Bronchiolitis

Question 1

What is bronchiolits?

Answer 1

First episode of wheezing in association with a viral infection. Asthma has not been diagnosis

Question 2

What age group do you see bronchiolitis and what time of year?

Answer 2

Generally before the age of 2. Dec-March

Question 3

Early signs of bronchiolitis?

Answer 3

Rhinorrhea, stuffy nose, cough, low grade fever, irritability. Cough may worsen around day 3 (wheeze and raspy sounding cough)

Question 4

Later signs of bronchiolitis?

Answer 4

intercostal retractions, suprasternal retractions, hyper expanded lungs, wheezes, crackles, grunts, cyanosis

Question 5

Treatment for bronchiolitis?

Answer 5

Fever control (tylenol), nasal clearance, O2 if needed, NO albuterol aerosols, NO hypertonic saline aerosols, NO racemic epinephrine aerosols

Question 6

When should an infant receive a influenza vaccine?

Answer 6

After the age of 6 months

Question 7

Who is hospitalized?

Answer 7

under 6 months old, premature babies, resp. distress,

Question 8

What prevention is used for bronchiolitis?

Answer 8

Synagis- palivizumab (monoclonal antibody against RSV)