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To reduce laryngeal swelling after airway endoscopy and manipulation, which medication is most appropriate?
a) Nebulized albuterol, 90 mcg administered over 5 minutes
b) Dexamethasone, 0.1 mg/kg
c) Ketorolac 0.5 mg/kg
d) Dexamethasone 0.5 mg/kg
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Answer
Answer d.
Dexamethasone 0.5 mg/kg is recommended to reduce airway edema after manipulation. A dose of 0.1 mg/kg may be inadequate. Albuterol is used to treat bronchospasm, not edema. Ketorolac, a non-steroidal anti-inflammatory medication, is not indicated for laryngeal edema.
Notes
- This question originally printed in the Pediatric Anesthesiology Review Topics kindle book series, and appears courtesy of Naerthwyn Press, LLC.
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