SAMPLE
▸ Click on the following categories to expand treatment regimens.
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Table 1
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Preferred Regimen
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▸
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PLUS
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▸
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Alternative Regimen
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▸
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Table 2
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Preferred Regimen
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▸
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PLUS
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▸
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Alternative Regimen
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▸
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Medical Therapy Based on the Drug
▸ Click on the following categories to expand treatment regimens.
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Glucocorticoids
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Mild to Moderate Croup
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▸ Dexamethasone 0.60 mg/kg PO/IM/IV, single dose (max. 10 mg)
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Severe Croup
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▸ Dexamethasone 0.60 mg/kg PO/IV, single dose|-
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Oxygen
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▸ Humidified oxygen should be given to patients with hypoxia or severe respiratory distress
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Antibiotics
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▸ Antibiotic are not indicated to treat viral croup ▸ Antibiotics are use for complications, such as bacterial tracheitis or epiglottitis
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Antitussives
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Preferred Regimen
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▸
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PLUS
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▸
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Alternative Regimen
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▸
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Medical Therapy Based on the Severity Adapted from Pediatric Pulmonology 49:421–429 (2014) [1]
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Moderate
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▸ 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
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PLUS
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▸ Dexamethasone 0.60 mg/kg PO/IM single dose (max. 10 mg) OR ▸ Budesonide 2mg nebulized
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Severe
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▸ 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
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PLUS
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▸ Dexamethasone 0.60 mg/kg IM/IV single dose (max. 10 mg)
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AND
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▸ Hospital admission
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- ↑ Petrocheilou, Argyri; Tanou, Kalliopi; Kalampouka, Efthimia; Malakasioti, Georgia; Giannios, Christos; Kaditis, Athanasios G. (2014). "Viral croup: Diagnosis and a treatment algorithm". Pediatric Pulmonology. 49 (5): 421–429. doi:10.1002/ppul.22993. ISSN 8755-6863.