By vgreene, 24 December, 2014 Antibiotics: Do not administer antibiotics unless concomitant bacterial infxn present/strongly suspected [B/S]; antibiotics may be justified in mechanical ventilation. Refer to AAP AOM guidelines if otitis media suspected.
By vgreene, 24 December, 2014 Hypertonic saline: Do not administer in the ED [B/M]; may administer nebulized hypertonic saline to hospitalized pts, but only in settings where average LOS is >72 h [B/W]
By vgreene, 24 December, 2014 Epinephrine: Do not administer, except possibly as a rescue agent in severe dz/rapidly deteriorating pts [B/S]
By vgreene, 24 December, 2014 Albuterol: Though albuterol trial no longer routinely recommended, this may not apply to pts w/ severe dz or resp failure [B/S]
By vgreene, 24 December, 2014 Provide the following for pts w/ presentation consistent w/ bronchiolitis<sup>7</sup>
By vgreene, 24 December, 2014 Fluids: NG or IV fluids in pts who cannot maintain hydration orally [X/S]; use isotonic fluids to avoid hyponatremia
By vgreene, 24 December, 2014 O2: via nasal prongs (for pts not requiring additional vent support); may choose not to administer O2 if oxyhemoglobin sat >90% [D/W]<sup>8</sup>