Croup MD

Question 1

What are the indications?

Answer 1

current hx of URTI
AND
barking cough or recent hx of a barking cough

Question 2

Conditions to EPI?

Answer 2

> = 6months - <8years
HR- <200bpm
other- stridor at rest

Question 3

Conditions to Dex?

Answer 3

> =6 months- <8years
LOA- unaltered
Other- for mild, moderate and severe croup

Question 4

Contraindications to EPI:

Answer 4

ax or sensitivity to EPI

Question 5

Contraindications to DEX:

Answer 5

ax or sensitivity to steroids

steroids received within the last 48hrs

unable to tolerate oral meds

Question 6

What is the treatment to EPINEPHrine?

Answer 6

<10kg (22lbs)
NEB
2.5mg
Max dose- 1

> =10kg
NEB
5mg
Max dose- 1

Question 7

What is the treatment for DEXAMETHASONE?

Answer 7

0.5mg/kg
max of 8mg
anyone >16kg (35lbs)= 8mg

Question 8

What are examples of systemic steroids??

Answer 8

prednisone
prednisolone
hydrocortisone
triamcinolone
methylprednisolone
( - ONE!)

Question 9

Prior to initiating nebulized EPI, what should be attempted first if available and pt’s condition permits?

Answer 9

moist/cold air

Question 10

If a patients has received systemic steroids in the past ____ hours, an additional dose is unlikely to improve their condition due to its long ______ !!

Answer 10

48 hours

half life

Question 11

Since croup is occurring more and more in adults… if a patient is presenting with all the symptoms of croup (barking cough, hx of a URTI or hx of a braking cough) how do we go about treating them?

Answer 11

PATCH BHP and ASK to consider treatment under this directive!

Question 12

For mild or moderate presentation, which is the only med that should be considered?

Answer 12

DEX

Question 13

For severe presentations of CROUP, what should our priority treatment be?

Answer 13

EPINEPHrine