A 2-year-old boy presents with 3 days of coryza, cough and increasing work of breathing. He has diffuse crackles and wheeze, oxygen saturation 94% on ...

Question

A 2-year-old boy presents with 3 days of coryza, cough and increasing work of breathing. He has diffuse crackles and wheeze, oxygen saturation 94% on room air, is feeding adequately and has mild subcostal indrawing. According to the Canadian Paediatric Society bronchiolitis guideline, which management is MOST appropriate?

Accepted Answer

Provide nasal suctioning, hydration advice and arrange close outpatient follow-up

Answer

Admit for nebulised adrenaline and salbutamol

Answer

Start oral prednisolone and salbutamol inhaler

Answer

Start broad-spectrum intravenous antibiotics

Answer

Order chest radiograph and respiratory viral panel

ca-mccqe1 MCQ (SBA): Bronchiolitis - outpatient management