A 3-year-old child presents with a barking cough, hoarse voice and inspiratory stridor at rest. He has moderate chest wall recession but is maintainin...

Question

A 3-year-old child presents with a barking cough, hoarse voice and inspiratory stridor at rest. He has moderate chest wall recession but is maintaining oxygen saturations at 95% on air. What is the most appropriate management?

Accepted Answer

Give single-dose oral or oral/NG Dexamethasone and observe

Answer

Give nebulised Adrenaline alone and discharge immediately

Answer

Start broad-spectrum antibiotics

Answer

Sedate the child to reduce agitation

Answer

Send him home with no treatment as croup is self-limiting

uk-plab-1 MCQ (SBA): Croup

A 3-year-old child presents with a barking cough, hoarse voice and inspiratory stridor at rest. He has moderate chest wall recession but is maintaining oxygen saturations at 95% on air. What is the most appropriate management?