ALS PCS: Croup Medical Directive

Question 1

INDICATIONS

Answer 1

SEVERE RESPIRATORY DISTRESS

AND

STRIDOR AT REST

AND

CURRENT HISTORY OF URTI

AND

BARKING COUGH OR RECENT HISTORY OF BARKING COUGH

Question 2

CONDITIONS (EPINEPHRINE)

Answer 2

< 8 y/o

HR < 200bpm

Question 3

CONTRAINDICATIONS (EPINEPHRINE)

Answer 3

ALLERGY OR SENSITIVITY TO EPINEPHRINE

Question 4

TREATMENT WITH EPINEPHRINE
<1 year
<5 kg

Answer 4

ROUTE: NEB

CONCENTRATION: 1mg/mL = 1:1000

DOSE: 0.5mg

MAX SINGLE DOSE: 0.5mg

DOSING INTERVAL: N/A

MAX NUMBER OF DOSES: 1

Question 5

TREATMENT WITH EPINEPHRINE
<1 year
≥5 kg

Answer 5

ROUTE: NEB

CONCENTRATION: 1mg/mL = 1:1000

DOSE: 2.5mg

MAX SINGLE DOSE: 2.5mg

DOSING INTERVAL: N/A

MAX NUMBER OF DOSES: 1

Question 6

TREATMENT WITH EPINEPHRINE

1 ≤ AGE < 8

Answer 6

ROUTE: NEB

CONCENTRATION: 1mg/mL = 1:1000

DOSE: 5mg

MAX SINGLE DOSE: 5mg

DOSING INTERVAL: N/A

MAX NUMBER OF DOSES: 1

Question 7

CLINICAL CONSIDERATIONS

Answer 7

MINIMUM INITIAL VOLUME FOR NEBULIZATION IS 2.5mL