Spectrum: Local Antimicrobial Stewardship, for UCLA Health

PICU/SM Step Down Unit

Treatment

Keep NPO. IVF to maintain hydration

Consider chest PT if atelectasis

If wheeze, consider albuterol – continue if PAS improves by ≥ 1

Consider HFNC if hypoventilation or hypoxemia despite regular NC

Consider heliox if persistent WOB and FiO2 ≤30%

Other Treatments

Antibiotics: If patient has evidence of bacterial super- or co-infection or underlying medical problems placing them at higher risk for complications

Steroids: Not indicated

Deep suctioning: Not indicated

Oseltamivir*

*If influenza suspected/confirmed within 48hrs of symptom onset or if patient has underlying medical problems placing them at higher risk for complications

Discontinue monthly palivizumab prophylaxis if breakthrough RSV infection