55 - Croup Flashcards Preview

PEBC > 55 - Croup > Flashcards

Flashcards in 55 - Croup Deck (22):
1

Which gender is affected more?

males

2

_____ are common cause

viruses

3

Describe the presentation

-seal-like barky cough
-worse at night
-fever may be present
-obstructive symptoms generally resolve within 48 hours

4

non-pharms

-keep calm
-oxygen for severe respiratory distress

5

What is mainstay of therapy for croup?

corticosteroids

6

Corticosteroids:
A single PO or parenteral dose of _____ is effective

dexamethasone

7

Corticosteroids:
_____ budesonide is effective and equivalent to oral dexamethasone

nebulized

8

Corticosteroids:
Severe patients may benefit form simultaneous administration of ?

-nebulized budesonide
-L-epinephrine

9

Corticosteroids:
Give ____ budesonide for those who vomit

inhaled

10

Corticosteroids:
Who should you avoid corticosteroids in?

-immunocompromsied
-recent exposure to varicella

11

Inhaled Adrenergic agonists:
-Give an example

L-epinephrine (usually nebulized)

12

Inhaled Adrenergic agonists:
Onset and duration of L-epinephrine

may reduce respiratory distress within 10 mins and last for more than 1 hour

13

Inhaled Adrenergic agonists:
When can a patient be safely discharged after receiving L-epinephrine?

if no symptoms for at least 2-3 hours after treatment

14

Inhaled Adrenergic agonists:
What dose is given to all kids for L-epinephrine?

5 mL

15

Inhaled Adrenergic agonists:
Only when should you administer repeated doses of epinephrine?

only if a child is near respiratory failure and close cardiac monitoring is possible

16

Inhaled beta agonists:
Should we recommend?

do not target upper airways, benefit is unlikely and not recommended for croup

17

Are analgesics recommended?

yes, can provide some comfort by reducing fever and pain

18

Are antitussives or decongestants recommended?

no studies, no rationale for their use in croup

19

Are antibiotics usually recommended?

no bc it is usually caused by a virus

if a culture is done and serious antibacterial infection is present then give IV antibiotics

20

Breathing in ____ air may help

cool

21

Oral dexamethasone is drug of choice. If can't use this, then what do you choose?

parenteral dexamethasone or nebulized budesonide

22

Should we combine inhaled budesonide in addition to oral dexamethasone?

combo has no benefit so not recommended

Decks in PEBC Class (130):