A Primi mother having 3 weeks male child, which is presenting with noisy breathing sound child is afebrile, sleeping & feeding well & on clinical examination, He is normal Management protocol include –
This 3 weeks male child with noisy breathing does not have chest indrawing or fast breathing (as clinical examination is normal).
So, this child is having simple cough or cold, no pneumonia.
Management includes : -


Reassurance to mother
Frequent breast feeding
Keep the baby warm
Clear the nose
Begin IV antibiotics
Reassure & give saline nasal drop
Give recemic epinephrine
Order for a chest X–ray