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Points : 39094
Join date : 2013-12-26

PostSubject: Question-118   Sat Apr 05, 2014 7:41 pm

A 9 month old with fever, dry cough, breathlessness, grunting, wheezes. Admitted, oxygen and IV fluids given. What is your next step?

a. steroids
b. nebulised adrenaline
c. antibiotics
d. observation
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Points : 34775
Join date : 2014-06-07
Age : 50
Location : WA

PostSubject: Re: Question-118   Tue Jun 17, 2014 4:06 am

In general, don’t use bronchodilators in infants less than six months and if asthma is considered a possibility, in infants aged six to twelve months,
order a standard stat dose. Watch it being given, assess and record the effects before deciding whether to order more. Don’t use corticosteroids or ipratropium bromide, except in older infants, when asthma is considered a substantial possibility, or in infants with chronic neonatal lung diseas and generally don’t use antibiotics, but consider them in the most unwell
infants, especially those with significant chest X-ray changes, high fever and/or toxicity & don’t use antiviral drugs (eg ribavirin, immunoprophylactic medications may decrease hospitalisation rates
in some infants but evidence is equivocal. It should be considered on an individual basis in infants considered to be at high risk.The most appropriate diagnos in this case is brochilitis so the best answer is
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Masoud Mostafaee

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PostSubject: Re: Question-118   Fri Oct 03, 2014 3:32 am

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Points : 30977
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PostSubject: Re: Question-118   Thu Nov 20, 2014 1:50 am

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