Usual dose of dexamethasone for Croup: 0.6 mg/kg PO or IM. Usual maximum dose: 16 mg. May repeat in 6 to 24 hours.

 

Sx of airway disease

• Tachypnea
• Hypoxia
• Wheeze
• Stridor
• Nasal flaring
• Grunting
• Intercostal recession/indrawing
• Use of accessory muscles

 

Ddx: anaphylaxis, foreign body, retropharyngeal abscess, epiglottitis, croup, bacterial tracheitis

 

Croup etiology: parainfluenza virus (1&3), influenza virus, adenovirus, RSV, mycoplasma pneumonia. Infection causes inflammation causing edema causing narrowing of subglottic region	Epiglottitis
Usually 6 mo - 3 yo
Stridor (C.f. wheeze in LRT process)	Stridor
Clinical diagnosis (do not routinely need XR)	Drooling
	Sitting up/won't lay down
	High fever
Management: Scroll down to treatment algorithm/flow-chart.	Management: Do NOT examine throat Get XR of neck soft tissues Airway emergency, contact Anesth/ENT/RT

 

 

 

 

Content on this page has not been checked for accuracy. The author's credentials have not been confirmed. Always use multiple peer-reviewed scholarly sources and good clinical judgement in your decision making.

The Compendium platform was created by David Kwinter, MD, CCFP(EM).

Dr. Kwinter is a Cayman Family Doctor. He runs a Family Medicine Clinic at Cayman Medical in George Town, Grand Cayman, Cayman Islands.