An 8-year-old female with a history of asthma continues to experience severe respiratory distress despite being given multiple doses of her prescribed albuterol by her mother. She is conscious, but clearly restless. Her heart rate is 130 beats/min and her respiratory rate is 30 breaths/min. She is receiving high-flow oxygen via a nonrebreathing mask. You should:
A. be prepared to assist her ventilations, transport at once, and request an ALS intercept en route to the hospital.
B. continue high-flow oxygen therapy, contact medical control, and request permission to administer more albuterol.
C. begin immediate ventilation assistance and ensure that you squeeze the bag forcefully in order to open her bronchioles.
D. begin chest compressions if she becomes unresponsive and her heart rate falls below 80 beats/min.
Answer: A. be prepared to assist her ventilations, transport at once, and request an ALS intercept en route to the hospital.
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