Respiratory conditions BRONCHIOLITIS Flashcards
WHAT IS BRONCHIOLITIS
COMMON ILLNESS IN BABIES AND YOUNG CHILDREN THAT MAKE IT HARD FOR THEM TO BREATH DUE TO THE SMALL AIRWAYS IN THE LUNGS GETTING SWOLLEN AND CLOGGED WITH MUCUS.
WHAT CAUSES BRONCHIOLITIS
RESPIRATORY SYNCYTIAL VIRUS (RSV).
IS THIS THE MOST COMMON RESPIRATORY CONDITION IN INFANTS ?
YES
WHAT AGE GROUP DOES THIS AFFECT?
<2
SIGNS AND SYMPTOMS OF BRONCHIOLITIS?
- CORYZAL SYMPTOMS- Runny or stuffy nose
Sneezing
Sore throat
Cough
Watery eyes
Mild fever - RESPIRATORY DISTRESS
- DYSPNEA
- TACHYPNEA
- POOR FEEDING
- MILD FEVER <39
-APNOEA
-WHEEZIGN/CRACKLES
WHAT ARE THE CORYZAL SYMPTOMS?
Runny or stuffy nose
Sneezing
Sore throat
Cough
Watery eyes
Mild fever
WHAT ARE THE SIGNS OF RESPIRATORY DISTRESS?
INCREASED RESPIRATORY RATE
ACCESSORY MUSCLE USE
RECESSION
NASAL FLARING
HEAD BOBBING
TRACHEAL TUGGING
CYANOSIS
ABNORMAL NOISES
WHAT IS THE ADMISSION CRITERIA FOR BRONCHIOLITIS ?
AGED <3
PRE-EXISTING CONDITIONS - CF, DOWNS SYNDROME, PREMATURITY, CONGENITAL HEART DISEASE.
DECREASED FEEDING BY 50-75%
SpO2 <94%
MODERATE TO SEVERE RESPIRATORY DISTRESS
APNEA
FAMILY ANXETY
WHAT PRE-EXISTING CONDITIONS REQUIRE ADMISSION WHEN A PT HAS BRONCHIOLITIS ?
CYSTIC FIBROSIS
DOWNS SYNDROME
PREMATURITY
CONGENITAL HEART DISEASE
PRE-HOSPITAL MANAGEMENT OF BRONCHIOLITIS ?
WANT TO FOCUS ON RESPIRATORY & FEEDING/HYDRATION SUPPORT.
GIVE SUPLEMENTARY O2 IF BELOW 94%
IV FLUIDS IF INDICATED
WHAT ABOUT AXB IN PRE-HOSPITAL MANAGEMENT ?
LITTLE EVIDENCE FOR AXB, ANTIVIRALS, NEBULISERS AND STEROIDS.
HOSPITAL MANAGEMENT FOR MODERATE TO SEVERE BRONCHIOLITIS
VENTILATORY SUPPORT
BLOOD GAS (CAPILLARY OR ARTERIAL).
HIGH FLOW HUMIDIFIED O2 (MODERATE)
CPAP (SEVERE)
INTUBATION AND VENTILATION (SEVERE)
NG TUBE FEEDING (MODERATE/SEVERE)
