Treatment Plan
Treatment Plan
Viral-induced wheeze/Asthma:
- Consider nebulisers
- Wheeze plans
- Steroids
- Antibiotics if infection present
- Review within 48 hours
Bronchiolitis:
- Monitoring
- Reassurance
- Self-care advice
- Analgesia
- Encourage fluids
Pneumonia:
- First line: Amoxicillin
- Temperature >39°C (>3 months)
- PEFR <50%
- SpO2 <92%
- Poor capillary refill (2-3 seconds)
- Dry mucous membranes
- Poor urinary output
- Increased heart rate
- Alternatives: Macrolides, Cefaclor, Doxycyclin
- Co-amoxiclav if influenza-associated
Prognosis
- Viral-induced wheeze: self-limiting
- Bronchiolitis: worst symptoms 3-5 days, settles 3-7 days