Bronchiolitis Oral/Enteral Feeding Guidance, Emergency Department and Inpatient – Mild/Mod Respiratory Distress

Bronchiolitis Oral/Enteral Feeding Guidance Clinical Pathway — Emergency Department and Inpatient

Patient with Mild/Mod Respiratory Distress

The highest rating in any of the categories below determines the patient's starting position on the pathway. A severe rating in any category indicates a starting position in the Severe classification. All Moderate assessments, or a mix of Mild and Moderate would indicate a starting position in the Moderate classification. When in doubt, err on the side of classifying a patient as more severe.

  Mild (0) Moderate (1) Severe (2)
RR < 3 months 30-60 61-80 > 80
3 – < 12 months 25-50 51-70 > 70
1y – 2y 20-40 41-60 > 60
WOB None or mild Intercostal retractions Nasal flaring, grunting, head bobbing
Mental Status Baseline Fussy or anxious Lethargic or inconsolable
Oxygen Requirement None* Any Any
Suctioning Bulb Wall/Bulb Wall

*Any need for supplemental oxygen precludes Mild classification