Westley and buttercup score1/2/2024 ![]() ![]() Information about other populations of patients, especially the larger population from which this patient is drawn, is obtained and used.Ģ3. Evidence from scientific studies related to the patients’ health problems is located, appraised and assimilated.ġ3. Practice Based Learning and Improvementġ2.Basic and clinically supportive sciences appropriate to their discipline are known and applied. An investigatory and analytic thinking approach to the clinical situation is demonstrated.ġ1. Patient-focused care is provided by working with health care professionals, including those from other disciplines.ġ0. Health care services aimed at preventing health problems or maintaining health are provided.ĩ. Patients and their families are counseled and educated.Ĩ. Patient management plans are developed and carried out.ĥ. Informed decisions about diagnostic and therapeutic interventions based on patient information and preferences, up-to-date scientific evidence, and clinical judgment is made.Ĥ. Essential and accurate information about the patients’ is gathered.ģ. When interacting with patients and their families, the health care professional communicates effectively and demonstrates caring and respectful behaviors.Ģ. How fast does oral dexamethasone work in mild to moderately severe croup? A randomized double-blinded clinical trial. Author’s note: This has been withdrawn by the Cochrane Collaboration when reviewed on 10/6/12.ĭobrovoljac M, Geelhoed GC. Humidified air inhalation for treating croup. Russell KF, Liang Y, O’Gorman K, Johnson DW, Klassen TP. Nebulized epinephrine for croup in children. 2010 Feb 17 (2):CD006822.ījornson C, Russell KF, Vandermeer B, Durec T, Klassen TP, Johnson DW. A randomized trial of a single dose of oral dexamethasone for mild croup. 1995 Dec 20(6):362-8.ījornson CL, Klassen TP, Williamson J, Brant R, Mitton C, Plint A, Bulloch B, Evered L, Johnson DW Pediatric Emergency Research Canada Network. Oral dexamethasone in the treatment of croup: 0.15 mg/kg versus 0.3 mg/kg versus 0.6 mg/kg. Nebulized racemic epinephrine by IPPB for the treatment of croup: a double-blind study. ![]() ![]() To view images related to this topic check Google Images. To view current news articles on this topic check Google News. Information prescriptions for patients can be found at MedlinePlus for this topic: Throat Disorders To view pediatric review articles on this topic from the past year check PubMed.Įvidence-based medicine information on this topic can be found at, the National Guideline Clearinghouse and the Cochrane Database of Systematic Reviews. Specialty: Allergy / Pulmonary Diseases | General Pediatrics Symptom/Presentation: Respiratory Distress What are your indications for croup treatment with dexamethasone? It can occur year round but often comes in waves particularly in fall, winter and early spring. After talking about the potential dexamathason benefits and limitations of the available research, the family chose to not use it.įollowup showed that the illness resolved without problems.Ĭroup or acute tracheolaryngobronchitis is a common, self-limited disease caused by common respiratory pathogens especially Human Parainfluenza virus. The physician discussed the possibility of using dexamethasone with the family. HEENT showed clear rhinorrhea, mild fluid in the left ear without other pathology, and a few pinpoint palatal vesicles. The pertinent physical exam showed normal vital signs and growth parameters including a respiratory rate of 21. He went back to sleep and was well in the morning, drinking and eating normally but with a coarse voice. His parents took him into the bathroom and used a humidifier and shower mist with good results. He had awoken with the cough and tachypnea. He had had some rhinorrhea for 2 days but was afebrile. A 3-year-old male came to clinic with a history of a barky, seal-like cough the previous night. ![]()
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