A 3-year-old boy presents with barky cough and inspiratory stridor at rest. He is alert but distressed, with oxygen saturation 96% in room air. Accord...

Question

A 3-year-old boy presents with barky cough and inspiratory stridor at rest. He is alert but distressed, with oxygen saturation 96% in room air. According to Canadian recommendations for croup, what is the most appropriate initial therapy?

Accepted Answer

Single dose of oral or IM dexamethasone with nebulised adrenaline for moderate-severe distress

Answer

Adrenaline nebuliser only

Answer

Broad-spectrum IV antibiotics

Answer

Heliox therapy alone

Answer

Oral salbutamol

ca-mccqe1 MCQ (SBA): Croup

A 3-year-old boy presents with barky cough and inspiratory stridor at rest. He is alert but distressed, with oxygen saturation 96% in room air. According to Canadian recommendations for croup, what is the most appropriate initial therapy?