This is the most common cause of viral bronchiolitis.
What is Respiratory Syncytial Virus.
100
This is the most common risk factor for severe or complicated viral bronchiolitis.
What is Gestational age <36 weeks.
100
Most children who do not require recover completely in this amount of time.
What is 28 days.
100
This is one of 4 criteria defining severe bronchiolitis.
What is persistently increased respiratory effort (tachypnea, nasal flaring, intercostal and subcostal retractions, accessory muscle use, grunting) on serial exams spaced by 15 minutes.
100
These are the mainstays of the management of viral bronchiolitis.
What is supportive care and anticipatory guidance.
200
In X% of children hospitalized with bronchiolitis, 2 or more viruses are detected.
What is 33.3%
200
These are other risk factors for severe or complicated bronchiolitis.
What are low birth weight, <12 weeks of age, anatomic defect of the airways, hemodynamically significant congenital heart disease, immunodeficiency, neurologic disease.
200
The median length of hospital stay for those less than 2y, according to multicenter studies.
What is 2 days.
200
Hypoxemia of
What is <95% interpreted in the context of other clinical signs, the state of the patient (awake, asleep, coughing etc) and altitude.
200
Supplemental oxygen is recommended to maintain oxygen saturations > than__.
What is 90%
300
This is the second most common cause of viral bronchiolitis.
What is rhinovirus.
300
Children who live here are at higher risk for developing complicated and sever bronchiolitis.
What is high altitude (>2500m).
300
Those born prematurely or <12 weeks at infection or with cardiopulmonary disease or immunodeficiency are at risk for this.
What is apnea and respiratory failure requiring mechanical ventilation.
300
Presence of the absence of this defines severe disease.
What is respirations (apnea! get it?)
300
Successful therapy with these two modes of support avoid the adverse effects of endotracheal intubation (eg, laryngeal injury, ventilator-induced lung injury, ventilator-associated pneumonia, narcotic dependence and withdrawal).
What is HFNC and CPAP.
400
This virus is responsible for bronchiolitis outbreaks in the spring and early fall.
What is parainfluenza virus type 3.
400
Exposure to the 3 following environments put children at higher risk for developing complicated and severe bronchiolitis.
What are passive smoking environment, crowded household, day care attendance.
400
With the exception of this diagnosis, secondary bacterial infection is uncommon among infants and young children with bronchiolitis.
What is otitis media.
400
Requirement for this indicates severe disease and likely prolonged course.
What is mechanical ventilation.
400
Hypertonic saline, inhaled bronchodilators, steroids and montelukast.
What are therapies that are NOT recommended in the setting of first episode of bronchiolitis. (Bronchodilators may be warranted for infants and children with bronchiolitis and severe disease-- severe disease or respiratory failure generally were excluded from trials evaluating inhaled bronchodilators in children with bronchiolitis).
500
In temperate climates, late fall and winter epidemics are linked to this virus. In tropical and semi tropical climates, this virus enjoys the rainy season.
What is RSV.
500
Being born at this time puts you at higher risk of developing complicated or sever bronchiolitis.
What is being born 2 months before or after the start of the epidemic.
500
A typical bronchiolitis illness will peak between these days and then resolve.
What is days 3-5.
500
Non-severe bronchiolitis is defined by this.
What is the absence of everything else in this list.
500
Impact of an Educational Intervention to Improve Physician Adherence to Bronchiolitis Clinical Practice Guidelines: A Pre-Post Intervention Study.
What is the easy peasy article we are reviewing today.