A 6-year-old female is in severe respiratory distress with inspiratory stridor and pale moist skin with cyanosis noted around his mouth. He is very lethargic and cannot hold his head up. His mother is panicked and reports that he has a history of asthma. Breath sounds are diminished and his vital signs are: pulse 162, respirations 40, blood pressure 122/66, and SpO2 81. Your immediate action would be to:
A) apply a nonrebreather with 15 lpm oxygen.
B) insert an oral airway and ventilate with a bag-valve mask.
C) start positive pressure ventilation.
D) administer patient's albuterol MDI and provide immediate transport.
Question 2
Which of the following would LEAST likely indicate that an emergency is due to drugs or alcohol?
A) Unresponsive patient with unequal pupils
B) Open sores and scars to the upper arms
C) Empty liquor bottles at the scene
D) Hospital discharge order with a pain prescription
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