Children with bronchiolitis, parents should know these treatments

If bronchitis occurs in a child, parents must pay great attention to it, especially to understand the correct treatment method. This disease must not be delayed, and the earlier the treatment, the better the effect. Please see below for the various treatment methods introduced by experts.

1. Promote expectoration

It is extremely important to increase the humidity in the air, and this can usually be done by using a room humidifier. Reasonable application of nebulization therapy in severe cases can be helpful to children. Jet nebulizer can be combined with oxygen for nebulization; ultrasonic nebulization is only used when there is sputum blockage in the respiratory tract.

2. Correct hypoxia

For those with severe wheezing and shortness of breath, the head and chest should be raised first to reduce breathing difficulties. In case of obvious hypoxia, oxygen can be given through a nasal tube, with the tip of the tube placed in the nasal vestibule. In severe cases, continuous positive airway pressure (CPAP) may be used.

3. Stop wheezing

During an episode of wheezing, bronchodilators can be inhaled by nebulization.

4. Water and electrolyte balance

Try to take oral fluids multiple times to replenish the water lost during rapid breathing. If the amount is insufficient, you can receive intravenous fluid replacement. In case of metabolic acidosis, sodium bicarbonate can be infused intravenously.

5. Keep your airways open

For respiratory acidosis, it is advisable to use methods such as nebulization and suction to keep the respiratory tract open. Some cases require CPAP ventilation treatment, and endotracheal intubation and mechanical ventilation can be performed for some extremely severe cases of respiratory failure.

6. Correction of heart failure

Digitalis drugs should be used promptly when concurrent heart failure occurs, and can also be tried early in suspected cases of heart failure.

7. Adrenaline

For children suspected of having asthma, a small dose of epinephrine can be tried, and if it is ineffective, do not repeat it.

8. Interferon aerosol therapy

Recent clinical studies have confirmed its definite efficacy in treating this disease.

9. Treatment with Chinese medicine

For children who can take decoctions, Chinese medicine treatment has a better effect. Generally, Shegan Mahuang Decoction, Dingchuan Decoction or Xiaoqinglong Decoction can be used with modifications. If there are obvious signs of heat such as yellow tongue coating and red tongue, Ma Xing Shi Gan Decoction can be used with modifications.

10. Antibiotic treatment (to control secondary bacterial infection)

This disease is mostly caused by viruses, so antibiotics are generally not required. However, when isolation conditions are poor, penicillin can be used as appropriate to control secondary bacterial infection. If secondary infection such as staphylococcus or influenza bacillus is found, antibacterial treatment should be actively carried out.