Pertussis (Whooping Cough) – Nurseslabs
    https://nurseslabs.com/pertussis-whooping-cough/
    Goals are met as evidenced by: […] Patient maintained clear, open airways as evidenced by normal breath sounds, normal rate and depth of respirations, and ability to effectively cough up secretions after treatments and deep breaths. Patient demonstrated increased air exchange. Patient classified methods to enhance secretion removal. Patient recognized the significance of changes in sputum to include color, character, amount, and odor. Patient identified and avoided specific factors that inhibit effective airway clearance. […] Documentation in a patient with pertussis include: […] Individual findings, including factors affecting, interactions, nature of social exchanges, specifics of individual behavior. Cultural and religious beliefs, and expectations. Plan of care. Teaching plan. Responses to interventions, teaching, and actions performed. Attainment or progress toward the desired outcome.
  • #35 When to Seek Care for Walking Pneumonia and Whooping Cough Symptoms
    https://www.medstarhealth.org/blog/when-to-seek-care-for-walking-pneumonia-and-whooping-cough-symptoms
    If you notice that your child is having difficulty breathing, it’s important to take them to the nearest emergency room. […] You should also seek immediate medical care if your child is lethargic or difficult to arouse, or dehydrated. […] It’s also important to get your Tdap booster shot, if it’s been ten years since your last one.
  • #36 Whooping Cough (Pertussis) and Your Child
    https://myhealth.umassmemorial.org/Wellness/BloodPressure/3,85305
    Make sure your child gets enough rest. Ask your child’s health care provider about the best position to improve breathing. […] Run a cool-mist humidifier in your child’s bedroom to relieve coughing and loosen mucus in the airways. […] Don’t give your child over-the-counter cough syrups. They won’t ease their cough and may be harmful. […] Contact your child’s health care provider right away if your child: […] Call 911 if your child: […] Being vaccinated is the best way to protect against whooping cough. […] Most children get a vaccine against whooping cough starting at 2 months of age.
  • #37 Pertussis – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK519008/
    Pertussis, a violent cough, also known as whooping cough or the cough of 100 days, was first described in the Paris epidemic of 1578. This activity describes the presentation and management of pertussis and highlights the interprofessional team’s role in treating affected patients and families. […] Treatment of pertussis is largely supportive, including oxygen, suctioning, hydration, and avoidance of respiratory irritants. Hospitalization is indicated for patients with superimposed pneumonia, hypoxia, central nervous system complications, or who are unable to tolerate nutrition and hydration by mouth. Patients less than 1 year old are not fully vaccinated and carry the greatest risk of morbidity and mortality; they should be hospitalized regardless of symptoms. […] The management of pertussis is best done with an interprofessional team that includes the pharmacist and nurses. Open communication between the interprofessional team is vital to ensure that patients are treated with optimal care and that vaccination protocols are in place.
  • #38 Nursing Care Plan For Whooping Cough – Made For Medical
    https://www.madeformedical.com/nursing-care-plan-for-whooping-cough/
    This nursing assessment serves as the foundation for individualized care planning for patients with whooping cough. It addresses the clinical presentation, potential complications, psychological impact, and the importance of infection control measures. […] These nursing diagnoses serve as a starting point for individualized care planning for patients with whooping cough. They address the physiological, psychological, and educational aspects of care, aiming to improve patient outcomes, provide symptom relief, and prevent the spread of the disease to vulnerable populations. […] These nursing interventions aim to address the respiratory and supportive care needs of patients with whooping cough, emphasizing symptom relief, prevention of complications, and infection control measures to protect vulnerable populations.
  • #39 Managing whooping cough: what nurses need to know | RCNi
    https://rcni.com/emergency-nurse/newsroom/analysis/managing-whooping-cough-what-nurses-need-to-know-205781
    Cases of whooping cough (pertussis), a contagious respiratory tract infection, are rising and can have serious complications, especially for unvaccinated babies. […] Cases are likely to be seen by nurses in primary care and emergency departments, but other nurses in a range of settings, including health visitors and those working on respiratory wards, should be alert to the signs. […] Nurses should be aware it is most dangerous in babies under six months of age, as it is associated with high rates of severe illness, hospitalisation and death. […] Patients should be admitted to hospital if they have pneumonia, seizures or significant breathing difficulties such as long periods of breathlessness or choking, shallow breathing or apnoea. […] Advise self-care measures such as rest, adequate fluid intake, and the use of paracetamol or ibuprofen for symptomatic relief, NICE advises.
