Bronchiolitis_flashcards (2)
Can you describe the character of the cough? Is it bringing anything up? Is it all the time or worse at any particular time?
Ask the parent to describe the cough, whether it is productive or dry, its frequency, and any patterns noticed.
Have you noticed any rhinitis, such as a runny nose or sneezing?
Inquire about symptoms of rhinitis, such as a runny nose or sneezing.
Has there been any fever?
Check if the child has had a fever and its duration and severity.
Is there any difficulty breathing, wheeze, stridor, grunting, or has the child ever stopped breathing?
Ask about any signs of respiratory distress, including wheezing, stridor, grunting, or episodes of apnea.
Has there been any vomiting, diarrhea, or pain in the abdomen/chest?
Check for any gastrointestinal symptoms like vomiting, diarrhea, or pain in the abdomen or chest.
Is the child feeding less? Are they more tired or difficult to settle?
Assess the child’s feeding habits, energy levels, and whether they are more difficult to settle than usual.
How are the wet and dirty nappies?
Ask about the frequency and consistency of wet and dirty nappies.
Is there any faltering growth?
Inquire if there has been any faltering growth or weight loss.
What is the obstetric history, including weeks at birth, type of delivery, and any antenatal/postnatal problems?
Review the child’s obstetric history, including gestational age at birth, type of delivery, and any complications before or after birth.
Can you describe the child’s developmental history?
Discuss the child’s developmental milestones and any concerns.
Are the immunizations up to date?
Ensure the child’s immunizations are up to date.
Who does the child live with? Are there any siblings, unwell contacts, pets, recent travel, smokers at home, and how is the coping at home?
Gather information about the child’s living conditions, including household members, contact with sick individuals, pets, recent travel, exposure to smoke, and overall coping at home.
What are your ideas, concerns, and expectations (ICE) regarding your child’s condition?
Explore the parent’s ideas, concerns, and expectations about the child’s illness and treatment.
