Croup

Question 1

Symptoms of croup

Answer 1

Barking cough
Horse voice
Difficulty breathing
Rasping sound when breathing

Question 2

Tx for croup mild croup

Answer 2

It’s self limiting but single dose steroid eg Dexamethasone can be used

Question 3

State how to tx severe croup

Answer 3

Give nebulized adrenaline reduces Airway swelling
Monitor the child carefully to see if croup reoccurs

Question 4

Facts about croup

Answer 4

Common in baby’s and Young children
Happens after a few days
Worsen at night

Question 5

Common indication of antihistamines

Answer 5

Nasal and seasonal allergies eg allergic rhinitis
Helps Rhinorrhea ( runny nose and sneezing)
Urticaria ( itchy rash/ hives)
Rashes
Pruritus
Insect bites and stings
Drug allergies

Question 6

Examples of sedating antihistamine

Answer 6

Alimemazine and promethazine

Question 7

Non sedating Antihistamines

Answer 7

Acrivastine, bilastine, desloratadine, fexofenadine ,loratidine, mizolastine and rupatadine

Question 8

Cautions for sedating Antihistamines

Answer 8

Prostatic hypertrophy
Urinary retention
Epilepsy
Children and elderly are more susceptible to side effects

Question 9

When to avoid Sedating Antihistamines

Answer 9

Avoid in liver disease- risk of coma

Question 10

Side effects of antihistamines

Answer 10

Drowsiness- may stop after a few days
Less likely in non sedating ones
Headache
Avoid excess alcohol with use if antihistamines