55 - Croup Flashcards
Which gender is affected more?
males
_____ are common cause
viruses
Describe the presentation
- seal-like barky cough
- worse at night
- fever may be present
- obstructive symptoms generally resolve within 48 hours
non-pharms
- keep calm
- oxygen for severe respiratory distress
What is mainstay of therapy for croup?
corticosteroids
Corticosteroids:
A single PO or parenteral dose of _____ is effective
dexamethasone
Corticosteroids:
_____ budesonide is effective and equivalent to oral dexamethasone
nebulized
Corticosteroids:
Severe patients may benefit form simultaneous administration of ?
- nebulized budesonide
- L-epinephrine
Corticosteroids:
Give ____ budesonide for those who vomit
inhaled
Corticosteroids:
Who should you avoid corticosteroids in?
- immunocompromsied
- recent exposure to varicella
Inhaled Adrenergic agonists:
-Give an example
L-epinephrine (usually nebulized)
Inhaled Adrenergic agonists:
Onset and duration of L-epinephrine
may reduce respiratory distress within 10 mins and last for more than 1 hour
Inhaled Adrenergic agonists:
When can a patient be safely discharged after receiving L-epinephrine?
if no symptoms for at least 2-3 hours after treatment
Inhaled Adrenergic agonists:
What dose is given to all kids for L-epinephrine?
5 mL
Inhaled Adrenergic agonists:
Only when should you administer repeated doses of epinephrine?
only if a child is near respiratory failure and close cardiac monitoring is possible
