15.Which intervention is appropriate for the infant hospitalized with bronchiolitis?-do the leastinvasive thing first no matter whata. Position on the side with neck slightly flexed.b. Administer antibiotics as ordered.c. Restrict oral and parenteral fluids if tachypneic.d. Give cool, humidified oxygen.-opens up the airways Show
16.A child has a chronic, nonproductive cough and diffuse wheezing during the expiratoryphase of respiration. This suggests 17.The nurse encourages the mother of a toddler with acute LTB to stay at the bedside asmuch as possible. The nurse's rationale for this action is primarily that-when children becomea toddler they develop separation anxiety
18.Which statement indicates that a parent of a toddler needs more education aboutpreventing foreign body aspiration? 19.What is a common trigger for asthma attacks in children?a. Febrile episodesb. Dehydrationc. Exercise-use an inhaler before doing exercised. Seizures 20.What explanation should the nurse give to the parent of a child with asthma about using a Introduction Aim Definition of Terms Assessment Management Special Considerations Companion Documents Evidence Table IntroductionBronchiolitis is an acute viral infection of the lower respiratory tract (LRTI). It generally affects children less than 12 months of age and it is the most frequent cause of hospitalization in infants under 6 months of age. Viruses that enter and infect the respiratory tract cause viral bronchiolitis. Most cases of viral bronchiolitis are due to respiratory syncytial virus (RSV). Viral outbreaks occur seasonally and most affect children under the age of 1 year old. The condition is usually preceded by an Upper Respiratory Tract Infection (URTI) and is characterised by cough, tachypnoea, poor feeding, wheeze, crackles, apnoea, mucus production and inflammation causing obstruction at the level of the bronchioles. The illness typically peaks around day 3 to 5 with a resolution of the wheeze and respiratory distress over 7 – 10 days. The cough may continue for up to 4 weeks. Bronchiolitis is a self-limiting condition, but can be life-threatening in infants who have been premature or have underlying respiratory, cardiac, neuromuscular or immunological conditions. AimTo outline hospital management of infants with bronchiolitis admitted to the ward. Children who require additional support may be managed in the Paediatric Intensive Care Unit (PICU) or Neonatal Intensive Care Unit (NICU). Definition of terms
Assessment Refer to Clinical Guidelines (Nursing) : Nursing assessment History
Physical Assessment
Focused Assessment:Clinical Guidelines (Nursing) : Nursing assessment (rch.org.au)
Social History
Nutrition
Investigations
ManagementAcute management
Ongoing management
Special considerationsPatient Safety Alerts
Companion documents
Evidence tableEvidence Table for this guideline can be viewed here. Please remember to read the disclaimer. The development of this nursing guideline was coordinated by Casey Clarke, CSN, Sugar Glider and approved by the Nursing Clinical Effectiveness Committee. Updated September 2021. How is bronchiolitis treated in infants?Relieving symptoms — There is no treatment that can get rid of bronchiolitis, so treatment is aimed at relieving symptoms until the infection resolves. Treatment at home usually includes making sure the child drinks enough and using saline nose drops (or bulb suctioning for infants) to keep the nose clear.
What medical interventions are not recommended for bronchiolitis?Oral corticosteroid medications and pounding on the chest to loosen mucus (chest physiotherapy) have not been shown to be effective treatments for bronchiolitis and are not recommended.
Which treatment would the nurse anticipate for an infant admitted with bronchiolitis caused by RSV?Supportive care is the mainstay of treatment for RSV bronchiolitis. Most infants can be managed at home, but those who are ill appearing, dehydrated, have poor feeding, apnea, develop respiratory distress or require supplemental oxygen should be considered for hospitalization.
What is the specific treatment of acute bronchiolitis?The basic management principles for infants hospitalized with acute viral bronchiolitis are oxygen therapy, fluids to prevent dehydration, respiratory support, and parental education.
|