Saturday, August 9, 2014

Question 16

16.  Your patient is a 3 month old female that present with cough, wheezing and nasal congestion.  She was a full term infant born of a group B strep negative mother.  Immunizations are up to date.  The patient has had 2 albuterol aerosols and 2 mg/kg of prelone.  RSV negative and Chest X Ray shows bronchiolitis without infiltrate.  Her breath sounds are now clear.  Her repeat vital signs are as follows:  BP 86/38, HR 156, RR 80, SpO2 95%, Temp 99.3 Rectal.  Based upon this information which of the following choices would be the appropriate disposition.

A.  Discharge home with home albuterol aerosols and prelone 2 mg/kg PO daily for 5 days
B.  Given the paint Rocephin 50 mg/kg IV and discharge home with follow up with PCP in AM
C.  Admit to hospital
D.  Send home with Racemic Epinephrine Aerosols

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