Croup Flashcards
What characterises croup?
Abrupt onset of upper airway obstruction, usually after symptoms of an URTI. Barking cough, inspiratory stridor, hoarseness, respiratory distress. Occurs commonly (but not exclusively) in paediatrics up to 6 years of age.
What is the treatment for mild/moderate croup?
Basic care, thorough respiratory assessment.
What is the treatment for severe croup in a child equal to or under 6 months old?
2.5mg adrenaline + 2.5ml 0.9% normal saline (2.5mg/5ml solution) nebulised. Repeat as required. Transport to hospital for further care and notify receiving facility.
What is the treatment for severe croup in a child equal to or over 6 months old?
5mg/5ml adrenaline nebulised. Repeat as required. Transport to hospital for further care and notify receiving facility.
What lethal condition should we differentiate croup from?
Epiglottis. Bacterial infection causing symptoms of fever, respiratory distress, trouble swallowing/drooling and fatal airway occlusion.
What is the role of nebulised adrenaline in croup?
Topical vasoconstrictor reducing mucosal swelling in the upper airway.
Do paediatrics with croup need to be transported to hospital?
Most definitely. Under any circumstances, ALL paediatrics must be transported to hospital following SAAS treatment. In croup, symptoms often reoccur following nebulised adrenaline treatment - definitive care is required in hospital.
