Initial Assessment
Begin with severity screening
Bronchiolitis Distress Score > 8 or Lethargy Present?
Tap the BDS button in the top-right for a quick reference to the full score and threshold.
Clinical Assessment
Evaluate clinical signs of dehydration
General Appearance
1/4Eyes
2/4Mucous Membranes
3/4Tears
4/4
Total Score:
—
Hydration Management
Determine appropriate treatment strategy
Meeting PO Hydration Goals?
Can the patient maintain adequate oral hydration?
Advanced Assessment
Identify barriers to oral rehydration
Frequent Emesis (Not Controlled by Antiemetics) or Difficult Airway/Airway Anomaly?
Contraindications for oral hydration