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Croup Discharge Timing — RACP Paediatrics MCQ

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EasyRespiratoryCroup Discharge TimingRACP Paediatrics

A 2-year-old child has had a barking cough and mild stridor at rest. He has received oral dexamethasone 0.15 mg/kg. After 2 hours, his stridor has resolved and he is well with no respiratory distress. What is the recommended observation period before discharge?

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Correct answer: C — 2 hours after steroid administration if no stridor at rest

For children with croup who have received corticosteroids only (no nebulised adrenaline) and have improved, a minimum 2-hour observation after steroid administration is recommended. If the child has no stridor at rest and is well, discharge is appropriate. If nebulised adrenaline was given, 3-4 hours observation is needed.

Reference: RCH Melbourne – 2024 – Clinical Practice Guidelines: Croup