Clinical Reference Systems: Pediatric Advisor 10.0
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What is bronchiolitis?

Children most often get this disease between 6 months and 2 years of age. If your child has bronchiolitis:

• Your child may wheeze (make a high-pitched whistling sound when breathing).
• Your child may breathe rapidly (over 40 breaths per minute).
• Your child may have a cough and cough up a very sticky mucus.

A virus narrows the small airways of the lungs (the bronchioles.) This causes your child to wheeze. Your child may get an ear infection too. A few children may need to stay in the hospital.

How can I take care of my child?

• It may help to give your child asthma-type medicine. Your child may need to take medicine prescribed by your doctor. Keep up with the medicine until your child does not wheeze for 24 hours. If your child has a high fever, give acetaminophen every 4 to 6 hours or ibuprofen every 6 to 8 hours.
• Use a humidifier. Moist air can help. Dry air tends to make coughs worse.
• Make sure your child's nose is not blocked up. If the nose is blocked up, your child will not be able to drink from a bottle or breast-feed. Put three drops of warm water or saline in each nostril. After about 1 minute, use a soft rubber suction bulb to suck out the mucus.
• Make sure your child drinks enough fluids.

Call your child's doctor right away if:

• Your child has a hard time breathing.
• The wheezing gets very bad.
• Your child is breathing faster than 60 breaths per minute.
• Your child is acting very sick.

Call your child's doctor within 24 hours if:

• Any fever lasts more than 3 days.
• You have any other questions or concerns.