Question

A 3-year-old child presents with a barking cough, hoarse voice and inspiratory stridor at rest. He is alert but distressed. Respiratory rate is 32 breaths/min and oxygen saturation is 95% on room air. What is the most appropriate initial pharmacological treatment?

Accepted Answer

Oral dexamethasone

Answer

Regular salbutamol via spacer

Answer

Intravenous ceftriaxone

Answer

Daily oral prednisolone for 1 week without initial steroid dose

Answer

No medication; observation only

Practice question

A 3-year-old child presents with a barking cough, hoarse voice and inspiratory stridor at rest. He is alert but distressed. Respiratory rate is 32 breaths/min and oxygen saturation is 95% on room air. What is the most appropriate initial pharmacological treatment?