A 14-month-old boy presents with a 2-day history of barky cough and inspiratory stridor at rest. He is alert but has moderate work of breathing. Oxyge...

Question

A 14-month-old boy presents with a 2-day history of barky cough and inspiratory stridor at rest. He is alert but has moderate work of breathing. Oxygen saturation is 96% on room air. According to standard paediatric practice, what is the most appropriate initial treatment?

Accepted Answer

Administer nebulised Adrenaline and dexamethasone, and observe

Answer

Start broad-spectrum intravenous antibiotics

Answer

Give salbutamol via nebuliser

Answer

Order urgent CT neck to rule out abscess before treatment

Answer

Offer humidified air only and discharge immediately

ca-mccqe1 MCQ (SBA): Croup

A 14-month-old boy presents with a 2-day history of barky cough and inspiratory stridor at rest. He is alert but has moderate work of breathing. Oxygen saturation is 96% on room air. According to standard paediatric practice, what is the most appropriate initial treatment?