Question-209

A woman came with her 9 month old baby having dyspnoea , can’t feed , his chest is hyperinflated and there are inspiratory and expiratory wheezes. What is the next best step ?


a. Nebulised adrenaline
b. IV steroid
c. Oral cefriaxone
d. 100% O2 via facemask
e. 100% O2 via nasal catheter

a?

Im thinking of Bronchiolitis. Next best step, get the oxygen mask and right away start bronchodilators (nebulised salbutamol or adrenaline in this case), both things almost at the same time? But D would come "first" I believe -

1-Bronchiolitis usually effects babies under 6 months of age, and is a common and sometimes serious illness. It is caused by a virus, most commonly RSV (Respiratory syncytial virus), which affects the small airways in the lungs. Bronchiolitis causes inflammation in the small airways making them swell and narrow. Bronchiolitis starts off like a cold over a period of 2 to 3 days, but can develop into respiratory distress with wheezing, a tight wheezy cough, and quickened breathing, symptoms similar to asthma. Sometimes babies have trouble feeding and they need to rest and drink little and often.2- No mentioned fever
3- chest is hyperinflated no supporting Bronchiolitis.
Oxygen therapy via nasal catheter is answer