Pediatric Assessment: PDA With RSV

Pediatric Assessment: PDA with RSV
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The most frequent cause of bronchiolitis, the lower respiratory tract infection, is a respiratory syncytial virus (RSV) (Silver & Nazif, 2019). The presence of laboratory evidence, such as an RSV nasal swab, can support the diagnosis of bronchiolitis. On the other hand, a congenital cardiac abnormality known as patent ductus arteriosus (PDA) results when the ductus arteriosus fails to seal correctly within the first few hours or days of life (Gillam-Krakauer & Reese, 2018). In this case, the history of PDA is significant because it suggests that the patient may have an increased risk of developing bronchiolitis due to the increased pulmonary blood flow. This increased risk is accelerated because the patient is in the lower than 10th percentile of weight and has a history of respiratory syncytial virus (RSV).
Vivi Mitchell is at a greater risk for developing bronchiolitis due to her low birth weight and her cardiac history of Patent Ductus Arteriosus (PDA) (Bennett et al., 2018)). Her age (6 months old) also places her in a more significant risk group. Additionally, her mother's occupation as an ER nurse exposes her to contact with infectious diseases. Vivi's two other siblings, who attend daycare, also put her at greater risk for contracting the virus. Finally, her current symptoms, such as rhinorrhea, congestion, fever, and cough, indicate an increased risk of developing bronchiolitis.
The characteristic signs and symptoms of bronchiolitis include wheezing, rhinorrhea, congestion, fever, and cough (Karim et al., 2018). The child m...