A 2 year old child is brought to emergency at 3 A M with fever, barking cough and stridor only while crying. The child was able to drink normally. On examination respirator rate is 36/min and temprature is 39.6oC. What will be your next step?
The given symptoms are suggestive of croup. The children with stridor should be hospitalised for close observation and supplemental oxygen. Steroids are helpful in moderate to severe cases.Antibiotics may be indicated if the child fails to improve or purulent secretions are present. Ref : Essential paediatrics,O.P.Ghai,7 th edition,pg no:339
Racemic epinephrine nebulization
High dose dexamethasone injection
Nasal wash for influenza or RSV
Antibiotics and blood culture
Respiratory system