Croup Medical Directive

Question 1

Croup MD

What are the indications for the Croup MD?

Answer 1

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

Question 2

Croup MD

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 MD

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 MD

What are the contraindications to Epi administration?

Answer 4

Allergy or sensitivity to Epi.

Question 5

Croup MD

What are the contraindications to dexamethasone administration?

Answer 5

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

Question 6

Croup MD

What is the dose for Epi for patients <10 kg?

Answer 6

Route: NEB
Concentration: 1 mg/ml = 1:1000
Dose: 2.5 mg
Max # of doses: 1

Question 7

Croup MD

What is the dose for Epi for patients ≥10 kg?

Answer 7

Route: NEB
Concentration: 1 mg/ml = 1:1000
Dose: 5 mg
Max # of doses: 1

Question 8

Croup MD

What is the dose for dexamethasone administration?

Answer 8

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