1 - Paeds - Resp - Chest Infections - Bronchiolitis Flashcards Preview

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Flashcards in 1 - Paeds - Resp - Chest Infections - Bronchiolitis Deck (9):
1

% due to RSV? remainder due to?

80% RSV - rest = metapneumonvirus, parainfluenza, rhinovirus, adenovirus, influenza, mycoplasma pneumoniae

2

% of infants admitted a year? rare after? annually what happens?

2-3% of infants admitted per year
rare after 1 year
annual winter epidemic

3

RF's for bronchiolitis

premature infants who get bronchopulmonary dysplasia

other underlying disease eg CF,

congenital heart disease

4

Clinical features of bronchiolitis
-one serious compx?

coryzal Sx (cough, sneeze, fever) precede a dry cough and increased SOB - leads to difficulty feeding -> main reason for admission

recurrent apnoea is serious compx esp in young infants

5

O/E bronchiolitis

sharp dry cough, tachypnoea, subcostal/IC recession, hyperinflation of chest, fine end inspiratory crackles, high pitched wheeze- exp>insp, tachycardia, cyanosis/pallor

6

Ix bronchiolitis

PCR analysis of NPsecretions
CXR if complicated
pulse oximetry to monitor sats.
ABG/VBG if severe and monitoring for hypercapnia

7

What could CXR show

CXR if complicated - can show hyperinflation from trapped air due to small airway obstruction, and focal atelectasis (collapse)

8

MGMT bronchiolitis

supportive
humidified O2 by nasal cannulae
monitor for apnoea
BG/IV fluids
assisted vent via CPAP facemask or nasal
full ventilation in some

9

infection control?

RSV infection control - hand hygiene and other measures, prevent cross infection to other infants

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