Severe Respiratory Distress

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  • A seven-year-old with a history of asthma presents to the emergency department in severe respiratory distress.

    Initial vitals:

    R: 40, O2: 85%, P: 160, BP: 90/60, T: 37.6

    On exam, The patient is sitting upright, airway is patent but patient is tachypneic, with intercostal retractions and tracheal tugging. You hear wheezing in all lung fields. No stridor.