Observe him for a few hours

You explain to the parents that the steroids take some time to work, usually a few hours, so that it was unlikely the injection would have any immediate effect.

You suggest that they let him eat and drink as he would like and that you will be back to review him in 3 hours.

After 4 hours you return to see him again.

Jack has had a bottle of milk and looks much brighter now. You decide to examine him. 

HR 102/min, RR 25/min, T 37.5 C, SaO₂ 98% in Oxygen.

His chest recession is now all but gone at rest and you cannot hear his respiratory noise at rest. His cough is a little quieter.

His chest is clear and breath sounds are equal.

You ask the parents if they are now happy to take him home. They are a little worried that he might get worse again, but will bring him back if he gets worse again.

They thank you for your care and attention.