Reply to Cough - should I take infant in to be sure it isn't RSV?

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Reply to "Cough - should I take infant in to be sure it isn't RSV?"

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[quote=Anonymous]Hi OP,
I just took my 9 month old in to urgent care last night. Here is how I knew how to go:

He was breathing fast.
His nostrils flared occasionally while breathing.
He had minor retractions when breathing (with each breath, you could see an indentation around his sternum- this can also appear around the ribs or between the clavicles).

I also contacted the after hours line for my pediatricians office and sent them a video of him breathing. The on-call physician advised me that I should take him to urgent care so that someone could listen to his lungs.

At the urgent care pediatrician, they listened to his breathing and heard a bit of tightness and a tiny hint of wheeze. They gave him a nebulizer treatment with albuterol, and then reassessed. Because his breathing sounded better after the treatment, they sent me home with a nebulizer machine and a prescription for albuterol, with instructions to repeat the treatment every 4 hours.

If he had not responded to the in-office nebulizer treatment, they would have sent me to the hospital for oxygen.

Today we had a follow-up and he tested positive for RSV. I was advised to continue the nebulizer 4 hour treatments until at least Sunday.

My point, other than hopefully providing helpful info about what a progression of treatment would look like, is that it didn't matter whether it was RSV or adenovirus or something else that caused the breathing issues. The breathing issues themselves are what will send you in and what you should be watching for.[/quote]

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