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:
1. Which option describes the best management of the patient?*
- Adenosine
- Nebulizers, IV steroids, IV fluids
- Cardioversion
- IVFs

A six-year-old presents in respiratory distress, noted to be stridulous with a barky cough.
2. Where is the airway constriction most likely? What is the narrowest portion of the pediatric airway?*
- Lower airway, below the glottis at the cricoid cartilage
- Upper airway, below the glottis at cricoid cartilage
- Lower airway, epiglottis
- Upper airway, epiglottis

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%.
3. Which defines this type of shock?*
- Cardiogenic
- Hypovolemic
- Distributive
- Restrictive

4. Which describes appropriate management of the 14-year-old patient with known peanut allergy?*
- Initiate CPR
- Administration of epinephrine, supplemental oxygen, IVFs
- Amiodarone
- IVFs, steroids, Benadryl