A 6-month-old infant presents with 3 days of coryzal symptoms, cough, wheeze and increased work of breathing. Oxygen saturation is 94% on room air, wi...

Question

A 6-month-old infant presents with 3 days of coryzal symptoms, cough, wheeze and increased work of breathing. Oxygen saturation is 94% on room air, with poor feeding but no apnoeas. Chest X-ray is not yet done. What is the most appropriate management?

Accepted Answer

Supportive care with nasal saline, small frequent feeds and observation

Answer

Start high-dose oral prednisolone

Answer

Commence broad-spectrum antibiotics routinely

Answer

Administer salbutamol via spacer as first-line

Answer

Arrange immediate chest CT

au-racgp MCQ (SBA): Bronchiolitis supportive care

A 6-month-old infant presents with 3 days of coryzal symptoms, cough, wheeze and increased work of breathing. Oxygen saturation is 94% on room air, with poor feeding but no apnoeas. Chest X-ray is not yet done. What is the most appropriate management?