A 4-month-old boy presents with 3 days of coryzal symptoms, cough and increasing work of breathing. He has widespread crackles and wheeze; saturations...

Question

A 4-month-old boy presents with 3 days of coryzal symptoms, cough and increasing work of breathing. He has widespread crackles and wheeze; saturations are 93% in air and he is feeding slightly less but maintaining hydration. There are no focal chest signs. What is the most appropriate management?

Accepted Answer

Provide supportive care with minimal handling and consider brief hospital observation

Answer

Start nebulised salbutamol every 4 hours

Answer

Start oral prednisolone and salbutamol

Answer

Start broad-spectrum IV antibiotics

Answer

Start regular nebulised adrenaline

au-amc MCQ (SBA): Bronchiolitis

A 4-month-old boy presents with 3 days of coryzal symptoms, cough and increasing work of breathing. He has widespread crackles and wheeze; saturations are 93% in air and he is feeding slightly less but maintaining hydration. There are no focal chest signs. What is the most appropriate management?