Bronchiolitis (peds)

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Epidemiology

Children < 2years old (peak 2-6mo age)

-1st episode wheeze

-seasonal

-no fam h/o asthma/atopy


Treatment

1. O2 (maintain SaO2 >90%)

2. Racemic Epi neb (or albuterol)

3. No steroids (for 1st episode wheezing)

4. ?Send RSV

5. Suction nares


CXR

1. Mod-severe

2. Recurrance

3. Toxic

4. Sudden deterioration

5. Prolonged course

6. *1st time wheeze


Admit

1. Underlying dz

2. Toxic

3. Unalbe PO

4. Unresponsive to meds

5. Initial SaO2 <95%

6. Preterm (<34wks)

7. RR >70

8. Atelectasis on CXR

9. Age <4-6wks


DDX

1. Asthma

2. PNA

3. FB

4. Pertusis

5. CHF

6. Cystic fibrosis

7. Vascular ring

8. CA


Source

Adapted from from Rosen, Young, Donaldson

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