Pediatrics

Baby 3 months old with bronchiolitis symptoms and poor feeding.

O2 89%. What is the management?

  1. A Low flow oxygen with feeding support and nasal suctioning if needed الإجابة الصحيحة
  2. B High flow nasal cannula with IV fluid
  3. C didn't recall
  4. D didn't recall

الشرح

Core Concept: Acute bronchiolitis is a viral lower respiratory tract infection (most commonly RSV) causing inflammation and mucus plugging in the small airways of infants.

Clinical Presentation:

  • Rhinorrhea, cough, tachypnea, wheezing, retractions, and poor feeding due to respiratory distress.

Diagnosis:

  • First-line: Clinical diagnosis.
  • Gold Standard: Clinical assessment of work of breathing and hydration status; viral testing is optional.

Management:

  • Acute: Supportive care is the mainstay. For an infant with hypoxia (SpO2 89%) and poor feeding, the appropriate management is low flow oxygen to maintain SpO2 > 90%, feeding support (via NGT or IV fluids if oral feeding is unsafe), and nasal suctioning to clear upper airway secretions.
  • Long-term: Bronchodilators and corticosteroids are not routinely recommended.

40 سؤالاً مجاناً مع حساب

الأسئلة المنشورة هنا عيّنة ثابتة. أنشئ حساباً مجانياً لتتدرب على بنك الأسئلة الكامل، مع تحليل أدائك حسب التخصص وصفحة لمراجعة أخطائك.

إنشاء حساب مجاني

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