Brandon Bullock is a 4-year-old boy who presents with a 2-day history of runny nose, productive cough, and wheezing.

Brandon Bullock is a 4-year-old boy who presents with a 2-day history of runny nose, productive cough, and wheezing. He lives at 895 Bullock Lane, Farmville, OH. Subjective fever and decreased appetite also were noted. He has no known cardiopulmonary disease and his immunizations are current. His two younger siblings are recovering from “chest colds.” On exam, he is febrile (103.2), with a resp. rate of 22. His wt. is 40# and he has NKDA. His examination is remarkable for congested nares, clear rhinorrhea, coarse breath sounds in all lung fields, and bibasilar expiratory wheezes. What diagnostic tests would be necessary to obtain a diagnosis? Based on the diagnosis, what treatment, both pharmacologic and non-pharmacologic, is needed? Write a prescription for Brandon, answer the above questions and submit to BB.

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