A 3-month-old boy presents with a 2-day history of coryzal symptoms and cough. He has poor feeding and increased work of breathing with chest recessio...

Question

A 3-month-old boy presents with a 2-day history of coryzal symptoms and cough. He has poor feeding and increased work of breathing with chest recession. Respiratory rate is 62/min, oxygen saturations are 90% in air, and he has taken only half his normal feeds in the last 24 hours. According to NICE bronchiolitis guidance, what is the most appropriate management?

Accepted Answer

Admit to hospital for supportive care including consideration of nasogastric fluids and oxygen.

Answer

Discharge home with safety-net advice only.

Answer

Start oral antibiotics and review in 48 hours.

Answer

Give nebulised Adrenaline and discharge if improved.

Answer

Arrange urgent outpatient review in 1 week without admission.

uk-plab-1 MCQ (SBA): Bronchiolitis in infancy