Nursing Management with Bronchiolitis
Is an inflammation of the bronchioles that causes a thick production of mucus that occludes bronchiole tubes and small bronchi.
- Respiratory syncytial virus is a common cause of bronchiolitis.
- Respiratory syncytial virus, although not airborne, is highly communicable is usually transferred by the hands.
- Upper respiratory infection symptoms such as rhinorrhea and low-grade fever.
- Lethargy, poor feeding, and irritability in infants
- increased difficulty in breathing
- Nasal flaring and retractions
- expiratory wheeze and grunt
- diminished breath sounds
Inflammation; Thick respiratory secretions accumulate, plugging the bronchiolar lumen-The narrowing of the small airways-Trapping air in the alveoli-This trapped air causes lung hyperinflation and may lead to atelectasis.- Inadequate gas exchange results in hypoxemia and hypercapnia
- maintain a patent airway
- provide cool humidified oxygen.
- position the child at a 30-to-40-degree angle with the neck slightly extended.
- Encourage fluids
THE CHILD WITH RSV
- Isolate the child in a single room or place in a room with another child with RSV.
- Maintain the good hand-washing procedures.
- Ensure that the nurses caring for these children do not are for other high-risk children.
- Wear gowns when soiling of clothing may occur during care.
- Administer ribavirin ( Virazole), an anti-respiratory medication, if prescribed.
- Prepare for the administration of
respiratory syncytial virus immune
globulin (RSV-IGIV or RespiGam or palivizumab [Synagis