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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For RSV Infection In An Infant

MY 5 MONTH OLD PREMATURE BABY HAS RSV,I WANT TO KNOW WHAT SIGNS I SHOULD WATCH FOR SHE COUGHS AS IF TRYN TO CLEAR HER THROAT DOES SWALLOW PLEM THEN VOMIT OR SPIT UP I SORINGE IT OUT I V BUMPT HER OXYGEN UP 1/2 A LETER IN TWO DAYS SATS DROP TO MID 80S BUT THE NEB BRINGS HER TO LOW TO MID 90S EATS FINE DOES PEE REAGULAR & STOOL NORMAL
Mon, 4 May 2020
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General Surgeon,  's  Response
Hello,

* As per my clinical experience, the Respiratory syncitial virus infection may provoke variety of problems in an infant of 5 months ranging from

- low grade bronchitis,
- interstitial inflammation
- severe pneumonia
- acute respiratory distress syndrome as well depending upon the viral load and host immune response.

So following signs would be best to judge with recovery aspect of the child as obviously at this age, spitting and vomiting will only be the protective measures against coughing.

@ raised rate of respiration
@ fast, shallow breaths
@ central ( peri oral ) or peripheral ( limbs ) cyanosis, with bluish discoloration indicative of low oxygenation of tissues
@ high pulse rate on persistent basis
@ retraction of intercostal muscles indicative of use of extra efforts to breath
@ running temperature despite antibiotics
@ lethargy
@ poor feeding
@ low urine output

Treatment depends upon the clinical assessment and has to be co related with severity on chest x-ray and lab data.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr. Bhagyesh V. Patel
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Suggest Treatment For RSV Infection In An Infant

Hello, * As per my clinical experience, the Respiratory syncitial virus infection may provoke variety of problems in an infant of 5 months ranging from - low grade bronchitis, - interstitial inflammation - severe pneumonia - acute respiratory distress syndrome as well depending upon the viral load and host immune response. So following signs would be best to judge with recovery aspect of the child as obviously at this age, spitting and vomiting will only be the protective measures against coughing. @ raised rate of respiration @ fast, shallow breaths @ central ( peri oral ) or peripheral ( limbs ) cyanosis, with bluish discoloration indicative of low oxygenation of tissues @ high pulse rate on persistent basis @ retraction of intercostal muscles indicative of use of extra efforts to breath @ running temperature despite antibiotics @ lethargy @ poor feeding @ low urine output Treatment depends upon the clinical assessment and has to be co related with severity on chest x-ray and lab data. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Bhagyesh V. Patel