Test Your Knowledge of Bronchiolitis in Urgent Care (Postscript 1 of 2)

Evidence-Based Urgent Care Postscript
Acute Bronchiolitis: Assessment and Management in Urgent Care | January 2023

Your patient is a 10-month-old girl who has a clinical presentation of acute bronchiolitis and no risk factors for severe bronchiolitis or apnea. She has been ill for three days. The baby’s parents are anxious about her wheezing, although this is the first episode. Her SpO2 level is 97%. The mother says the baby has been breastfeeding, although for somewhat shorter periods than usual, and has had little interest in solid foods since becoming ill. What is the best next step in the management of this patient? 

A. Administer nebulized hypertonic saline.

B. Administer nebulized albuterol.

C. Prescribe a tapered course of corticosteroids.

D. Send her home with instructions to the parents to monitor her hydration status, give appropriate dosing of over-the-counter antipyretics as needed, and perform nasal suctioning, along with providing education on the signs and symptoms that would prompt a return to care

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Last Updated on January 26, 2023

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