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Bronchiolitis with hypoxaemia — DipIMC MCQ

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ModeratePaediatric and Obstetric EmergenciesBronchiolitis with hypoxaemiaDipIMC

A 2-year-old with bronchiolitis is grunting, feeding poorly and has oxygen saturations of 88% on air. There are widespread crackles and marked recession. What is the most appropriate immediate action?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — Give oxygen, minimise distress and transport for paediatric assessment

Hypoxaemia, grunting, poor feeding and recession in bronchiolitis require oxygen and hospital assessment. Bronchodilators are not routinely effective in typical bronchiolitis. Forcing oral fluids in respiratory distress risks aspiration and fatigue. The pearl is that supportive care and recognition of exhaustion are central in infant respiratory illness.

Reference: JRCALC Guidelines 2025; NICE Bronchiolitis NG9