Initial Approach

Assess Severity

01. Mild Stridor ( Stridor only with agitation or crying)

02. Moderate Stridor (Stridor at rest, increased work of breathing)

 

 

 

 

1. ++++++++++++++++++++

   • Severe: Cyanosis, lethargy, marked retractions, impending respiratory failure
2. Ensure Airway and Oxygenation
   • Keep the child calm (agitation worsens airway obstruction).
   • Administer humidified oxygen (preferably in a non-threatening way like a blow-by method).
   • Avoid distressing procedures unless necessary (e.g., trying to visualize the throat).

 

References

1. https://www.drugs.com/dosage/dexamethasone.html#Usual_Pediatric_Dose_for_Croup