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
#Croup #Management #Epinephrine #dosing #pharmacology
