A 10-month-old girl with bronchiolitis is admitted to the ward. She is tachypnoeic with moderate recession. Her oxygen saturation is persistently 88–8...

Question

A 10-month-old girl with bronchiolitis is admitted to the ward. She is tachypnoeic with moderate recession. Her oxygen saturation is persistently 88–89% on air. She is feeding poorly due to breathlessness. What is the most appropriate next step?

Accepted Answer

Commence supplemental oxygen to maintain saturations above 90% and consider nasogastric feeding

Answer

Give high-flow oxygen and aim for saturations above 98%

Answer

Start intravenous broad-spectrum antibiotics immediately

Answer

Give nebulised adrenaline every 4 hours

Answer

Discharge home with oral salbutamol and review in 48 hours

uk-plab-1 MCQ (SBA): Bronchiolitis oxygen and fluid management

A 10-month-old girl with bronchiolitis is admitted to the ward. She is tachypnoeic with moderate recession. Her oxygen saturation is persistently 88–89% on air. She is feeding poorly due to breathlessness. What is the most appropriate next step?