1
What patient population is MOST affected by RSV?
Children under 2 years of age
Premature neonates
Older adults
How does RSV spread?
Coughing
Sneezing
Being in contact with a contaminated object
What is the number one cause of respiratory failure in a child?
Bronchiolitis caused by RSV
___ is an acute infection of the lower respiratory tract, usually caused by respiratory syncytial virus
Bronchiolitis RSV
Could someone acquire RSV multiple times?
Yes, just like the flu there are different strains of RSV
RSV is just a childhood disease- true or false
False, all age groups could be affected
RSV symptoms many vary based on age and past medical history- true or false
true
How are you able to detect a past RSV infection?- what test
PCR Blood test, which determines antibodies to the virus
The same uniform treatment is used on all RSV and bronchiolitis patients- true or false
False, treatment is dependent on the severity of the virus
Is there currently a RSV vaccine?
Yes
Bronchodilators and corticosteroids have been proven effective in the treatment of RSV- true or false
False, they have not been proven effective
RSV symptoms include...
Fever
Sore throat
Wheezing
Periods of apnea
Nasal congestion, rhinitis
Which state in the US has the longest RSV season?
Florida
If a secondary bacterial infection is present what treatment would be indicated?
Antibiotics
Due to the narrowing of the bronchioles, what breath sounds would be heard?
Inspiratory and expiratory wheezing
What are the 3 uniform treatment interventions for RSV?
Oxygen
Fluid replacement
Rest
How is RSV diagnosed?
Nasal swab
A chest X-ray for a patient with bronchiolitis reflects?
Areas of atelectasis and hyperinflation
You are called to assess an infant with a severe case of RSV and bronchiolitis, what signs and symptoms do you expect to see in a severe case in which the patient is in respiratory distress?
Tachypnea
Dyspnea
Inspiratory and expiratory wheezy breath sounds
Retractions
Grunting
You just placed a 5 year old child who has RSV + Bronchiolitis on a high flow nasal cannula, the patient's family asks if they could feed the patient lunch, what would you suggest/explain?
That food needs to be monitored/withheld for the time being, since the high flow of oxygen increases the risk of aspiration.
___ ___ treatment is recommended for high-risk infants younger than 2 years of age who have chronic lung disease, infants born at less 32 weeks of gestational age, infants with congenital heart disease who have a cardiovascular compromise.
Passive immunization
Most RSV infections in the US occur during what months?
November and May
How would you mechanically ventilate a RSV + Bronchiolitis patient to prevent air trapping?
Low respiratory rates and long expiratory times.
You place the infant on high flow nasal cannula, but the patient continues to deteriorate, what course of action would you do next?
Intubate and mechanically ventilate with a low respiratory rate and long expiratory time.
A single dose of Nirsevimabis is given to what age patients to prevent/protect them against RSV?
Preterm infants