Bronchiolitis:

Diet: PO / ( if in distress ): NPO

V/S : routine

Position semi-sitting ( 30 degree )

1. CBC diff
2. Electrolyte
3. BUN & criatinine
4. CXR
5. Pulse oximetry
6. Cold humidified O2
7. ABG
8. U/A

9.Ventoline : 2.5 mg with Nebulizer q 20 min (up to 3 doses )

10. ( if severe ): Hydrocortisone : 5mg / kg IV stat then 2 mg/ kg / dose IV QID
11. ( IF bacteria added ): Azithromycin : 10 mg / kg on day 1 ; then 5mg / kg 4 day

OPD:

1. (if bacteria added ) : Azithromycin : 10 mg / kg / d on day 1 ; then 5 mg / kg / d 4 days ( or Erythromycin 10 mg / kg / dose QID )
2. ( if cough ):SYR ketotifen 2.5-5 cc BID
3. Nasal drop Nacl :2 drops q 4-5 h
4. ( if fever ): Acetaminophen 15mg /kg / dose q 4-6 h