A 2-month-old has cough, poor feeding and increased work of breathing. RR is 64, SpO2 is 88% on room air, there are crackles and wheeze, and

Question

A 2-month-old has cough, poor feeding and increased work of breathing. RR is 64, SpO2 is 88% on room air, there are crackles and wheeze, and hydration is borderline. Chest X-ray is not yet done. What is the most appropriate initial management?

Accepted Answer

Provide oxygen, nasal suction, hydration support, and admit

Answer

Give routine antibiotics for bronchiolitis

Answer

Give repeated salbutamol until discharge

Answer

Discharge because wheeze suggests asthma

Answer

Order chest radiograph before supportive care

Infant bronchiolitis with hypoxaemia — RCPSC EM MCQ

A 2-month-old has cough, poor feeding and increased work of breathing. RR is 64, SpO2 is 88% on room air, there are crackles and wheeze, and hydration is borderline. Chest X-ray is not yet done. What is the most appropriate initial management?