Bronchiolitis

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Bronchiolitis is a common viral illness seen in children under the age of 12 months. It is a seen primarily in the winter months from October till mid to late March. The most commonly seen type of bronchiolitis is respiratory syncytial virus or RSV. It is reported that nearly all children will have had RSV by the age of two. Approximately 2-3% of child under the age of 12 months will be admitted to the hospital. Each year approximately 57,500 patients are admitted into the hospital and 2.1 million are treated in an outpatient setting (Smith, D. K., Seales, S., & Budzik, C., 2017). Children with bronchiolitis present with rhinorrhea, tachypnea, wheezing, crackles, cough, accessory muscle use and/or nasal flaring. During these visits either to …show more content…
Terms such as bronchiolitis, respiratory syncytial virus, also known as RSV, bronchodilators, infants with bronchiolitis, and bronchodilators used for bronchiolitis. CINAHL was the exclusive database used for research. Also, used during the research was limiting to search to full text articles and PDF …show more content…
The viral infection causes inflammation of the bronchial tubes. The virus causes the tissues of the bronchioles to become necroes which causes it to slough off. This in return causes blockage or collapse of the alveoli. Blockage to the alveoli causes air to become trapped and collapse will cause less surface space for oxygen to transfer. Viral infections commonly diagnosed are respiratory syncytial virus or RSV, adenovirus, enterovirus, and human meta-pneumovirus. The signs and symptoms of bronchiolitis are tachypnea, retractions, grunting, and nasal flaring. A monitor tool that is used in everyday practice is pulse oximetry. Several articles reported that this is not a necessary diagnostic. For monitoring purposes poor oxygen saturation is considered anything below 90%. When it comes to other diagnostics these articles point out that diagnostic testing is not necessary as it will not change the course of treatment for this illness. In these studies, they found that x-rays are being used and causing misdiagnoses. Patients are being treated for pneumonia that is a viral infection. To treat bronchiolitis properly supportive care is the key. Based on the patient’s condition and respiratory effort, low flow oxygen will be used to improve oxygen saturations or to try and improve respiratory effort and lower the respiratory rate. If this does not improve the patient’s condition then a high flow

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