Question

an unresponsive 7 - month - old female is lying limp in her fathers arms. her conjunctivae are pale and moist. you are only able to auscultate faint wheezes in her upper chest. her vital signs are p 76 and r 18
does this patient need oxygen? if so what type?
no
yes, nasal canula at 2 - 6 lpm
yes, non rebreather at 15 lpm
yes, cpap
yes, bvm at 15 lpm

Explanation:

The patient is unresponsive, has pale conjunctivae (a sign of poor oxygenation in some cases), and only faint wheezes are auscultated. A non - rebreather mask at 15 lpm provides a high - concentration of oxygen (up to 90 - 100%) which is useful in cases of suspected significant respiratory compromise. A nasal cannula (2 - 6 lpm) provides a lower concentration (24 - 44% depending on flow). CPAP (Continuous Positive Airway Pressure) is used for patients with certain types of respiratory failure (like in some cases of obstructive sleep apnea or early heart failure with pulmonary edema) but the patient's main issue here seems to be oxygenation rather than airway pressure - related (no indication of air trapping etc. for CPAP). BVM (Bag - Valve - Mask) is used for positive pressure ventilation when the patient is not breathing adequately (the patient has a respiratory rate of 18 which is within a normal range for a 7 - month - old, although the quality of breaths is questionable).

Answer:

Yes, non - rebreather at 15 lpm