What should be done immediately for this patient?

Talk to the child about what he was doing when this happened

In what position should this patient be transported?

In a position of comfort for the child. This will usually be the tripod position

What information would help in deciding your next treatment by helping diagnose lower airway obstruction?

Lung sounds revealing wheezing and/or little air movement

Clear lungs with no work of breathing

Lung sounds are irrelevant to the treatment of this patient

Rales throughout the lung fields

What medications would be helpful in the treatment of this patient?

Nebulized albuterol or nebulized and ipratropium

Suddenly, the patient’s respiratory rate drops from 40/min to 6/min. What should you do immediately?

Ventilate the patient with a bag valve mask

Immediately take her to the ambulance for transport

Immediately start an intraosseous line

Pediatric respiratory emergency practice test - PALS pretest

You are on an ambulance and respond to a 10-year-old with breathing difficulty. Upon arrival, the child is sitting leaning forward on the couch in obvious respiratory distress. Her heart rate is 140/min, BP 106/68, respiratory rate is 40/min, Sp02: 86% on room air, she is afebrile and weighs 35kg.

about 3–5 minutes

Pediatric respiratory emergency practice test - PALS pretest

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