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re: PSA to Parents: RSV is very bad this year

Posted on 12/24/16 at 11:06 pm to
Posted by ByteMe
Member since Sep 2003
22360 posts
Posted on 12/24/16 at 11:06 pm to
My son was admitted to the hospital with RSV at 6 weeks old. While there he started projectile vomiting and he was diagnosed with pyloric stenosis. Going under anasthesia for the surgery while having RSV was some scary shite.
This post was edited on 12/24/16 at 11:07 pm
Posted by Bossier2323
Bossier CIty
Member since Sep 2014
1918 posts
Posted on 12/24/16 at 11:08 pm to
My 1 Y/O boy was diagnosed with RSV on Monday. He's a bad son of a bitch, so it doesn't affect him much.
Posted by Scruffy
Kansas City
Member since Jul 2011
77963 posts
Posted on 12/24/16 at 11:12 pm to
quote:

Going under anasthesia for the surgery while having RSV was some scary shite.
Damn. That's crazy.
Posted by ByteMe
Member since Sep 2003
22360 posts
Posted on 12/24/16 at 11:17 pm to
quote:

Damn. That's crazy.


They wouldn't let him eat and his veins weren't developed enough to feed him intravenously, so they couldn't wait for the RSV to clear up. That's what we were told, anyway.
This post was edited on 12/24/16 at 11:18 pm
Posted by Scruffy
Kansas City
Member since Jul 2011
77963 posts
Posted on 12/24/16 at 11:34 pm to
quote:



They wouldn't let him eat and his veins weren't developed enough to feed him intravenously, so they couldn't wait for the RSV to clear up. That's what we were told, anyway.
Never heard that before. Glad everything turned out ok.
Posted by ByteMe
Member since Sep 2003
22360 posts
Posted on 12/24/16 at 11:36 pm to
quote:

Never heard that before. Glad everything turned out ok.


That was 17 years ago. I'm sure things are different now.
Posted by Scruffy
Kansas City
Member since Jul 2011
77963 posts
Posted on 12/24/16 at 11:39 pm to
Ok, yea, maybe things are different now.

I didn't want to bad mouth anyone, but we feed neonates via IV if we have to.
Posted by JackTMed
Member since Jan 2004
3214 posts
Posted on 12/25/16 at 12:16 am to
Cmon Scruffy, you should know better. The virus is the same every year, it doesn't change like the flu and can't be any 'worse'. And you shouldn't be testing for RSV anymore, at least that's what the AAP says and best practice measures these days.

??
Posted by Marco Esquandolas
Member since Jul 2013
11878 posts
Posted on 12/25/16 at 12:33 am to
JackTMed tryin' to show Scruffy up by being all doctorish?

Scruffy shouldn't take kindly to this. Scruffy should unleash some pediatric doctorin' all up on JackT's medical arse...that'll learn 'em.
Posted by Scruffy
Kansas City
Member since Jul 2011
77963 posts
Posted on 12/25/16 at 12:39 am to
quote:

The virus is the same every year, it doesn't change like the flu and can't be any 'worse'.


Maybe kids are just weaker.

It's been a bad season this year. More widespread than it was last year and our PICU has more kids intubated and on ECMO this year.

Yes, this virus is the same, but some years are worse than others.

quote:

And you shouldn't be testing for RSV anymore, at least that's what the AAP says and best practice measures these days.

We don't. Clinics and other hospitals still do.

Maybe I should have said "bronchiolitis is worse this year".
Posted by lsunurse
Member since Dec 2005
129146 posts
Posted on 12/25/16 at 12:39 am to
What do you mean don't test for RSV anymore????


I work on a Peds acute floor and we do a respiratory viral panel on any kid with respiratory symptoms to check for RSV, HRV(human rhinovirus), coronavirus, flu, etc so we can put them in the appropriate isolation and better treat them

And we are seeing a lot of RSV....but not more than we usually see the time of year here.

But yeah....RSV can be really rough on babies (babies can still die from it). I actually feel like crap now....likely RSV.....occupational hazard
Posted by Scruffy
Kansas City
Member since Jul 2011
77963 posts
Posted on 12/25/16 at 12:41 am to
The AAP doesn't recommend testing for RSV since bronchiolitis is a clinical diagnosis. No X-ray either.

It doesn't change management.

We get the viral panels on the more severe kids and treat others as assumed and put them on contact/droplet precautions.
This post was edited on 12/25/16 at 12:43 am
Posted by lsunurse
Member since Dec 2005
129146 posts
Posted on 12/25/16 at 12:47 am to
Seems like we just swab most all the respiratory kids here. We swab nose and back of throat and send in same medium. Tests for like 10-12 different resp viruses.


However though.....the patient population we treat is your more poorer patients as well as several undocumented patients and refugees from other countries such as Somalia, Burma, etc. So we see some really sick kids. This place is a playground for residents because of all the crazy stuff that comes in.


P.s.----I'm leaving Peds. Gonna be a infection control nurse. Should be quite a change. Seems like it could be really interesting as well.
Posted by MBclass83
Member since Oct 2010
10383 posts
Posted on 12/25/16 at 7:56 am to
C. Diff can cause the raging shites.

We also have had several senior patients with RSV.
This post was edited on 12/25/16 at 7:59 am
Posted by el Gaucho
He/They
Member since Dec 2010
60078 posts
Posted on 12/25/16 at 8:40 am to
nice psa

Another disease cooked up in a govt lab to trick parents into getting their childrens flouride injections so they can be good little sheep
Posted by JackTMed
Member since Jan 2004
3214 posts
Posted on 12/25/16 at 8:52 pm to
I'm just ribbing you Scruffy, I knew what you meant. Bronchiolitis hadn't been any worse where I'm at but that's probably because it seems to be relentless for us every year.

And lsunurse, yeah the acute care units still test for everything because if you end up in the unit or a step down floor we kinda feel a little more pressed to determine what got you there and to make sure the other kids on the floor don't get it too (universal vs droplet precautions, etc...). For run of the mill bronchiolitis though we're not supposed to test, X-ray, nor give albuterol as standards anymore.
Posted by matthew25
Member since Jun 2012
9425 posts
Posted on 12/25/16 at 9:23 pm to
OT docs, just came down with a cold today on Christmas. Everything is closed. Runny nose, drainage down back of throat, stomach upset, aches.

What to do? (Taking mucinex)
Posted by Got Heeem
Georgia
Member since Sep 2012
3631 posts
Posted on 12/25/16 at 9:25 pm to
My 11 month old girl has it. She's been a trooper tho. My neighbors kid had it 3 weeks ago and was hospitalized for 3 days.
Posted by CorkSoaker
Member since Oct 2008
9823 posts
Posted on 12/25/16 at 9:30 pm to
Take Tylenol or Advil, rest, drink fluids, eat hot soup.
Posted by SirSaintly
Uptown, New Orleans
Member since Feb 2013
3187 posts
Posted on 12/25/16 at 9:40 pm to
quote:

Vaccines take care of that.


Unless you have a nutjob parent who refuses to vaccinate their kid b/c their retarded like a friend of mine
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