What Factors Increase The Likelihood Of Hospital Admission After Initial Treatment For Croup? (Atleast 3) What Is The Pharmacological Management Of Moderate And Severe Croup? When Should Transfer To A Paediatric Centre Be Considered?

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Hospital admission increased by: severe obstruction prior to presentation, previous severe croup or known structural airway anomaly [eg subglottic stenosis], age < six months, stridor at rest at presentation, poor fluid intake, marked parental anxiety, home is a long distance from hospital, representation to the emergency department within 24 hours and uncertainty about the diagnosis. The pharmacotherapies for croup are oral steroids (dexamethasone 0.15-.3mg/kg) or nebulised budenoside (2mg) and nebulised adrenaline (0.5mls of 1:1000 up to 5ml maximum). These doses do not change just the frequency they are provided dependent on severity/response. In moderate croup nebulised adrenaline is not used. Steroids are used and the patient is observed for over 4 hours to allow the onset of action. If there is complete resolution with no stridor at rest then the patient can be discharged with parental information, reassurance and a written gp follow up plan.If Only partial improvement then repeat steroids at 12 hours and review. In severe croup the steroid schedule is the same, but nebulised adrenaline is utilised for its fast onset. If no improvement then admit and inform consultant and an anaesthetist on call, may need to liaise with nets (newborn and paediatric emergency transport service). The need for transfer to a paediatric centre is based upon age of the child, presence of predisposing conditions [eg subglottic stenosis], severity of the illness, response to treatment and level of expertise available at the hospital

What Factors Increase The Likelihood Of Hospital Admission After Initial Treatment For Croup? (Atleast 3) What Is The Pharmacological Management Of Moderate And Severe Croup? When Should Transfer To A Paediatric Centre Be Considered?

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What Factors Increase The Likelihood Of Hospital Admission After Initial Treatment For Croup? (Atleast 3) What Is The Pharmacological Management Of Moderate And Severe Croup? When Should Transfer To A Paediatric Centre Be Considered?

❤ If you liked Fatskills, consider supporting us by checking out The Life Manuals You Never Got.

About | Explore | User Guide | Topics | Subjects | Doubt Solver | Career Aptitude Test | Answers | Free Tools | What Should We Know? Privacy | Terms |

Without work one finishes nothing. - Ralph Waldo Emerson© 2026 Fatskills.com

All trademarks, logos and brand names are the property of their respective owners. All company, product and service names used in this website are for identification purposes only. Use of these names, trademarks and brands does not imply endorsement.

About | Explore | User Guide | Topics | Subjects | Doubt Solver | Career Aptitude Test | Answers | Free Tools | What Should We Know?
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Without work one finishes nothing. - Ralph Waldo Emerson
© 2026 Fatskills.com