CASE PRESENTATION ON

BRONCHIOLITIS

SUBMITTED BY
SARBJEET KOUR
PBBSC IST YEAR
DEMOGRAPHIC DETAILS

NAME-Aditya
AGE -9 month
GENDER-Male
WEIGHT- 9 kg
DEPARTMEN-Paediatric
UMR No.-3778978
DOA-08-01-2024

SUBJECTIVE EVIDENCE

A 9 month old child was admitted in the paediatrics

department with the chief complaint of cough x 01 month ,
cold x 15 days and fever x 1 day.
Past History: No similar complaints in the past.
OBJECTIVE EVIDENCE
CBC:

Hb-9
WBC-17.4/mm3
PLATELET-3.30
RBC-4
HEMATOCRIT-34
CHEST X RAY- BRONCHIOLITIS CONFIRMED.

ASSESSMENT

Based on the subjective and objective evidence the case

is confirmed as bronchiolitis.
PLAN OF TREATMENT

MONITOR VITALS TREATMENT

Accepting feed-well Guarded oral feeds

Temp- 100.1 F Syp PCM 250mg PO BD

HR-132 beats/min Inj. Cefutaxime 250mg IV BD

RR-58 beats/min Ambroxyl levosalbutamol 2ml PO BD
SpO2-93% O2 therapy
Syp Zinc 2.5 ml PO BD
Nebulise with 3% NS TDS
Nasal Saline Drops
DISCHARGE MEDICATION

• Syp.Ambroxyl 2.5ml BD
• Syp.PCM 3ml SOS
• Syp.Zinc 2.5ml BD
DESCRIPTION OF DISEASE

Bronchiolitis : It is the infection of smaller bronchioles. It is the most common viral lower
respiratory tract infection characterized by acute inflammation, edema & necrosis of epithelial
cells lining small airways, increased mucus production and bronchospasm.

CAUSES

• Respiratory syncytial virus

• Human meta pneumo virus
• Adenovirus
• Rhinovirus
• Para influenza and influenza virus

RISK FACTORS

• Not being breastfeed being born prematurely

• Born with a heart or lung condition
• Exposed to cigarette smoke
SIGN & SYMPTOMS
• Cough
• Running nose
• Low grade fever
• Wheezing
• Poor feeding

DIAGNOSIS
• Medical History and physical examination
• Imaging testing including x ray or CT scan
• CBC
• ABG
• Spirometry
MANAGEMENT

1. MEDICAL MANAGEMENT:
• Syp PCM 250mg PO BD
• Inj. Cefutaxime 250mg IV BD

• Ambroxyl levosalbutamol 2ml PO BD

• O2 therapy

• Syp Zinc 2.5 ml PO BD

• Nebulise with 3% NS TDS

 2. NURSING MANAGEMENT
A.Assessment
• Conduct thorough patient assessment
• Respiratory rate,
• Oxygen saturation, and
• Chest examination.
B.Diagnosis
• Deficient Fluid volume r/t increased metabolic rate.
• Nutritional imbalance r/t increased temperature.
INTERVENTIONS
1.Fluid management.
2.Nutritional support
3.Infection control
4.Monitoring and surveillance.
5.Family education and Support
6.Holistic patient care
7.Discharge planning.
 Conclusion
In conclusion, bronchiolitis is a common respiraty
infection,especially in infants & young children.It is typically
caused by viral pathogens,with respiratory syncytial virus being a
frequent culprit.Symptoms often include cough, wheezing,
&difficulty breathing.Early recognition & appropriate management
are crucial for ensuring a positive outcome.