*** is a *** month old M/F with PMH *** presenting with hypoxemic respiratory failure iso *** bronchiolitis. HFNC (***L/kg, ***% O2) is pt’s maximum required respiratory support. Pt currently stable on ***, will wean respiratory support as able. Pt continues to require inpatient level of care for close cardiorespiratory monitoring, respiratory support, and IV rehydration.
***If Gen Peds Bronchiolitis
*** is a *** month old M/F with PMH presenting with URI symptoms and IWOB, consistent with bronchiolitis. Overall pt is ***well appearing and appropriately hydrated/continues to have retractions and signs of dehydration. Pt continues to require inpatient level of care for close cardiorespiratory monitoring, oxygen support, and IV fluids.
#CV: ***s/p bolus, HDS
- Vitals per floor routine
#Resp: Current ***
- VBG & Chem: ***
- ***Severe IWOB: Continuous O2 monitoring while asleep, vitals per floor routine while awake
- ***Mild IWOB: O2 checks q4hr with vitals O2 PRN to keep sats >90%
[ ] Frequent suctioning and pulm toilet PRN
[ ] Saline nebs q2hr PRN for respiratory distress
- If worsening resp distress or clinical status, consider CXR, abx
***NPO for severe respiratory distress/CLD for moderate respiratory distress/POAL