A 1-year-old male is in respiratory distress and wheezing. His pulse is 156, respirations 32, and SpO2 95 on 5 liters of blow-by oxygen. His mother denies a medical history for him, but states that she suffers from asthma and uses an albuterol inhaler. Of the following, what would be appropriate in the care of this child?
A) Transport in semi-Fowler's position.
B) Contact medical direction for authorization to administer albuterol MDI.
C) Add humidity to the oxygen.
D) Increase oxygen to high concentration through a mask.
Question 2
An alert and distressed 72-year-old male with a history of congestive heart failure is in severe respiratory distress, breathing 28 to 32 times a minute. His airway is patent, respirations labored, and skin diaphoretic with a weak and rapid radial pulse. Vital signs are: pulse 136, respirations 28, blood pressure 202/110 mmHg, and SpO2 83. Cyanosis is evident in the fingertips. The best treatment of his breathing would be:
A) CPAP.
B) albuterol MDI.
C) high-concentration oxygen with a nonrebreather.
D) nasal airway with high-concentration O2.
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