Flashcards in Bronchiolitis Deck (11):
Who usually gets bronchiolitis and when?
1 years old and younger
Usually in winter
What is the aetiology of bronchiolitis?
Majority is viral - RSV, Human rhinovirus
How does bronchiolitis present?
- Mild fever
- Increased WOB
- Fine inspiratory crackles
- Reduced oxygen saturation
How is bronchiolitis managed?
Usually self limiting
Fluid resus if required
Oxygen +/- high flow
How is bronchiolitis investigated?
- Nasopharyngeal aspirate
○ For viral immunofluorescence or PCR
○ For epidemiology and infection control, no mx implications
What are the indications for hospitalisation in bronchiolitis?
- Severe respiratory distress (grunting, severe recession, RR >70, nasal flaring)
- Apnoeic episodes
- Significant hypotonia
- Survivor of extreme prematurity
- Congenital heart condition, pre-existing lung disease, or immunodeficiency
- Intake less than 50% normal
- Social concerns
What is the natural history of bronchiolitis?
Symptoms peak at 2-3 days
Usually resolved 7-10 days though cough may persist for weeks
What are some markers of severe bronchiolitis?
SaO2 less than 90%, particularly if not responding
When is it safe to discharge a child with bronchiolitis?
What is the role of salbutamol in bronchiolitis?