A 9-month-old boy presents to the emergency department with a 2-day history of cough, fever and increased work of breathing. He has subcostal recessio...

Question

A 9-month-old boy presents to the emergency department with a 2-day history of cough, fever and increased work of breathing. He has subcostal recession and diffuse wheeze. Oxygen saturation is 91% on room air. This is his first wheezing episode. According to RCH guidelines, what is the most appropriate initial management?

Accepted Answer

Give oxygen via nasal prongs to maintain saturations above 92% and provide supportive care

Answer

Commence regular salbutamol nebulisers and oral prednisolone

Answer

Administer high-flow nasal cannula oxygen and admit to intensive care

Answer

Start inhaled corticosteroids and salbutamol via spacer

Answer

Start oral antibiotics for presumed bacterial pneumonia

au-acem MCQ (SBA): Bronchiolitis management in infants