What is the management of bronchiolitis?

What is the management of bronchiolitis?

What is the management of bronchiolitis?

The mainstays of therapy include airway support, supplemental oxygen, and support of fluids and nutrition. Frequently tried pharmacological interventions, such as ribavirin, nebulized bronchodilators, and systemic corticosteroids, have not been proven to benefit patients with bronchiolitis.

What are the nursing management of bronchiolitis?

Nursing care planning goals for a child with bronchiolitis include maintenance of effective airway clearance, improved breathing pattern, relief of anxiety and fatigue, increased parental knowledge about the disease condition, and absence of complications.

Can bronchiolitis be managed at home?

Treatments for bronchiolitis There’s no specific treatment for bronchiolitis. It usually gets better on its own and you can look after your child at home. But it can be serious in some children, who may need to be treated in hospital.

Do you need antibiotics for bronchiolitis?

Because viruses cause bronchiolitis, antibiotics — which are used to treat infections caused by bacteria — aren’t effective against it. Bacterial infections such as pneumonia or an ear infection can occur along with bronchiolitis, and your doctor may prescribe an antibiotic for that infection.

What are the nursing interventions for a child with RSV?

Nursing interventions for a child with RSV are:

  • Use of humidified air.
  • Encourage oral fluid intake.
  • Encourage good hygiene habits.
  • Administer medications.

How do you prevent bronchiolitis?

The best way to prevent bronchiolitis is to keep your child from catching a virus. Keep your child away from other children or people with colds or other illnesses. Stay away from crowded areas where viruses can spread easily. This could include elevators or shopping malls.

Does nebulizer help bronchiolitis?

Because bronchiolitis is usually caused by a virus, drug treatment is usually not effective. Hypertonic saline (sterile salt water solution) breathed in as a fine mist using a nebuliser may help relieve wheezing and breathing difficulty.

What is the Australian bronchiolitis guideline?

This guideline is based on the Australasian Bronchiolitis Guideline (PDF) which has been developed by the Paediatric Research in Emergency Department International Collaborative (PREDICT) research network to provide an evidence-based clinical framework for the management of infants (0-12 months) with bronchiolitis.

How is bronchiolitis managed at home?

Most patients can be managed at home. Oxygen therapy should be instituted when oxygen saturations are persistently less than 92%. Oxygen therapy should not be instituted or escalated for work of breathing alone. It is appreciated that infants with bronchiolitis will have brief episodes of mild / moderate desaturation to levels less than 92%.

How effective are bronchodilators in the treatment of bronchiolitis?

In viral bronchiolitis, bronchodilators do not improve oxygen saturation, or affect rate or duration of hospitalisation. A Cochrane review showed only a clinically non-relevant, modest short-term improvement in clinical scores.

When is paediatric training indicated in the treatment of bronchiolitis?

Whenever possible, nurses caring for infants with moderate to severe bronchiolitis should have paediatric training [E4]. 2. Martinez FD. Respiratory syncytial virus bronchiolitis and the pathogenesis of childhood asthma. Pediatr Infect Dis J 2003; 22 (2 Suppl): S76-S82.