19. Paediatric Cases 2

Question 1

Croup treatment:

Answer 1

Mild cases -> Managed in primary care, advice and reassurance
Moderate cases -> Oral dexamethasone /Nebulised steroids (reduces airway inflammation)
Severe cases -> Corticosteroids, adrenaline nebulizer, oxygen

Question 2

Acute seizure management:

Answer 2

Either buccal Midazolam (after 5 mins) or IV Lorazepam (after 5 mins) -> Repeat once after 10 mins if still fitting -> IV Phenytoin and call anaesthetics

Question 3

Managing severe sepsis in children:

Answer 3

• Give oxygen
• IV/IO access and bloods and cultures
• IV fluid bolus 10ml/kg of 0.9% NaCl – give as quickly as possible
• IV Cefotaxime/Ceftriaxone