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RSV Season November through April Risk Factors for RSV 1. Premature birth; 2. Bronchopulmonary dysplasia 3. Cyanotic or complicated congential heart disease 4. Immunodeficient 5. Airway probs Synagis generic name Palivizumab Dose of Synagis (palivizumab) 15mg/kg/dose IM Q month during RSV season Synagis OK for cyanotic congenital heart disease? YES Synagis OK with other vaccines? YES For most conditions, what is the max number of doses of Synagis that can be given? Five (5) What is the only one that is given a max of 3 doses in RSV season? Those born 32-35 weeks gestation who are less than or equal to 3 months @ the start of the season. If born @ 28 weeks or earlier, can give up to? 12 months If born @ 29-32 weeks, can give up to? 6 months If bronchopulmonary dysplasia (CLD) w/ med TX within 6 months of RSV season, can give up to? Less than 24 months If hemodynamically significant acyanotic and cyanotic congenital heart disease, can give up to? 24 months If born @ 32-35 weeks with 1 risk factor (daycare, siblinings less than 5yo) and born 3 months before or during RSV season, can give up to? Less than 3 mo If born before 35 weeks with congenital abnormalities of airway or neuromuscular disease compromising respiratory secretion, can give up to? 12 months Treatment of RSV (not high risk group)? 1. Hydration; 2. Oxygen 3. Mechanical ventilation PRN Treatment of RSV (high risk group)? Ribavirin What's a high risk group? 1. Complicated congenital heart disease 2. Bronchopulmonary dysplasia 3. Immunocompromised