Bronchiolitis

***If ICP/ICU Bronchiolitis

*** 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

#FEN/GI:

***NPO for severe respiratory distress/CLD for moderate respiratory distress/POAL

- Strict I/Os

#ID: *** positive

- Monitor off abx

#Neuro:

- Tylenol and Motrin PRN

#Dispo: Respiratory distress resolved, adequate hydration, PCP follow-up