Bronchiolitis
Inflammation of brinchioles
Causing severe dyspnea
Etiology
Common in infants under age of 6 months.
Virus;
Respiratory syncytial virus
Adenovirus
Influenza virus
Bacteria;
Haemophilus influenza
Pneumococcus
Streptococcus hemolyticus
Clinical manifestation
Dyspnea; rapid shallow breathing
Mild to moderate fever; nasal flaring, cyanosis
Air hunger;
Chest sign;
Intercostal, subcostal, suprasternal retraction
Diminished breath sound
Wheezing
Crackles sound
Hyper- resonance percussion (too much aire present in lung tissue; hyperinflated with air).
Diagnostic Evaluation
1. X ray of chest
Emphysema (air sac in lungs damaged)
Prominent branchovascular markings; when airway of respiratory passage get filled with fluids or mucus.
Small areas of collapse.
Management
Bronchiolitis is an emergency
1. Oxygen Administration
2. Postural drainage
3. IV fluids; prevent dehydration
4. Antibiotics; bacterial infection
5. Antiviral agent; Ribavirin (virazole); for Respiratory syncytial virus
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