A 4-year-old boy is brought with fever and a barky cough. He has inspiratory stridor at rest and intercostal retractions. Oxygen saturation is 94 perc...

Question

A 4-year-old boy is brought with fever and a barky cough. He has inspiratory stridor at rest and intercostal retractions. Oxygen saturation is 94 percent. According to Canadian croup management guidelines, what is the most appropriate initial therapy?

Accepted Answer

Single dose of oral or intramuscular dexamethasone plus nebulised adrenaline

Answer

Humidified mist alone

Answer

Oral antibiotics and cough suppressant

Answer

High-dose oral salbutamol

Answer

Immediate intubation without medical therapy

ca-mccqe1 MCQ (SBA): Moderate to severe viral croup

A 4-year-old boy is brought with fever and a barky cough. He has inspiratory stridor at rest and intercostal retractions. Oxygen saturation is 94 percent. According to Canadian croup management guidelines, what is the most appropriate initial therapy?