A 9-month-old with typical bronchiolitis is alert, has mild retractions, oxygen saturation 91% in room air and takes more than half of usual feeds.

Question

A 9-month-old with typical bronchiolitis is alert, has mild retractions, oxygen saturation 91% in room air and takes more than half of usual feeds. There is no apnea or high-risk comorbidity. Which treatment is most appropriate?

Accepted Answer

Provide nasal suction, hydration support and observation without routine drug therapy

Answer

Give salbutamol repeatedly because any wheeze in infancy predicts reversible bronchospasm

Answer

Begin continuous oxygen and target saturation above 98% throughout the illness

Answer

Start oral dexamethasone because oxygen saturation below 92% indicates airway inflammation

Answer

Start amoxicillin because reduced feeding reliably indicates bacterial coinfection

Bronchiolitis — CCFP MCQ

A 9-month-old with typical bronchiolitis is alert, has mild retractions, oxygen saturation 91% in room air and takes more than half of usual feeds. There is no apnea or high-risk comorbidity. Which treatment is most appropriate?