Croup

Question 1

Who is affected by croup?

Answer 1

6 months to 2 year olds

(can be older)

Question 2

Where does croup affect in the respiratory tract?

Answer 2

URTI

Causes oedema in the larynx

Question 3

What causes croup?

Answer 3

Parainfluenza virus
Influenza
Adenovirus
RSV

Used to be caused by diptheria which caused epiglottitis, rare in developed countries now

Question 4

How does croup present?

Answer 4

Laboured breathing
Seal barking cough
Hoarse voice
Stridor
Low grade fever

Question 5

How is croup managed?

Answer 5

Mostly at home with fluids and rest

Sit them up during attacks and comfort them

Hand washing and stay off school

Single dose of oral dexamethasone

Question 6

How can severe croup be managed?

Answer 6

Oral deaxmethasone
Oxygen
Nebulised budesonide
Nebulised adrenaline
Intubation and ventilation