Sandbox/AL

SAMPLE

▸ Click on the following categories to expand treatment regimens.

Title   ▸  Subtitle   ▸  Subtitle

Table 1 Preferred Regimen ▸ PLUS ▸ Alternative Regimen ▸ Table 2 Preferred Regimen ▸ PLUS ▸ Alternative Regimen ▸

Medical Therapy Based on the Drug

▸ Click on the following categories to expand treatment regimens.

Croup Medical Therapy   ▸  Glucocorticoids   ▸  Epinephrine   ▸  Oxygen   ▸  Mist Therapy   ▸  Antibiotics   ▸  Antitussives

Glucocorticoids Mild to Moderate Croup ▸ Dexamethasone 0.60 mg/kg PO/IM/IV, single dose (max. 10 mg) Severe Croup ▸ Dexamethasone 0.60 mg/kg PO/IV, single dose|- Epinephrine Mild Croup There are no indications of nebulized epinephrine for Mild Croup Moderate to Severe Croup ▸ Nebulized racemic epinephrine (2.25%) 0.05 mL/kg (max. 0.5mL) in 3mL of normal saline for 15 min OR ▸ Nebulized L-epinephrine 0.5mL/kg (max 5mL) for 15 min Repeat as needed Oxygen ▸ Humidified oxygen should be given to patients with hypoxia or severe respiratory distress Mist Therapy ▸ Antibiotics ▸ Antibiotic are not indicated to treat viral croup ▸ Antibiotics are use for complications, such as bacterial tracheitis or epiglottitis Antitussives Preferred Regimen ▸ PLUS ▸ Alternative Regimen ▸

Medical Therapy Based on the Severity

▸ Click on the following categories to expand treatment regimens.

Croup Medical Therapy   ▸  Mild   ▸  Moderate   ▸  Severe

Mild Mild to Moderate Croup ▸ Dexamethasone 0.60 mg/kg PO/IM/IV, single dose (max. 10 mg) Severe Croup ▸ Dexamethasone 0.60 mg/kg PO/IV, single dose|- Moderate Mild Croup There are no indications of nebulized epinephrine for Mild Croup Moderate to Severe Croup ▸ Nebulized racemic epinephrine (2.25%) 0.05 mL/kg (max. 0.5mL) in 3mL of normal saline for 15 min OR ▸ Nebulized L-epinephrine 0.5mL/kg (max 5mL) for 15 min Repeat as needed Severe ▸ Humidified oxygen should be given to patients with hypoxia or severe respiratory distress