croup

Question 1

treatment for moderate to severe

Answer 1

Administer 5 mg of adrenaline nebulised if stridor is causing moderate or severe respiratory distress.

Question 2

when can adrenaline be repeated

Answer 2

every 10 mins

Question 3

Children with mild respiratory distress from croup should usually be treated in the community provided:

Answer 3

ū Nebulised adrenaline has not been administered, and
ū Oral prednisolone has been administered, and
ū The patient’s SpO2 is greater than or equal to 94% on air, and
ū The parents or guardians are advised the patient needs to see a doctor
within 24 hours because a further course of oral steroids is required.

Question 4

what is croup

Answer 4

viral infection of the upper airway. It is the most common cause of stridor in children, especially children aged six months to two years.

Question 5

presentation of croup

Answer 5

The child usually has an onset of illness over the preceding days, a barking cough that is worse at night and a low grade fever.