Croup
Alternate Names : Laryngotracheobronchitis - Acute, Spasmodic Croup, Viral Croup
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Croup Treatment
Most cases of croup can be safely managed at home, but you will want to call your healthcare provider for guidance, even in the middle of the night.
Home therapy usually consists of a mist treatment -- a cool air nebulizer is best -- but if that is unavailable, hot steam from a shower or bath in a closed bathroom can be used. Sometimes stepping outside into the cool night air does the trick.
Acetaminophen can make the child more comfortable and lower any fever, lessening his or her respiratory needs. Avoid cough medicines unless you discuss them with your doctor first.
You may want your child to be seen. Steroid medicines can be very effective at promptly relieving the symptoms of croup. Medicated aerosol treatments, if necessary, are also powerful.
Serious illness requires hospitalization. Increasing or persistent breathing difficulty, fatigue, bluish coloration of the skin, or dehydration indicates the need for medical attention or hospitalization.
Aerosolized racemic epinephrine as well as oral dexamethasone (a steroid) are used to help to shrink the upper airway swelling. Oxygen and humidity may be provided in an oxygen tent placed over a crib. A bacterial infection requires antibiotic therapy.
Increasing obstruction of the airway requires intubation (placing a tube through the nose or mouth through the larynx into the main air passage to the lungs). Intravenous fluids are given for dehydration. In some cases, corticosteroids are prescribed.
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