![]() Discontinue oxygen if the saturation remains stable at > 90% (at least 15 min on room air). Remove oxygen for a trial period each day for stable children while continuing to use a pulse oximeter to determine oxygen saturation. If a pulse oximeter is not available, continue oxygen until the signs of hypoxia (such as inability to breastfeed or breathing rate ≥ 70/min) are no longer present. Give oxygen to all children with oxygen saturation 90%). Hyper-resonance on percussion of one side of the chest –Ģ–6-month-old child with central cyanosis –Ĭhest X-ray changes, but chest clear on auscultation –Įnsure continuous oxygen supply, either as cylinders or oxygen concentrator, at all times. ![]() Sudden onset, usually after major chest trauma – Sudden onset of stridor or respiratory distress –įocal areas of wheeze or reduced breath sounds Paroxysms of cough followed by whoop, vomiting, cyanosis or apnoea – Known or family history of allergy or asthmaĭiagnostic chest X-ray may show primary complex or miliary TB – Night cough or cough and wheeze with exercise – Recurrent episodes of shortness of breath or wheeze – Stony dullness to percussion (over the effusion) – Reduced movement on affected side of chest – Burns can cause serious, lasting injury and should be dealt with immediately.Coarse crackles or bronchial breath sounds or dullness to percussion – Whether it’s too many vitamin pills or the wrong medication, if you suspect they have consumed something dangerous, call poison control or head to the hospital. Babies like to put things in their mouths, which can sometimes lead to real trouble.
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