Thursday, August 7, 2014

Question 1

1.  Your patient is a 12 month old male that presents with stridor, drooling,  and respiratory distress.  This started suddenly.  Chest x ray reveals a thumb print sign.  Patients vital signs are as follows:  HR 172, Temp 102, SaO2 91% RR 64.  Which of the following is the best management plan?

A.  Racemic Epinephrine Aerosol and supplemental oxygen
B.  Decadron 4 mg IM
C.  Heated aerosolized mist
D.  Intubation


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