Acute Bronchiolitis

High Risk untuk RSV

- Immunocompromise

- Cynotic Heart Problem

- Chronic Lung Disease

- Vaccine : Palivizumab : Passive Imunity (kita bagi antibodi, dia ada, kemudian dia tak ada dah) - RSV Immunoglobulin - give every month

2. Clinically

- Fine crepitation

3. CXR

- Hyperinflated lung

4. Investigation

- VBG or CBG

5. Nutrition

- By Ryles Tube feeding if cannot tolerate orally. 

6. Oxygen?

- Depend on spo 2

- Nasal prong 

- Optiflow - 2ml per kg

- CPAP - if not tolerate, because patient struggle – need Ventilated (intubate), 

(SIMV setting, if not pick up à HFO : High Flow Oxygen