Question

A 10-month-old infant presents with cough and increased work of breathing. Examination shows bilateral wheeze and crackles, tachypnoea and chest wall recession. Oxygen saturation is 91% in air. There is no fever and feeding is reduced. Bronchiolitis is diagnosed. According to RCH bronchiolitis guidance, which of the following is NOT routinely recommended?

Accepted Answer

Routine use of nebulised salbutamol

Answer

Supplemental oxygen if SpO2 persistently <90%

Answer

Nasogastric or IV fluids if oral intake is inadequate

Answer

Minimal handling and nasal suctioning as needed

Answer

Monitoring for apnoea in high-risk infants

Practice question