Bronchiolitis: Treatment and management in an urgent out of hours care setting

Journal article


Mortimore, Gerri and Dexter, Justine 2020. Bronchiolitis: Treatment and management in an urgent out of hours care setting. Practice Nursing. https://doi.org/10.12968/pnur.2020.31.6.246
AuthorsMortimore, Gerri and Dexter, Justine
Abstract

Bronchiolitis is an acute inflammation of the bronchioles that predominately affects children but is most common in the first 12 months of life. Viral bronchiolitis is the principal cause of admission in England and Wales, with numbers exceeding 30 000 annually. Occurrence is seasonal, in winter months incidence is typically at epidemic proportions for approximately six weeks. Bronchiolitis presents initially with coryza and a persistent cough; as the infection progresses, tachypnoea, chest recession, or both, may be present alongside wheeze or crackles. The assessment of an unwell child is challenging and as an advanced nurse practitioner, working in an out of hours service, the importance to prevent further deterioration should focus on spotting the sick child at an early stage. Therefore, an initial assessment should be undertaken, prior to taking a history and examination, to ensure patient safety. Bronchiolitis is usually a self-limiting illness, that requires supportive management only with treatment directed at fluid input. However, management approaches to bronchiolitis continue to be a subject of substantial debate with vast differences in practice exhibited in the UK, and beyond. with a lack of consensus regarding management. Therefore, the appropriate management of children presenting with bronchiolitis is challenging and can be overwhelming. Nurses must be aware of the pathophysiology, presentation, diagnosis, and management of children presenting to an out of hours service with bronchiolitis, to manage patients safely.

KeywordsNursing, Bronchiolitis, care setting
Year2020
JournalPractice Nursing
PublisherMAG
ISSN0964-9271
Digital Object Identifier (DOI)https://doi.org/10.12968/pnur.2020.31.6.246
Web address (URL)http://hdl.handle.net/10545/624893
hdl:10545/624893
Publication dates11 Jun 2020
Publication process dates
Deposited17 Jun 2020, 13:15
Accepted22 May 2020
ContributorsUniversity of Derby
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Reynolds, J. and Mortimore, Gerri 2017. An exploration into the curricular development of a master's programme designed to support advanced nurse practitioner education.
Non-invasive measurement of Systemic Haemodynamics by Finometry in patients with Cirrhosis
Freeman, Jan G., Rye, Kara, Mortimore, Gerri and Austin, Andrew 2015. Non-invasive measurement of Systemic Haemodynamics by Finometry in patients with Cirrhosis. Gastroenterology and Hepatology: Open access. https://doi.org/10.15406/ghoa.2015.02.00025
Non-Invasive Diagnosis of Oespahgeal Varicies Using Systemic Haemodynamic Measurements by Finometry: Comparison with other Non- Invasive Predictive Scores
Rye, Kara, Mortimore, Gerri, Austin, Andrew and Freeman, Jan G. 2016. Non-Invasive Diagnosis of Oespahgeal Varicies Using Systemic Haemodynamic Measurements by Finometry: Comparison with other Non- Invasive Predictive Scores. Journal of Clinical and Experimental Hepatology. https://doi.org/10.1016/j.jceh.2016.05.001
Advanced liver training: where are the courses
Mortimore, Gerri 2016. Advanced liver training: where are the courses. Gastrointestinal Nursing. https://doi.org/10.12968/gasn.2016.14.6.16