Patient discussions
Carers should be aware of the signs of worsening respiratory status (signs include grunting, nasal flaring, and intercostal and/or subcostal retractions), poor feeding, poor fluid intake, cyanosis or apnoea, and lethargy/exhaustion.[2][53] They should be instructed to return for follow-up if the patient's clinical status deteriorates or does not improve. Ensure that carers are advised not to smoke in the baby or child's home as it increases the risk of severe symptoms in bronchiolitis.[1][45][53]
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