BSN OREM BRONCHIOLITIS A common infection of the lungs' airways, often caused by a virus. EPIDEMIOLOGY It most frequently occurs in infants bet. 3 and 6 mos. Typically, bronchiolitis occurs during the fall and winter months. ETIOLOGY • Respiratory Syncytial Virus (RSV) • Severe cases of bronchiolitis may reflect multiple infections, such as a combination of RSV and metapneumovirus. CLINICAL MANIFESTATION For the first two or three days, the signs and symptoms are similar to those of a common cold: Runny nose Stuffy nose Slight fever (may or may not occur) CLINICAL MANIFESTATION After this, there may be two or three days of: Wheezing — breathing seems more difficult or noisy when breathing out Rapid or difficult breathing Rapid heartbeat CLINICAL MANIFESTATION
Severe bronchiolitis may
cause your child to have difficulty breathing or develop bluish-looking skin (cyanosis) MEDICAL MANAGEMENT 1.Adrenergic agents 2.Corticosteroids (dexamethasone+salbutamol) 3. Nucleoside analog Inhibits viral replication by inhibiting DNA and RNA synthesis. NURSING MANAGEMENT 1.Humidify the air 2.Keep your child upright 3.Have your child drink clear fluids 4.Try saline nasal drops to ease congestion 5.Use OTC pain relievers 6.Maintain a smoke-free environment NURSING MANAGEMENT 7. Limit your child's contact with people who have a fever or cold 8. Keep bathroom and kitchen countertops in your home clean 9. Use a tissue only once 10. Use your own drinking glass 11. Wash hands COMPLICATIONS
Airway disease (asthma)
Respiratory failure Pneumonia COMPLICATIONS
Increasingly labored breathing
Cyanosis Dehydration Fatigue THANK YOU FOR LISTENING