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Bronchiolitis, viral infection, usually respiratory syncytial virus (RSV), of the bronchioles; thick secretions; occluded bronchiole tubes and small bronchi. s/s Dehydration, Lethargy nursing intervention * Provide quiet environment * cluster nursing duties to minimize interuptions * low lighting *soothing music/ touch * encourage parental envolvement * schedule rest periods after every procedure, Upper Respiratory Infection nursing intervention * Position at 30-40 degree with neck slightly extended. * Private room to prevent spread of infection. *Contact precautions and handwashing administration/ teaching. * Administer bronchiodilators, steroids, and antibiotics as perscribed., Dehydration nursing intervention *assess dehydration status (skin turgor, mucous membranes, lack of tears, etc) *Provide IV fluids as perscribed. 20-70 lbs: 1500 ml + 20 ml/kg/24 hr for each kg between 21-70. * monitor for fluid overload if RSV-IGIV (antibodies) are perscribed., Bronchiolitis Pathophysiology viral infection, usually respiratory syncytial virus (RSV), of the bronchioles; thick secretions; occluded bronchiole tubes and small bronchi., viral infection, usually respiratory syncytial virus (RSV), of the bronchioles; thick secretions; occluded bronchiole tubes and small bronchi. s/s Lethargy, Tachypnea nursing intervention *provide mist tent and administer O2 as prescribed. * clear airway secretions with bulb syringe. *monitor for hypoxia and cyanosis * monitor respiratory pattern (rate, depth, and efforts) for infant. R = 20-40 HR = 80-130 BP = 90/56 * Monitor ABG's, viral infection, usually respiratory syncytial virus (RSV), of the bronchioles; thick secretions; occluded bronchiole tubes and small bronchi. s/s Upper Respiratory Infection, viral infection, usually respiratory syncytial virus (RSV), of the bronchioles; thick secretions; occluded bronchiole tubes and small bronchi. s/s Tachypnea