Guidance on bronchiolitis (most often caused by RSV) continues to emphasize supportive care: assessment of respiratory status, hydration, and oxygenation, while avoiding interventions that don't help most infants — routine bronchodilators, steroids, and routine chest imaging are generally not recommended.
The clinical message centers on careful, repeated assessment of the work of breathing and feeding. Nasal suctioning to clear secretions, maintaining hydration, and supplemental oxygen when indicated are the mainstays, with escalation for increasing distress, apnea, or poor feeding.
Why this matters on shift
Most infants with bronchiolitis need careful monitoring rather than aggressive treatment. Nurses provide the repeated respiratory assessments and family teaching that catch deterioration early and prevent unnecessary interventions.