sweetybokhari
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A healthy 4-year-old girl presents with the following symptoms:rapidly progressing respiratory distress,high fever,muffled voice,and drooling.which one of the following measures is most appropriate in the initial management of this problem?
1) endotracheal intubation
2) ribavirin aerosol
3) bronchodilators
4) racemic epinephrine aerosol
5) high doses of intravenous steroids
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| sarika
Forum Guru
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endotracheal intubation ...epiglottitis
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| fox
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agree
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| robin082006
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A
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| drashishmahajan
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| robin082006
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Guys in FA it says 4 is given first.
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| Mahwish Mushtaq
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it's racemic epinephrine first
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| gilbert
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Treat cases of respiratory compromise, coma, or excessive pulmonary secretions with respiratory support using protocols and techniques available and within the scope of training. Some cases may necessitate procedures such as endotracheal intubation or cricothyroidotomy by properly trained and equipped personnel.
Treat patients who have bronchospasm with an aerosolized bronchodilator such as albuterol. Administer corticosteroids as indicated to patients who have persistent wheezing or hypersensitivity pneumonitis.
Consider racemic epinephrine aerosol for children who develop stridor. Dose 0.25-0.75 mL of 2.25% racemic epinephrine solution in water, repeat every 20 minutes as needed, cautioning for myocardial variability.
Patients who are comatose, hypotensive, or have seizures or ventricular arrhythmias should be treated in the conventional manner.
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| yu
Forum Junior
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ABCs first, so the answer is endotracheal intubation.
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| Dr.Luck
Forum Senior
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I think it should be racemic epi...so what's the correct answer sweetybokhari?
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| sarika
Forum Guru
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muffled voice,and drooling" if you dont do anything soon, Airway will be lost!
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| sweetybokhari
Forum Elite
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answer is A- endotracheal intubation.
thanks
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| mjl1717
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it could be that epi can be given directly down the endotracheal tube....
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