A 33-year-old female presents with acute respiratory distress. She is conscious but anxious, and tells you that she has a history of asthma. She took two puffs of her albuterol inhaler prior to your arrival, but states that it did not help. Her oxygen saturation reads 89% and you hear diffuse wheezing while auscultating her lungs. You should:
A) give her 100% humidified oxygen to dilate her bronchioles, monitor her oxygen saturation, and transport her to an appropriate medical facility.
B) assist her with a third albuterol treatment, contact medical control for further advice, give her high-flow oxygen, and transport her to the hospital.
C) ventilate her with a bag-valve-mask device until her oxygen saturation is at least 94% and rapidly transport her to the closest appropriate medical facility.
D) administer high-flow oxygen, contact medical control to request permission to assist her with another albuterol treatment, and prepare for transport.
Answer: D) administer high-flow oxygen, contact medical control to request permission to assist her with another albuterol treatment, and prepare for transport.
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