This document presents a case of bronchiolitis in a 1.2 year old female child. The child presented with fast breathing and abnormal abdominal movement while breathing. A history of hospitalization for similar symptoms 4 months ago is noted. On examination, the child had increased respiratory rate and crepitations in both lungs. Laboratory investigations revealed increased white blood cell count. The child was diagnosed with bronchiolitis and treated with IV fluids, antibiotics, bronchodilators and mucolytics. The respiratory rate decreased over the next few days and the child was discharged after symptoms resolved.

1. CASE PRESENTATION
BRONCHIOLITS
Presented by
Aftab D
Pharm D 3rd year
Reg No : 19Q0151
HSK College of Pharmacy
Bagalkot

2. BRONCHIOLITIS
An inflammatory bronchial reaction in young children and
infants.
Bronchiolitis is almost always caused by a virus. The
condition most commonly occurs during the winter months

3. ETIOLOGY(CAUSES)
Bronchiolitis is usually caused by the respiratory syncytial
virus (RSV)
RSV is a common virus that infects just about every child by
2 years of age.
Outbreaks of RSV infection often happen during the colder
months of the year in some locations or the rainy season in
others

4. Bronchiolitis usually affects children under the age of 2
years.
Infants younger than 3 months have the highest risk of
getting bronchiolitis because their lungs and their ability to
fight infections aren’t yet fully developed.
Being born too early.
Having a heart or lung condition.
Having a weakened immune system. This makes it hard to
fight infections.
Being around tobacco smoke.
Contact with lots of other children, such as in a child care
setting.
RISK FACTORS

5. SIGNS AND SYMPTOMS

6. DEMOGRAPHIC
DETAILS:
Patient Name : Aduika k
Age : 1.2yrs
Sex : female
IP Number : 230016072
Department : pediatric
Unit : B

7. REASON FOR ADMISSION
C/O fast breathing since yesterday

8. HISTORY OF PRESENT
ILLNESS
Child was apparently alright then she developed fast
breathing since yesterday and also parents C/O abnormal
Movement on abdomen while breathing C/O fever which was
Intermittent types modes

9. PAST MEDICAL
HISTORY
H/O Hospitalisation 4 Months back for similar
Complaints in shankar patil hospital for 2 days

10. FAMILY HISTORY
No H/O Asthma, TB in family members

11. GENERAL PHYSICAL
EXAMINATION
RR – 56 cpm
Pulse – 172 bpm
BP – 90/80 bpm
Head – consious
Eye – pallar
Piccle - negative

12. SYSTEMIC EXAMINATION
CVS : S1 S2+
RS : B/L AE+ B/L Crepts+
CNS : Consious and oriented
P/A : Soft , Non tender

13. OTHERS
CBC
X - Ray chest

14. Bronchiolitis
PROVISIONAL DIAGNOSIS

15. LABORATORY DATA
Hb. :11.4[12.0 – 16.0]
CBC
WBC :17.500[4,500-10,500]
RBC :4.99[4.2 to 5.4 million/uL]
PLT :585,000[1.5 – 5.4 lakh cells/mm3

16. ELECTROLYTES
Sodium : 149 135-147 mEq/L
Potassium: 5.2 3.5-5.2 mEq/L
Chlorides : 102 95-107 mEq/L
Serum creatinine: 0.6 (0.6-1.2
mg/dl)

17. TREATMENT CHART
BRAND NAME GENERIC NAME DOSE ROUT
E
FREQU
ENCY
D
A
Y
1
D
A
Y
2
D
A
Y
3
D
A
Y
4
D
A
Y
5
IVF DNS
@10ml/hr
NaCl
10ml/hr
IV Y Y
Syp Dolo
250
paracetamol 2ml p/o S-0-S Y Y Y
Asthaline Salbutamol 2mg P/o 1-0-1 Y Y Y
cadiceft ceftriaxone 1000mg IV 1-0-1 Y
ventryl Levasalbutamol 0.5mh P/o 1-0-1 Y
Ambroxol 15mg
Guaiphengin 50mg

18. FOLLOW UP SHEET
Day 1
BP – 90/60 mm/Hg
Pulse – 140 bpm
On Examination
RR – 42 Cpm
Temp – 98.2° F
Spo2 – 96%
Treatment Advice
APC

19. Day 2
BP – 90/60 mm/Hg
Pulse – 144 bpm
On Examination
RR – 42 Cpm
Temp – 98.2° F
Spo2 – 96%
Treatment Advice
APC

20. Day 3
BP – 90/60 mm/Hg
Pulse – 140 bpm
On Examination
No Fresh Complaints
Treatment Advice
APC

21. PHARMACEUTICAL CARE
PLAN
Subjective evidence: Fast breathing
since yesterday morning.
Objective evidence: Cbc , chest x ray
Assesment:By observing subjective
and objectives evidence the patient
was diagnosed with Bronchiolitis

22. PLANS
Goals to be achieved
 To Control Fast Breathing
 Minimize the risk for infection

23. PHARMACIST
INTERVENTION
 No specific drug interaction found

24. THANK YOU