bronchiolitis Flashcards
1
Q
what
A
inflammation and infection bronchioles
2
Q
most common cause
A
RSV
3
Q
features
A
coryzal symptoms signs resp distress dyspnoea tachypnoea apnoea wheeze crackles
4
Q
signs of resp distress
A
tachypnoea use accessory muscles recessions nasal flaring head bobbing tracheal tug cyanosis wheeze grunting stridor
5
Q
reasons for hospital admission
A
<3mo preexisting condition - premature, Down's, CF dehydrated RR > 70 O2 sats < 92% resp distress apnoea
6
Q
supportive management
A
ensuring intake
nasal suction
O2 if <92%
ventilatory support
7
Q
High-flow humidified oxygen via tight nasal cannula
A
delivers air and oxygen continuously with added pressure –> oxygenates lungs and keeps them from collapsing
adds PEEP to maintain airway at end of expiration
8
Q
CPAP
A
sealed nasal cannula
delivers oxygen in similar way to high-flow humidified oxygen but much higher and controlled pressures
9
Q
Palivizumab
A
monoclonal antibody against RSV
given as monthly injection as RSV prevention to babies at high risk
provides passive protection (so not true vaccine)
