Bronchiolitis
Prereading :
| PREDICT Bronchiolitis Summary |
| Bronchiolitis Parent Education Sheet |
Workbook Cases :
Case 1
Case 2
A 6-year-old presents to ED with a cough for the last 2 weeks, it initially started with associated viral symptoms but the cough has persisted. It remains moist and productive and mum feels like she has been hot to touch
Case 1
- What is the classical history of bronchiolitis? What day of illness are the symptoms at their worst?
- What examination findings would you expect in bronchiolitis?
- Which infants require admission? Are there any criteria you would use?
- If a baby with bronchiolitis had oxygen sats in the high 80s how would you manage this?
- If a baby with bronchiolitis had only taken a 1/3 of its normal oral intake with only 2 wet nappies in the last 24 hours, how would you support their feeding?
- How might neonates with early bronchiolitis present?
- When would you do an NPA (nasopharyngeal aspirate)?
- What is the most common organism causing bronchiolitis?
Case 2
A 6-year-old presents to ED with a cough for the last 2 weeks, it initially started with associated viral symptoms but the cough has persisted. It remains moist and productive and mum feels like she has been hot to touch
- What are your initial differentials of a cough and what further questions would you ask in the history to determine the most likely cause?
- When would you investigate with a CXR?
- Can you describe the following chest XRs and how you would manage each scenario?
Sats 99%, HR 130, Temp 38.6, RR 30
Sats 88%, HR 110, Temp 38.1, RR 30
Sats 91%, HR 140, Temp 39.2, RR 34