Is RSV an emergency?

Seek immediate medical attention or go to the nearest emergency department if you or anyone at risk of severe RSV infection has: Difficulty breathing. High fever. Bluish color to the skin, particularly on the lips and in the nail beds.
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How do you know when RSV is serious?

Some children with RSV may be at increased risk of developing a bacterial infection, such as an ear infection. Call your doctor if your child has: Symptoms that worsen or do not start to improve after 7 days. A fever (with a rectal temperature of 100.4°F or higher) and they are younger than 3 months of age (12 weeks).
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Is RSV urgent?

When do you need to see a doctor for RSV? While you don't need to see a doctor for treatment at the first sign of RSV symptoms, it can be beneficial to test for COVID-19 and flu since the symptoms do overlap. But adults should see an urgent care doctor if they have: Fever above 100.4 degrees for more than two days.
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Do I need to take my baby to the hospital for RSV?

Most babies will recover naturally from RSV without complications. The virus is common, and while sick babies may get a cough, congestion, and sometimes a fever, they will not need hospital treatment.
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What should I worry about with RSV?

Rapid breathing. Wheezing. Belly breathing or using muscles in the ribs or neck to breathe. Flaring nostrils.
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You should also call your doctor if your child:
  • Is dehydrated.
  • Has difficulty breathing.
  • Has gray or blue color to their tongue, lips or skin.
  • Is significantly less active or alert than usual.
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RSV Bronchiolitis Emergency Management



Should someone with RSV quarantine?

If you have RSV, stay home as much as possible until you're no longer contagious. If you go out, wear a mask. And make sure to avoid people who are at risk for serious RSV infection, including infants, older adults, and those with chronic medical conditions.
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What day is worse with RSV?

Some may be sick for only a few days, others for one to two weeks. But we typically see cases of RSV get worse before they get better (just like the common cold). If a child is diagnosed on Day 2, mostly likely the virus will get worse before it gets better.
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When do I take my child to the ER for RSV?

Immediately head to the ER if your baby exhibits any of the following symptoms:
  1. Dehydration (decrease in wet diapers)
  2. Difficult, labored, shallow or rapid breathing.
  3. High fever.
  4. Lethargy.
  5. Skin turning blue (especially lips and fingernails)
  6. Unresponsiveness.
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Should I let my baby sleep with RSV?

The best way to treat bronchiolitis is to support your child and let their immune system do the work. This means making sure they have plenty of fluids and sleep. You also can help them clear out the mucus by using a cool mist humidifier and loosening up the mucus with saline drops in the nose. Do not use water.
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How should a baby sleep with RSV?

How should a baby sleep with RSV? Just like any virus, rest is vital for recovery from RSV, particularly for babies and children. It is recommended that infants should sleep in a reclined position if possible. You can create this sleeping environment by putting a pillow or thick blanket underneath the cot mattress.
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What is the fastest way to cure RSV?

You may not be able to shorten the length of a respiratory syncytial virus infection, but you can try to relieve some signs and symptoms.
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Other tips for relieving symptoms are:
  1. Create moist air to breathe. ...
  2. Drink fluids. ...
  3. Try saline nasal drops. ...
  4. Use over-the-counter pain relievers. ...
  5. Stay away from cigarette smoke.
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How often does RSV require hospitalization?

One to two out of every 100 children younger than 6 months of age with RSV infection may need to be hospitalized. Those who are hospitalized may require oxygen, IV fluids (if they aren't eating and drinking), and/or mechanical ventilation (a machine to help with breathing).
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What do doctors prescribe for RSV?

Medications to treat respiratory syncytial virus (RSV) infection include the antiviral drug ribavirin, which can be used in severe high-risk cases, and bronchodilators. The efficacy of bronchodilators or racemic epinephrine in treating RSV disease remains unproved.
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When should I call the doctor for RSV?

You should talk to your pediatrician or healthcare provider if your child has RSV and is showing signs of bronchiolitis or pneumonia. Other reasons you should contact your doctor include if your child: Is irritable. Is not eating or drinking well.
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How do you know if RSV is turning into pneumonia?

A barking or wheezing cough can be one of the first signs of a more serious illness. In these instances, the virus has spread to the lower respiratory tract, causing inflammation of the small airways entering the lungs. This can lead to pneumonia or bronchiolitis.
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Does RSV cough get worse at night?

The symptoms are often worse at night. Most children start to improve after 4 days. The infection may be worse and last longer in children under 3 months, premature babies or children with lung or heart problems.
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Does RSV cause SIDS?

Infection—particularly with the respiratory syncytial virus (RSV)—is another factor that is strongly suspected to trigger the fatal course of events that lead to SIDS. RSV is known to cause severe LCR-induced apnea, and infected infants occasionally require mechanical ventilation to prevent death.
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Why is RSV so hard on babies?

Babies are born with the tiniest of airways. Viruses like RSV inflame those airways, making it difficult to breathe. The smaller the airway, the less inflammation it takes to close it off. What's more, viruses are usually more severe the first time they infect people.
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Can babies stop breathing with RSV?

Severe RSV symptoms

But even healthy children can become sick when RSV moves down into the lungs to cause bronchiolitis or pneumonia. Children with severe RSV have cold symptoms but also signs of respiratory distress (VIDEO): Fast breathing. Pauses in their breathing.
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What does a RSV cough sound like?

Children with RSV typically have two to four days of upper respiratory tract symptoms, such as fever and runny nose/congestion. These are then followed by lower respiratory tract symptoms, like increasing wheezing cough that sounds wet and forceful with increased work breathing.
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How long is RSV a concern?

RSV typically lasts a week or two, and most kids get better on their own. But the virus can cause more serious infections. Sometimes RSV can lead to bronchiolitis, an infection of the lower respiratory tract, or pneumonia, a lung infection.
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Do oxygen levels drop with RSV?

Low oxygen (or hypoxemia) often happens in RSV bronchiolitis. Infants may receive oxygen through short tubes that feed into their nostrils. This will help them work less hard to breathe and will keep their breathing muscles from getting too tired. Bronchodilators.
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Does RSV peak at day 5?

RSV symptoms typically peak on days 3 through 5 after infection. Fortunately, almost all children recover from an RSV infection on their own.
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How long does RSV take to run its course?

What Is RSV? RSV (respiratory syncytial virus) is a common respiratory virus that usually causes mild, cold-like symptoms. For most people, recovery is 7-14 days. But in young children and older adults, it can be a more serious situation.
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How long should you quarantine with RSV?

People infected with RSV are usually contagious for 3 to 8 days and may become contagious a day or two before they start showing signs of illness. However, some infants, and people with weakened immune systems, can continue to spread the virus even after they stop showing symptoms, for as long as 4 weeks.
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