1. Diagnose wheeze and assess the degree of metabolism distress
2. Treat wheeze if kid shows signs of metabolism distress or if this can be a repeated episode of unhealthy.
3. Treat underlying illness (asthma, pneumonia, and bronchiolitis).
Diagnose wheeze and assess degree of metabolism distress
Clinical Sign of unhealthy
. The wheeze sound = primarily breath (heard with the ear or the stethoscope)
. Prolonged breath part of respiration
. Effort in exhalation
. Diminished air entry
. Chest ingraining (Retractions)
. Repeated cough (especially at night)
. Hyper inflated chest (anterior-posterior dimension of chest is increased)
. Percussion: hyper sonority.
Assess whether or not kid is in metabolism Distress
Signs of metabolism distress
. Issue for talking, drinking, feeding.
. Kid is restless or inactive
. Central symptom
. Nasal flaring
. Vital chest ingraining
. Rate < 20/min or > sixty min
. [*fr1] sitting position
. Element if metabolism distress
. Air Humidification
. Aerosol / nebulizer with Salbutamol (see details in chapter asthma)