I have a 6 month old diagnosed with bronchiolitis. Everything I'm reading says it could take weeks for breathing to go back to normal. Obviously I can't exclude that long, or would you? Need some advice.
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Have You Excluded for Bronchiolitis?
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I'm assuming the child needs breathing treatments?
The child does not have documented asthma?
What's your medication policy?
If it were me, I wouldn't take the child until the breathing is normal because I won't do breathing treatments unless the child has a documented condition (DR's directive) that requires it for life saving measures.
If they are sick enough to need meds, they stay home.
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Disposition? Happy or cranky struggling to breath?
If baby has been on meds (if any) for a min of 24 hours, the parent is close by AND you feel comfortable taking baby back into care I would.
I'd just watch for anything type of breathing or struggling to breath (whistling or wheezing, shallow breaths etc) that makes you nervous and any other symptoms that would indicate exclusion. Fever, diarrhea, vomiting, irritability etc....
Here is the info my state gives me:
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I might not exclude because I have an intubation kit and experience. I would not recommend it for others, though. This is one of the most feared calls in EMS. When it's good it's great, when it is bad, it goes bad fast and dark. Group child care is not a good setting for this. I am assuming the child has completed treatment or the ped wound not have signed off on it?- Unless otherwise stated, all my posts are personal opinion and worth what you paid for them.
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Thank you both. The child went to the Dr yesterday but Dr did not give any medications or breathing treatments and just told Mom to observe. I just didn't even think of following up because when mom called in yesterday she told me she just had a cough and I didn't think it was a big deal since she was not coughing at daycare the day before so I learned all this upon arrival this morning. She says baby is happy and eating normally. I did witness labored breathing before I put her down for nap this morning but now that she is sleeping she sounds ok. Just worried about being contagious because my nurse friend says this is often associated with RSV at this age and time of year.
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Originally posted by Indoorvoice View PostJust worried about being contagious because my nurse friend says this is often associated with RSV at this age and time of year.
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Originally posted by Indoorvoice View PostJust worried about being contagious because my nurse friend says this is often associated with RSV at this age and time of year.- Unless otherwise stated, all my posts are personal opinion and worth what you paid for them.
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Originally posted by Indoorvoice View PostNo I honestly didn't know that was a thing!
That and the one for Pertussis: https://www.childhoodhealth.com/clin...d-to-know.html- Unless otherwise stated, all my posts are personal opinion and worth what you paid for them.
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Originally posted by Cat Herder View PostYour PCP can give it to you. Mine left a little knot for a couple of days, but since I keep mostly infants it is highly recommended. https://www.fiercepharma.com/vaccine...s-fast-tracked
That and the one for Pertussis: https://www.childhoodhealth.com/clin...d-to-know.html
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https://www.mountnittany.org/articles/healthsheets/1666 : Discharge Instructions for Bronchiolitis (Pediatric)- Unless otherwise stated, all my posts are personal opinion and worth what you paid for them.
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Originally posted by Cat Herder View PostI might not exclude because I have an intubation kit and experience. I would not recommend it for others, though. This is one of the most feared calls in EMS. When it's good it's great, when it is bad, it goes bad fast and dark. Group child care is not a good setting for this. I am assuming the child has completed treatment or the ped wound not have signed off on it?
6 months is still so young, I wouldn’t be able to leave her side for fear or sids which means she should be home.
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Maybe DCM will be eligible for FMLA? https://www.dol.gov/whd/forms/WH-380-F.pdf- Unless otherwise stated, all my posts are personal opinion and worth what you paid for them.
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