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학습 자료 둘러보기 →For an infant with RSV bronchiolitis presenting with hypoxemia (SpO2 88%), the immediate priority is to correct the oxygen deficit. Administer supplemental oxygen to maintain SpO2 above 90% and position the infant in semi-Fowler's to optimize ventilation.
Signs of severe distress include a respiratory rate >70/min, grunting, and subcostal retractions. These indicate impending respiratory failure, making airway and breathing support the top clinical priority within the ABC framework.
Avoid routine bronchodilator therapy and chest physiotherapy as they lack evidence for RSV and can worsen distress. Do not encourage oral fluids due to high aspiration risk with severe tachypnea.
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