Respiratory Distress

You are treating a 10-year-old asthmatic with severe respiratory distress and wheezing in all lung fields.

Bystanders performed CPR on the scene. Patient arrives in the emergency department with initial vitals demonstrating T: 38.7, P: 160, R: 40,BP: 110/70, O₂: 88%.

Rhythm strip demonstrates the following:

A six-year-old presents in respiratory distress, noted to be stridulous with a barky cough.

A 14-year-old presents with known peanut allergy in respiratory distress subsequent to accidentally ingesting a peanut.

Initial vitals demonstrate: T: 37.0, R: 30, HR: 130, BP: 80/30, O₂: 93%.