Question 215 · LEK · Croup
A mother with a two-year-old daughter who had been having symptoms of a cold for several days and had been treated independently at home, presented to the general practitioner. The previous night there was also hoarseness, wheezing and the cough changed its character. The patient has difficulty in catching a breath, especially when crying. The mother noticed that when they came out, in the cold air, the symptoms quickly resolved. Which is the correct management in this patient?
- A. oral administration of dexamethasone 0.15-0.6 mg/kg of body weight.
- B. nebulization with 3% sodium chloride.
- C. intramuscular administration of ceftriaxone 50 mg/kg of body weight.
- D. oral administration of azitromycin10 mg/kg of body weight for 3 days.
- E. continuation of treatment of the cold and recommendation for spending more time outdoors.
Hint
Hoarseness, a changed (barking) cough and inspiratory noise after a cold that ease in cool air suggest subglottic oedema; what reduces it?
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