Croup Medical Directive

Question 1

Croup

What are the indications for the croup MD?

Answer 1

Current history of URTI;
AND
Barking cough or recent history of a barking cough.

Question 2

Croup

What are the conditions for epi administration?

Answer 2

Age ≥ 6 months to <8 years
HR <200 bpm
Other: Stridor at rest

Question 3

Croup

What are the conditions for dexamethasone administration?

Answer 3

Age ≥ 6 months to <8 years
LOA: Unaltered
Other: For mild, moderate and
severe croup.

Question 4

Croup

What are the contraindications for epi administration?

Answer 4

Allergy or sensitivity to EPINEPHrine.

Question 5

Croup

What are the contraindications for dexamethasone administration?

Answer 5

• Allergy or sensitivity to steroids
• Steroids received within the last 48 hours
• Unable to tolerate oral medications

Question 6

Croup

What is the dose of epi for patients who are <10 kg?

Answer 6

Route: NEB
Concentration: 1 mg/mL = 1:1,000
Dose: 2.5 mg
Max. single dose: 2.5 mg
Dosing interval: N/A
Max. # of doses: 1

Question 7

Croup

What is the dose of epi for patients who are ≥10 kg?

Answer 7

Route: NEB
Concentration: 1 mg/mL = 1:1,000
Dose: 5 mg
Max. single dose: 5 mg
Dosing interval: N/A
Max. # of doses 1

Question 8

Croup

What is the dosing info for dexamethasone?

Answer 8

Age ≥ 6 months to <8 years
Route: PO
Dose: 0.5 mg/kg
Max. single dose: 8 mg
Dosing interval: N/A
Max. # of doses: 1