Dr. Creed: One Budesonide Amp should cure stridor
Real Doctor's Creed : Appendix Z: Problem Solving Section 982: Pediatric Croup. By Dr. Richard Crank, Shady Health Medical Center, January 7, 1982 The boy had croup . Even without auscultation I could hear the inspiratory stridor. Upon auscultation, I could hear it radiating throughout the lung fields. The emergency room physician reported giving the patient a shot of decadron. Upon admission, I ordered Q2 hour racemic epinephrine if needed. The child did very well during the night, with the exception of one episode where the child became croupy in his sleep. His sats were always 98% or better on room air. During the day today the child has gotten progressively worse, per the respiratory therapist, with the need for Q2 hour racemic epinephrine over the past six hours. The therapist said the patient's SpO2 remains 98% on room air. The therapist also suggested that perhaps the decadron was wearing off, and another one should be given. He suggested maintenanc...