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Nursing Management with Bronchiolitis

Updated on January 27, 2009

Bronchiolitis

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.

ASSESSMENT

  • Upper respiratory infection symptoms such as rhinorrhea and low-grade fever.
  • Lethargy, poor feeding, and irritability in infants
  • Tachypnea
  • increased difficulty in breathing
  • Nasal flaring and retractions
  • expiratory wheeze and grunt
  • diminished breath sounds

PATHOPHYSIOLOGY:

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

NURSING INTERVENTIONS

  • 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

     

 

 

 

 

 

Comments

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    • profile image

      Agnes Nkoli 

      2 years ago

      I am really inspired by this information as a student nurse in Lesotho,so my advice on this good job you are doing is,1)there should be the reason on the nursing management,e.g why as a nurse should encourage the patient to take more fluids,etc,i will appreciate the change on that,because so far so good about the information provided by this page,thank you very much

    • profile image

      nice 

      8 years ago

      tnx 4 d data!

    • Nurzing Studz profile imageAUTHOR

      Cid Rusiana 

      8 years ago from Cebu.Philippines

      thank you cherie.! Hi...im back..soory for not replying my dear frens..:-)...yup. thank you for appreciating our work...me and my fren beside here are now busy and not able to continue our hubs..but if i have time..i will continue it..i will post our achievemnet during college days..pls. continue for supporting...thanks!

    • profile image

      gliez 

      8 years ago

      thanks for the info...it helps me a lot.

    • Nurzing Studz profile imageAUTHOR

      Cid Rusiana 

      8 years ago from Cebu.Philippines

      THANK YOU..YES WE WILL..

    • profile image

      ghie 

      8 years ago

      Hi, thanks for the information about Bronchiolitis, it helps me a lot.. keep up the good work. This way yopu are helping many of us students.. Hope to get more post from you soon guys..

    • Nurzing Studz profile imageAUTHOR

      Cid Rusiana 

      9 years ago from Cebu.Philippines

      the case we present are really based on our studies in the clinical area. thanks for the comment..

    • profile image

      donna 

      9 years ago

      tnx'z for the info! it helps...Ü

    • Nurzing Studz profile imageAUTHOR

      Cid Rusiana 

      9 years ago from Cebu.Philippines

      hello my dear readers..we would like to thank you for viewing our hub, we hope to impart some of our knowledge on the needed information of yours..we wish you to come back again and say something anout our hub..any comment will do to help us improve our hubs..thanks a lot and GOdbless..

    • profile image

      Erik 

      9 years ago

      Just wana ask if the case is this kind of serios? it really reminds me of my uncle..thans lot

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