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What is the recommended management approach for an infant with mild bronchiolitis in a primary care setting?
Answer
For an infant with mild bronchiolitis in a primary care setting, advise that bronchiolitis is usually self-limiting and symptoms peak between 3 and 5 days of onset 2.
Provide self-care advice, including using paracetamol or ibuprofen to treat distress caused by fever 1.
Encourage parents or carers to monitor the child's hydration, and advise continued breastfeeding if applicable 1.
Assess the child's oxygen saturation if pulse oximetry is available, but routine testing is not necessary for mild cases 2.
Advise parents/carers to watch for signs of deterioration, such as increased work of breathing, dehydration, or persistent hypoxia, and to seek medical help if these occur 2.
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