Which of the following clinical findings suggest the child with ...

[lindiwe]

Which of the following clinical findings suggest the child with croup should be hospitalized? 1. Stridor at rest 2. Suprasternal retractions 3. Cyanosis on room air 4. Harsh breath sounds
 
  a. 1 only
  b. 1 and 2 only
  c. 1, 3, and 4 only
  d. 1, 2, 3, and 4

Question 2

Which of the following treatments is least likely to be needed in the treatment of the child with croup?
 
  a. Oxygen
  b. Mechanical ventilation
  c. Aerosolized racemic epinephrine
  d. Budesonide

[gstein359]

Answer to Question 1

ANS: D
If there is stridor at rest (accompanied by harsh breath sounds, suprasternal retractions, and cya-nosis with breathing of room air), hospitalization is indicated.

Answer to Question 2

ANS: B
Progressive worsening of the clinical signs despite treatment indicates the need for intubation and mechanical ventilation.