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Question preview · RACP Paediatrics

A 4-month-old boy presents to the emergency department in winter with 2 days of coryza, cough and increasing respiratory distress. On examination he has a respiratory rate of 68/min, moderate subcostal recession, and widespread crackles. Oxygen saturation is 91% in room air. He is breastfeeding but taking smaller volumes. According to the Australasian Bronchiolitis Guideline (2025), which of the following is the most appropriate initial management?

  1. A. Oral prednisolone 1 mg/kg
  2. B. Nebulised hypertonic saline
  3. C. Supplemental oxygen and supportive care with nasogastric feeds
  4. D. Nebulised adrenaline
  5. E. Nebulised salbutamol

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