Croup Management - Epinephrine Dosing
Use steroids appropriately, as needed
In older children with mild symptoms, may consider deferring
Alternatives to nebulization include:
 • Epinephrine MDI (CPS Guideline):
    2 puffs < 1 year of age
    4 puffs ≥ 1 year of age
    Reassess every 15 minutes
 • Epinephrine MDI (Sick Kids)
    1-2 puffs < 5 kg
    4-8 puffs ≥ 5 kg
    Give q4h prn, up to q1h
 • Epinephrine IM/SC
    7.5 to 15 kg: 0.1 mg IM/SC
    15-30 kg: 0.15 mg IM/SC
    > 30 kg: 0.3 mg IM/SC

Dr. Sarah Foohey @SarahFoohey

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