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Bronchiolitis (Treatment (NO (Antibiotics, Steroids, Inhalers), Supportive…
Bronchiolitis
Treatment
Supportive
Give fluids
NO
Antibiotics
Steroids
Inhalers
Maybe NG feeds
O2 if sats <92% +/- Airvo +/- CPAP
Most managed at home
Hx
Cough/Wheeze
Poor Feeding
Fever
Apnoea in small infants
Runny nose
Risk Factors
Extreme Prematurity <35w
#
Immunodeficiency
#
T21
(Acyanotic) Congenital Heart Disease
#
Prophylaxis- Pavalizumab
Examination
Tachypnoea
Accessory muscle use
Wheeze
Apnoeic spells
Most commonly 3-6mths
Peaks Nov-March
Incubation 2-8 days
May have post wheeze for 3 mths
Severity peaks @ 72 hrs
Temp over 39C query other cause
RS
V
75%
Clinical Diagnosis
Other Causes: Metapneumovirus + Influenza