Nebuliser Therapies in the Treatment of Bronchiolitis

In: Other Topics

Submitted By paddyc
Words 2015
Pages 9
Nebuliser Therapies in the Treatment of Bronchiolitis
Introduction
Bronchiolitis is a mostly seasonal disease, with the majority of cases being caused by the respiratory syncytial virus. Around 2 -3 percent (30 per 1000) of all children under 1 year old are likely to be admitted to hospital with this disease (Smyth and Openshaw, 2006).
Using a modified version of the Gibbs Reflective cycle (1988) this assignment will evaluate the assessment and treatment of an unwell infant bought in to the children’s ward, and in particular will focus on the efficacy of nebuliser therapies in the treatment of bronchiolitis. Consent was gained prior to questioning and examination and confidentiality maintained throughout (HCPC, 2012).
Description
A 4 week old baby was bought in to the children’s ward by ambulance suffering from severe respiratory distress. He had been seen by a doctor and diagnosed with bronchiolitis two days earlier at which time his symptoms were less severe. The Scottish Intercollegiate Guidelines Network note that some infants with bronchiolitis may deteriorate within the first 72 hours (SIGN, 2006), a fact perhaps supported by the article published by Woollard and Jewkes (2004) recognising that children can compensate extremely well to significant illness, but when these compensatory mechanisms fail they can do so “rapidly, catastrophically and irreversibly”. On gaining a history from the parents (Thomas and Monaghan, 2010 pp. 522-523), this baby was previously fit and well, meeting his developmental milestones (Parker, 2012), and would, according to Ormrod (2008), have reached sub-stage 2 of the Piaget’s Sensorimotor stage “Primary Circular Reactions”. A Heel Prick or “Guthrie” test (Willacy, 2013) at 5 days revealed no abnormalities.
He initially presented to his G.P. with the classic symptoms of bronchiolitis: coryzal symptoms leading to…...

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