# PEDS – BRONC – CL
1. Dispo [checklist name="variable_1" value="- Sating well on room air|- Not requiring DEEP suctioning|- Able to maintain adequate o2 saturation without respiratory support|- Afebrible or maintaining appropriate temperatures with medical intervention"] . Bronchiolitis (RSV, Enterovirus, Rhinovirus [w/ Parapertussis]) - Afebrile over past 24hr - Sat wnl on RA - Continue to monitor - Azithromycin 68mg PO QD - Q4 Vitals; Q8 BP; Assess for ability to maintain adequate oxygenation without respiratory support - Patient is breathing at an adequate rate 2. Dehydration - Maintaining adequate output - Adjust fluids as needed - Encourage breastfeeding 3. Supportive Care - Afebrile for the past 24 hours - Continue to monitor - Tylenol as needed to fever 4. Dispo - Must be able to maintain adequate oxygenation while resting without medical intervention - Must be able to maintain adequate hydration without IV fluids - Must be afebrile or maintaining adequate temperatures with supportive therapy _____________________________ 1. SSSS - Clindamycin — Treat Infection — Day *** of 10 - Motrin — Pain Control - Vaseline — Skin Healing & Integrity — Continue To Apply - IV Fluids - Changes: Nafcillin / Cephalexin 2. Supportive Therapy - Oral Intake — Encourage to promote adequate hydration and nutritional status 3. Barriers To Discharge - Must be tolerating PO without difficulty - Must be tolerating pain without medications ____________________________ .1. - PHARYNGITIS/SORE THROAT## - Strep screen - treat per protocol - treat regardless of throat culture results due to CENTOR criteria - throat culture obtained: POS - Rapid Strep W/ Culture: POST - Symptomatic relief discussed - Mono-type illness cautions discussed. To avoid all contact risk activities and sports until cleared to return. discussed potential complications and advised immediate evaluation if any develop. - Strep pharyngitis considered contagious until treated for 24 hours - Medications and side effects discussed: Penicillin 500 mg three times daily for 10 days 4.2. - DEHYDRATION - IV Fluids - Tolerate PO 4.3. - GOALS TO DISCHARGE - Needs to be able to tolerate oral intake - Needs to not require intravenous fluids - Needs to take adequate pain control - Needs to be afebrile and hemodynamically stable
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