Is bronchiolitis the primary dx? (v.s. asthma)
SEVERE
Respiratory Score 9-12
Respiratory Score 1 - 4
Consider trial of nebulized albuterol and repeat score in 30 minutes
Consider trial of nebulized saline (if not previously tried) and repeat score in 30 minutes
Respiratory Score 5 - 8
Respiratory Score 9 - 12
Tests & Treatments NOT ROUTINELY RECOMMENDED
Tests
Treatments
Did R.S. improve >2 points?
Repeat Respiratory Score with frequency according to severity.
Refer to discharge criteria
MILD
Respiratory Score 1-4
Calculate Respiratory Score
Weaning Oxygen
Initial patient assessment
MODERATE
Respiratory Score 5-8
If you have questions about any of the clinical pathways or about the process of creating a clinical pathway please contact the Clinical Pathway Oversight Committee at CPOC@montefiore.org.
Disclaimer: Clinical pathways are intended as a resource to guide diagnosis, treatment and management in order to improve quality of care and promote better patient outcomes. They are based on available medical evidence at the time of development; the date on the pathway indicates the most recent update. Pathways are not intended to provide medical advice or consultation regarding the care of any individual patient, and should not replace or supersede a practitioner’s professional opinion or clinical judgment. Because medical knowledge is constantly evolving, and accepting the possibility of error, The Children’s Hospital at Montefiore does not warrant or represent that pathways are complete or accurate. Neither the Hospital nor the individuals involved in the development or publication of the pathways is responsible for results or outcomes related to their use.
Corresponding EPIC Order Set:
Did RS improve >2 points after nebulized albuterol?