Question

A 4-month-old boy presents with a 2-day history of cough, difficulty feeding and wheeze. He has subcostal recession and a respiratory rate of 60 breaths per minute. Oxygen saturation is 90 percent on air. He has had fewer wet nappies. What is the most appropriate management?

Accepted Answer

Admit to hospital for supportive management including oxygen and hydration

Answer

Discharge with safety netting as this is mild bronchiolitis

Answer

Start high-dose inhaled steroids at home

Answer

Prescribe oral antibiotics for 7 days

Answer

Give a single dose of Dexamethasone and discharge

Practice question

A 4-month-old boy presents with a 2-day history of cough, difficulty feeding and wheeze. He has subcostal recession and a respiratory rate of 60 breaths per minute. Oxygen saturation is 90 percent on air. He has had fewer wet nappies. What is the most appropriate management?