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Chapter 16: Problem 5

A 15-month-old is admitted with a diagnosis of bronchiolitis. Which medication is recognized as the only effective treatment for bronchiolitis? A. Ribavirin B. Respigam C. Sandimmune D. Synagis

Short Answer

Expert verified
Answer: Ribavirin

Step by step solution

01

Option A: Ribavirin

Ribavirin is an antiviral medicine prescribed for severe cases of viral infections like respiratory syncytial virus (RSV), which can cause bronchiolitis. However, its use in treating bronchiolitis is controversial and not widely accepted as the only effective treatment.
02

Option B: Respigam

Respigam, or RSV-IGIV (Respiratory Syncytial Virus-Immune Globulin Intravenous), is an immune globulin used to prevent severe lower respiratory RSV infections in high-risk patients, such as premature infants or infants with chronic lung disease. It is not a treatment for bronchiolitis but a preventive measure for high-risk individuals.
03

Option C: Sandimmune

Sandimmune, or cyclosporine, is an immunosuppressive medication used to prevent organ rejection after transplant surgery. It is not used in the treatment of bronchiolitis and has no role in managing bronchiolitis cases.
04

Option D: Synagis

Synagis, or palivizumab, is a monoclonal antibody given as a prophylactic measure to prevent serious RSV infections in high-risk infants and children with specific health conditions. As with Respigam, Synagis is not a treatment for bronchiolitis, but its use helps in reducing the risk of serious RSV infections, which can cause bronchiolitis.
05

Conclusion

Based on the information available, Ribavirin (A) is the only medication among the options provided that is actually used in treating bronchiolitis cases, although its effectiveness is still a matter of debate. However, in the context of this exercise, the correct answer seems to be A. Ribavirin.

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