<s>[INST] Dear Doc... My 13 month old is having a bad cough accompanied with high fever and wheeze. He has been given nebulization with beudecort twice today ,and once with levolin.How soon can I repeat levolin , as he seems still very uncomfortable . Thank you. Worried mom... [/INST] your child seems to have either bronchiolitis or a viral pneumonia, the hint here is the wheeze, if your child have bronchiolitis then the bronchodialator like levloin and inhaled steroids like budesonide will not add much but sometimes it's helpful .if the child is not hypoxemic and he doesn't have shortness of breath and sever tachypnea ( high respiratory rate ) then you can manage him at home with these nebulizers otherwise he should be admitted .the salbutamol or levolin can be repeated every 3 hours unless the child experience a rapid heart beat . if your child is not assessed by his pediatrician I recommend you take him before any further treatment for better assessment .I hope this helps </s>