Notes in Bronchiolitis

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Published	10/08/2024	{{c1::Respiratory syncytial virus (RSV)}} is the most common cause of Bronchiolitis - very common in winter.
Published	10/08/2024	Bronchiolitis is generally considered to occur in infants under {{c1::1 year}}. It is most common in infants under {{c1::6 months}}. It can ra…
Published	10/08/2024	{{c1::harsh}} breath sounds, {{c1::wheeze}} and {{c1::crackles}} can be heard on auscultation when listening to a bronchiolitic infant’s …
Published	10/08/2024	Abnormal Airway Noises • {{c1::Wheezing}}: whistling sound caused by narrowed airways, heard during {{c2::expiration}} • {{c1::Grunting}}: caused b…
Published	10/08/2024	Ventilatory Support help maintain breathing: {{c1::High-flow humidified oxygen}} via tight nasal cannula (i.e. “Airvo" or “Optiflow”).&n…
Published	10/08/2024	{{c1::Palivizumab}} is a monoclonal antibody that targets the respiratory syncytial virus.
Published	10/08/2024	Presentation of bronchiolitis • Coryzal symptoms: {{c1::running nose, sneezing, mucus in throat, watery eyes}}.• Signs of {{c1::respiratory distr…
Published	10/08/2024	Signs of Respiratory Distress{{c1::Increased}} respiratory rateUse of accessory muscles of breathing: {{c1::sternocleidomastoid, abdominal a…
Published	10/08/2024	Bronchiolitis usually starts as an {{c1::upper}} respiratory tract infection with {{c1::coryzal}} symptoms. half get better spontaneous…
Published	10/08/2024	Children who have had {{c1::bronchiolitis}} as infants are more likely to have {{c1::viral induced wheeze}} during childhood.&nbsp…
Published	10/08/2024	Reasons for admission for Bronchiolitis include:Aged under {{c1::3}} months or any pre-existing condition such as {{c1::prematurity}}, {{c1::Down's}} …
Published	10/08/2024	Management of Bronchiolitis - supportiveRespiratory support• Nebulisers: Salbutamol & ipratropium, potentially inhaled prednisone• {{c1::Saline na…
Published	10/08/2024	Assessing Ventilation in BronchiolitisThe most helpful signs of poor ventilation are:• Rising {{c1::pCO2}}: airways have collapsed…
Published	10/08/2024	Palivizumab & RSV How often? {{c1::monthly}} injection given as prevention against bronchiolitis caused by RSV. Given to high …
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