Croup

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1. Etiology:

    1. parainfluenza virus

2. Symptoms

    1. in <6y/o

    2. most common in 6m/o-3y/o

    3. low grade fever

    4. barking cough

    5. Hx of common cold from 2-3 days prior to visit

3. Orders:

    1. observe for 3 hours, discharge if stridor resolved and Family is alert

    2. Neck x-ray AP and Lateral (for steeple sign)

    3. Nep epinephrine 1:1000 2.5 cc in 3 ml N/S

        1. >5y/o 5 cc & <5y/o 2.5 cc

    4. Amp dexamethasone 0.6mg/kg IM

4. Other treatments:

    1. tab prednisolone 2mg/kg/day 2-3 times/day

5.