  • #40 Pertussis (Whooping Cough) | Children’s Hospital of Philadelphia
    https://www.chop.edu/conditions-diseases/pertussis-whooping-cough
    Commonly referred to as whooping cough, pertussis is a very contagious disease that can affect people of all ages. […] In infants, the disease can be particularly severe, even deadly; more than half of infants less than 1 year who get whooping cough end up requiring hospitalization. […] Currently, pertussis activity has increased throughout the United States. […] Specific treatment for whooping cough will be determined by your child’s physician based on: Your child’s age, overall health, and medical history; Extent of the condition; Your child’s tolerance for specific medications, procedures, or therapies; Expectations for the course of the condition. […] In some cases, your child may be hospitalized for supportive care and monitoring. […] Antibiotic treatment (i.e. azithromycin [Zithromax] or a related antibiotic) may also be ordered by your child’s physician.
  • #41 Whooping cough is surging. Here’s what you should know. – Northwestern Now
    https://news.northwestern.edu/stories/2024/10/whooping-cough-is-not-only-a-pediatric-disease-vaccine-does-not-protect-for-life/
    Whooping cough cases on the rise […] It is important to diagnosis a person because they can be treated with antibiotics and close contacts can be prophylaxed with antibiotics. […] Most common symptom in adolescents and adults is a prolonged cough that came on suddenly and intensely. […] Coughing episodes can last for a prolonged period of time with the person being contagious for up to one month after the cough begins.
  • #42 Whooping Cough Is No Ordinary Respiratory Illness | Patient Care
    https://weillcornell.org/news/whooping-cough-is-no-ordinary-respiratory-illness
    Whooping cough, also called pertussis, is highly contagious. It spreads via respiratory droplets. It can also be intense and even alarming if you aren’t familiar with its characteristic whoop. […] But vaccines and treatments are available, and home remedies are also part of the mix. […] The severe symptoms that typically appear later in the course of the illness tend to last from 1 to 6 weeks or even longer. […] Symptoms in infants are somewhat different, with a shorter initial phase, followed by gagging and breath-holding known as apnea. […] If your infant is under 2 months old and is clearly having trouble feeding and breathing, it’s time to bring them in to your pediatrician’s office, your family practice provider or the ER. […] However, vaccination does not fully protect against infection, as the vaccine response wanes over time.
  • #43 What doctors wish patients knew about pertussis | American Medical Association
    https://www.ama-assn.org/delivering-care/public-health/what-doctors-wish-patients-knew-about-pertussis
    It is important to note that most kids actually get this from adults, Dr. Kuban said, noting adults with pertussis are often going to just have a really hard cough. […] The problem is that the first week of symptoms is going to look like a cold for most kids, Dr. Kuban said. […] When it comes to diagnosing whooping cough, its typically done with a nasopharyngeal swab like the original COVID-19 swabs that go far into the nose, Dr. Kuban said. […] Its tricky because there are effective antibiotics, Dr. Kuban said. But theyre most effective when theyre given in the first seven days of illness, and they may shorten the duration of the symptoms and decrease spread before patients are in that second stage. […] With the severity of the pertussis season, getting it is preventable, Dr. Kuban said, emphasizing that the vaccines are safe and effective.
  • #44 Managing whooping cough: what nurses need to know | RCNi
    https://rcni.com/emergency-nurse/newsroom/analysis/managing-whooping-cough-what-nurses-need-to-know-205781
    Nurses should inform people that, even with antibiotic treatment, whooping cough is likely to cause a protracted cough, and that it is normal for this to take several weeks to clear up. […] Children should stay off school until they have completed 48 hours of antibiotic treatment, or for 21 days after the onset of symptoms, NICE says. […] Nurses who have suspected or confirmed whooping cough should stay off work until they have had 48 hours of treatment, or 21 days of symptoms, NICE states. […] Healthcare staff who work with babies or pregnant women should take prophylactic antibiotics if they live with someone with confirmed or suspected whooping cough and have not had a vaccine in the past five years. […] Find opportunities to ask parents if their children are up to date on all their immunisations and, if not, encourage and support them to get any missing doses, Professor Bedford says.
  • #45 Pertussis (whooping cough): For health professionals – Canada.ca
    https://www.canada.ca/en/public-health/services/immunization/vaccine-preventable-diseases/pertussis-whooping-cough/health-professionals.html
    Pertussis can be prevented by immunization. Primary immunization for all children is recommended at 2, 4 and 6 months of age. Booster doses are recommended at 12 to 23 months (generally given at 18 months of age), 4 to 6 years, and 14 to 16 years of age. […] One dose of acellular pertussis-containing vaccine (Tdap) vaccine should be administered to adults if they have not previously received pertussis vaccine in adulthood (18 years of age and older). […] Immunization for pregnant women is ideally recommended at 27-32 weeks of gestation, irrespective of previous Tdap immunization history. […] Cases of pertussis should be reported to the local health authority. Confirmed and suspected cases should be isolated from young children and infants until the patients have received at least 5 days of antibiotics.