Perhaps
Forum Elite
Topics: 61
Posts: 162
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A 13-year-old girl is brought to the emergency department because of shortness of breath for 2 hours. The symptoms began after consuming chili, cornbread, and fruit salad with strawberries, kiwi, and bananas. She has a 1-year history of shortness of breath while playing soccer or baseball and uses a bronchodilator inhaler as needed while exercising. She is allergic to penicillin and pineapples. Her blood pressure is 80/60 mm Hg, pulse is 120/min and regular, and respirations are 20/min with use of accessory muscles. Examination of the lungs shows poor air entry bilaterally with diffuse expiratory wheezes. Which of the following is the most appropriate initial pharmacotherapy?
A) Inhaled bronchodilators
B) Inhaled cromolyn sodium
C) Inhaled ipratropium bromide
D) Intravenous corticosteroids
E) Subcutaneous epinephrine
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| frank100
Forum Guru
Topics: 48
Posts: 586
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E. subcutaneous epinephrine.
If those vital keep on going this way, she is going to shock and die.
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| shumaila
Forum Elite
Topics: 58
Posts: 347
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e
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