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croup:common childhood disease that is usually caused by a virus. It is…

- - - - Self care advice
        
        Advise the parents/carers to use either paracetamol or ibuprofen to treat a child who is distressed due to fever. Antipyretic agents should not be used with the sole aim of reducing body temperature and should be continued for only as long as the child appears distressed.
        
        Advise them to consider changing to the other agent if the child's distress is not alleviated, but not to give both agents simultaneously, and to only alternate these agents if the distress persists, or recurs before the next dose is due.
        
        Advise them not attempt to reduce fever by under-dressing the child, or with use of tepid sponging.
        
        Advise them to encourage the child to take fluids regularly. For infants that are breastfed, advise continued breastfeeding.
        
        Advise the parents/ carers to check on the child regularly, including through the night.
        
        Patient information leaflet and symptoms should resolve within 48 hours
        
        take the child to hospital if stridor can be heard continually, the skin between the ribs is pulling in with every breath, and/or the child is restless or agitated.
      - Advise them to call an ambulance if the child is very pale, blue, or grey (includes blue lips) for more than a few seconds, is unusually sleepy or is not responding, is having a lot of trouble breathing (e.g., the belly is sinking in while breathing, or the skin between the ribs or over the windpipe is pulling in with each breath; the nostrils may also be flaring in and out), is upset (agitated or restless) while struggling to breathe and cannot be calmed down quickly, if they want to sit instead of lie down, and/or if they cannot talk, are drooling, or having trouble swallowing.