Question

an 8 - year - old female has had trouble breathing for two days. her father called because she continues to have trouble breathing and he cannot wake her up. you do not hear any sounds when you auscultate her lower lungs and hear faint wheezes in her upper lungs. her vital signs are p 60, r 26, bp 94/68, and spo2 is 88% on room air. 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 has an SpO2 of 88% on room air (normal SpO2 is typically ≥ 94% on room air), indicating hypoxemia. A non - rebreather mask at 15 lpm can deliver a high concentration of oxygen (up to 90 - 95%) which is appropriate for a patient with significant hypoxemia. A nasal cannula (delivers 24 - 44% oxygen at 2 - 6 lpm) may not be sufficient for such a low SpO2. CPAP (Continuous Positive Airway Pressure) is more for patients with issues like sleep apnea or certain types of respiratory failure where the main problem is airway patency and pressure support. BVM (Bag - Valve - Mask) is usually used when the patient is not breathing adequately (apneic or with ineffective respirations), but this patient has a respiratory rate (R = 26).

Answer:

Yes, non rebreather at 15 lpm