Bronchiolitis Flashcards
1
Q
Most common viral cause of bronchiolitis
A
RSV
in 75-80% of cases
2
Q
Other causes of bronchiolitis (excluding RSV)
A
mycoplasma
adenoviruses
3
Q
When is bronchiolitis more serious?
A
- bronchopulmonary dysplasia (e.g. Premature)
- congenital heart disease
- cystic fibrosis
4
Q
peak age of incidence
A
3-6 months
(90% of infections occur between 1-9 months)
5
Q
Clinical features
A
Initially coryzal symptoms, then:
- dry cough
- SOB
- Wheeze
- fine inspiratory crackles
- feeding difficulties due to SOB
6
Q
Reasons why children with bronchiolitis should be admitted to hospital
A
apnoea
severe respiratory distress
(grunting, chest recession, or RR>70)
central cyanosis
persistent O2 sats <92% on air
7
Q
When may admission be considered but may not be necessary
A
RR>60
difficulty with feeding/ inadequate fluid intake
dehydration
8
Q
Management of bronchiolitis
A
- humidified oxygen
- NG feeding may be needed if children cannot take enough by mouth
- suction for excessive upper airway secretions
9
Q
A
