Syncytial virus
Pathophysiology of Bronchiolitis
You are working in a large urban pediatric clinic after-hours.
A mother brings her 6-month-old daughter, Vivi Mitchell, to the clinic for rhinorrhea, congestion, fever, and cough. Upon assessment, you identify the child has wheezing upon auscultation and on inspection, you identify retractions.
The child is in less than 10th percentile of weight and has a cardiac history of Patent Ductus Arteriosus (PDA).
Born at 36 weeks gestation.
Mother states this child doesn’t go to day care but her two other children ages 2 and 3 do attend daycare.
T- 102.1 HR 140 RR 40 BP 83/58 Pulse ox 96%
A swab for respiratory syncytial virus (RSV) is positive.