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학습 자료 둘러보기 →In infants with RSV bronchiolitis showing subcostal retractions and nasal flaring, the priority is to reduce work of breathing. Place the infant in Semi-Fowler's position (head elevated 30-45 degrees). This uses gravity to lower the diaphragm and improve lung expansion without causing agitation.
Supportive care is the cornerstone of management. Avoid interventions that may increase distress, such as unnecessary suctioning or chest physiotherapy. Maintain a calm environment and cluster care to minimize oxygen consumption.
Do not force oral fluids in an infant with significant tachypnea and retractions. The increased respiratory rate raises the risk of aspiration. Ensure airway patency and positioning are optimized first, then consider small, frequent feeds or IV fluids if dehydration is a concern.
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