Bronchitis
The cold weather brings with it several respiratory illnesses. The cold harsh winds cause bronchospasm. The child develops dry cough and fever. The respiratory rate increases becoming more than 40 breaths/minute. There is nasal flaring and the intercostal spaces start depressing. The sub costal area i.e. the area between the ribs and abdomen starts developing a depression. There is wheezing, sounds can be heard coming from the chest. Cough is continuous and bouts of coughing occur. Bronchitis is generally viral with super added bacterial infection. The fever may increase to more than 101 Fahrenheit. This condition should be taken as an emergency. Nebulization should be immediately started, using normal saline and other bronchodilators as prescribed by the physician. Humidifier is very helpful as well as steam inhalation. If necessary, oxygen may be given to the child. Intravenous antibiotics should be started. Anti-allergies need to be given. Bronchodilators as advised by t