Paed 4 - usmleresidency36

[ArchivalUser]

http://i.imgur.com/yZ0l1ro.png

[ArchivalUser]

c...

[ArchivalUser]

AA

[ArchivalUser]

Yup the answer is C coz child cannot use MDI

[ArchivalUser]

child is brought to the EMD.

Physician can administer SABA via MDI

His 02 sat = 92 % . What is the rationale in choosing o2 over SABA in this scenario ?

[ArchivalUser]

??

[ArchivalUser]

Here is explanation
http://rk36.imgur.com/all/

[ArchivalUser]

http://i.imgur.com/PJbZN0r.png

[ArchivalUser]

Three issues which defer from the explanation above

1 ) Goal in an acute asthma exacerbation is to maintain sao2 ----------- 92 % ( not 95 %)

2 ) Pt unable to complete sentences = severe acute exacerbation ( not moderate )

3) Child below 4 yrs------------- not to use MDI may not be a correct statement.In a child who has come with acute sever exacerbation SABA are administered either by MDI or by Nebuliser. MDI are even used in infants.

[ArchivalUser]

@Goal13 i agree with you.......