Bronchiolitis treatment typically includes

• A. Nebulized racemic epinephrine only for mild distress.
• B. Position of comfort, supplemental oxygen, suction thick secretions.
• C. Immediate intubation for all infants.
• D. Antibiotics to prevent progression.

Answer: (B)

Bronchiolitis is usually a viral illness that narrows the small airways, so the goal is to support breathing and hydration while the virus runs its course. Positioning the infant in a comfortable way helps reduce the work of breathing and improves airway mechanics. Providing supplemental oxygen when oxygen levels are low prevents hypoxemia and supports overall oxygen delivery. Suctioning thick secretions clears the airway, making breathing and feeding easier. Immediate intubation for all infants isn’t needed and is reserved for those with failing respiration or severe apnea. Antibiotics aren’t routinely given because bronchiolitis is viral; they’re only used if there’s a suspected bacterial coinfection. Nebulized racemic epinephrine isn’t a standard, universal treatment for mild bronchiolitis and is typically considered only in specific moderate-to-severe cases in certain settings.