Introduction: This article will discuss a case study of Liam, a three month old boy who is transferred from the general practitioner (GP) to the affected pediatric ward of bronchiolitis. Initially, Liam's main health concerns will be identified, followed by a nursing assessment and diagnosis of the child's needs. Emphasis will be placed on the management of two major health problems: respiratory distress and dehydration, as well as the synthesis and evaluation of interventions with evidence of learning. Finally, a conclusion from the author's self-assessment will be present. Identification of specific key issues: Liam is a previously healthy boy who has suffered from rhinorrhea, intermittent cough, and poor diet for the past four years. days. His positive nasopharyngeal aspirate result for respiratory syncytial virus (RSV) indicates that Liam is suffering from acute bronchiolitis which is a viral infection (Glasper and Richardson, 2010). “Bronchiolitis is the most common reason for hospitalization during the first 6 months of life. It describes a clinical syndrome of tachypnea, cough, feeding difficulties and inspiratory crackles on chest auscultation” (Fitzgerald, 2011, p.160). Bronchiolitis can cause respiratory distress and desaturation (91% in room air) in Liam due to airway blockage; therefore, the infant appears to exhibit nasal flaring, intercostal and subcostal retractions, and tachypnea (54 breaths/min) during breathing (Glasper and Richardson, 2010). Tachycardia (152 beats/min) could occur due to hypoxemia and a compensatory mechanism for low blood pressure (74/46 mmHg) (Fitzgerald, 2011; Glasper and Richardson, 2010). Additionally, Liam has a fever and conjunctival injections that could be the result of an infection, as evidenced by a high temperature (38.6°C) and bilateral tympanic membrane...... middle of paper .......) and dehydration (e.g. sunken fontanel, dry mucous membranes, decreased urine flow and intolerance to fluids through the mouth), participate in care and reduce anxiety/stress during hospitalization of Liam (Axton and Fugate 2009; Pillitteri, 2010) Additionally, Liam's older sister can understand the reason for Liam's admission to the hospital and the care she might provide once Liam is released (Pillitteri, 2010). Conclusion: In summary, the article focused on caring for an infant with bronchiolitis. The student nurse realized that it is important to collect information from parents because they are the ones. know their baby best. Nursing interventions should encourage family members to participate because they care most about their child. Special attention should be given to children attending day care and follow-up care is necessary.: 1674