RSV Bronchiolitis: NCLEX Priorities
RSV: wheezing in infants, contact + droplet precautions, supportive care, palivizumab prophylaxis.
RSV is the most common cause of bronchiolitis in infants. NCLEX tests precautions and supportive care.
Recognition
Wheezing, tachypnea, retractions, nasal flaring, hypoxemia. Often <2 years old. Seasonal (fall-spring).
Precautions
Contact + droplet. Private room or cohort. Gown, gloves, mask. Hand hygiene strict.
Treatment
Supportive, suctioning, hydration, oxygen as needed. Bronchodilators and steroids generally not effective. High-flow nasal cannula for moderate-severe. Ribavirin rarely used.
Prevention
Palivizumab (Synagis) monthly IM during RSV season for high-risk infants (premature, chronic lung disease, congenital heart). Nirsevimab newer (single dose, broader use).
Frequently asked
Bronchodilator trial?
Sometimes given, often discontinued if no response. Not routine.
Apnea in young infant with RSV?
Common, admission for monitoring. Can precede respiratory symptoms.
Quick check
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