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Flashcards in Bronchiolitis Deck (6)
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1
Q

What is bronchiolitis? Cause and age group affected?

A

Inflammation and infection of bronchioles

Most common cause is RSV

Children under 1 year

2
Q

Presentation of bronchiolitis

A
Coryzal symptoms 
Dyspnoea
Tachypnoea
Signs of respiratory distress - e.g. use of accessory muscles
Poor feeding 
Mild feeding
Apnoea
Wheeze and crackles on auscultation
3
Q

Typical course of RSV bronchiolitis

A

Symptoms usually last 7-10 days total and most patients fully recover within 2-3w

Symptoms usually worst on days 3-4

4
Q

When to admit in bronchiolitis

A

Aged under 3 months or any pre-existing condition such as prematurity, Downs syndrome or cystic fibrosis

50 – 75% or less of normal food intake

Clinical dehydration

Respiratory rate above 70

Oxygen saturations below 92%

Moderate to severe
respiratory distress, such as deep recessions or head bobbing

Apnoeas

5
Q

Management of bronchiolitis

A

Supportive
Ensuring adequate intake -e.g. IV fluids, NG tube
Supplementary oxygen if sats <92%
May need nasal suctioning to clear nasal secretions

6
Q

What can be used as bronchiolitis prophylaxis and when used?

A

Palivizumab - monthly monoclonal antibody injection that targets RSV

Given to high risk babies - e.g. premature or congenital heart disease