a. Signs and symptoms

1) Bluish color surrounding mouth and lips

2) Flaring of the nostrils with each breath

3) On breathing in and out, noise like a crow, wheezing, or grunt

4) Respiratory rate above 60 without excitement

1) Bring signs and symptoms to the attention of the parent(s).

2) Instruct the parent(s) to contact the pediatrician for instructions.

3) Assist parent(s) with any preparations for infant's physician visit.

4) Contact Home Care Supervisor.