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Paediatricscommon

A 2-year-old boy, fully immunised, wakes at 2 am with a harsh, seal-like cough and noisy breathing. He has had a runny nose for a day. In the department he has a harsh inspiratory noise audible at rest, mild-to-moderate drawing-in of the chest wall, and is sitting on his mother's lap, drinking from a cup and looking around. His temperature is 38.2 °C, respiratory rate 32/min, oxygen saturation 96% in air. He is not drooling and his voice is hoarse rather than muffled.

Which one of the following is the most appropriate management?