Croup MD

Question 1

What are the indications for the Croup MD?

Answer 1

Severe respiratory distress;
AND
Stridor at rest;
AND
Current history of URTI;
AND
Barking cough or recent history of a barking cough.

Question 2

What are the conditions for epinephrine administration for croup?

Answer 2

Age <8 years
HR <200 bpm

Question 3

What are the contraindications for epinephrine administration under the croup MD?

Answer 3

Allergy or sensitivity to epinephrine.

Question 4

What is the epinephrine dose for age <1 year, weight <5 kg under the croup MD?

Answer 4

NEB
Concentration 1 mg/ml = 1:1000
Dose 0.5 mg
No dosing interval, max 1 dose.

Question 5

What is the epinephrine dose for a patient who is <1 year, weight ≥5 kg under the croup MD?

Answer 5

NEB
Concentration 1 mg/mL = 1:1000
Dose of 2.5 mg, no dosing interval, max 1 dose.

Question 6

What is the dose of epinephrine for a patient who is ≥1 year to <8 years under the croup MD?

Answer 6

NEB
Concentration 1 mg/mL = 1:1000
Dose 5 mg, no dosing interval, max 1 dose.

Question 7

What is the clinical consideration for the croup MD?

Answer 7

The minimum initial volume for nebulization is 2.5 ml.