Question

DS is a 3 month old male triplet born at 30 weeks who presented to the PICU with acute respiratory failure in the setting of bronchiolitis. He has had rhinorrhea for the past week. He has thickened mucous, decreased PO, and developed increased WOB. He was taken to an outside hospital and started on HFNC, antibiotics, and MIFV. Also got a CXR. When the HFNC air flow was reduced from 12L/min to 8L/min, patient suffered L lung collapse. He’s given intrapulmonary percussive ventilation and the lung recovered. Patient is diagnosed to have RSV infection.

1) An RSV infection is a common cold for adults, but it’s a life-threatening emergency for this baby. Why is that? Make sure your answer includes some technical terms such as “resistance” and “bronchoconstriction”.

3) Why does his lung collapse?

3) If you measured this patient’s Tidal Volume, Vital Capacity, Respiratory Rate, and Minute Ventilation under normal conditions and compared them to the those measurements during his illness, how would they compare? Explain.

PICU = pediatric intensive care unit

Bronchiolitis = inflammation of the bronchioles

Rhinorrhea = runny nose

PO = oral intake (it’s the Latin abbreviation)

WOB = work of breathing

HFNC = high flow nasal cannula

MIFV = maintenance intravenous fluids

CXR = chest X-ray

RSV = respiratory syncytial virus

Answer 1

An RSV infection is a common cold for adults, but it’s a life-threatening emergency for this baby. Why is that? Make sure your answer includes some technical terms such as “resistance” and “bronchoconstriction”.

-The immune scheme replies to allergens or other ecological stimulates by transporting white blood cells and other immune influences to the airways.

-These provocative issues reason the airways to swell, seal with fluid, and harvest thick, gluey mucus.

-This mixture results in puffed, breathlessness, an incapability to respire correctly, and a phlegm fabricating cough.

Why does his lung collapse?

Due to following symptoms lung collapsed:

-Trouble breathing

-Chest tension

-Faintness

-Collapsing

-Itching and rashes

-Puffiness of the mouth and throat

If you measured this patient’s Tidal Volume, Vital Capacity, Respiratory Rate, and Minute Ventilation under normal conditions and compared them to the those measurements during his illness, how would they compare? Explain.

Patients with asthma and long-lasting sensitive rhinitis might necessity everyday medicines. Patients with plain cyclical aversions might essential to twitch captivating medicines a scarce weeks beforehand the pollen period, and to endure them till the period is over.

Immunotherapy might aid decrease asthma signs, and the usage of asthma medicines, in patients with recognized allergies. They might also aid avert the advance of asthma in kids with aversions. Immunotherapy postures approximately danger for plain allergic responses, particularly for children with unwell measured asthma, so it is significant that the medic carefully assesses the child’s asthma illness.