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Question
the emt responds to a residence for an infant with trouble breathing. upon arrival, the parent indicates that the 8-month-old has been sick for about a week or so with a runny nose, slight fever, and a cough. however, over the last two days the baby has gotten much worse and won’t drink a bottle or eat, has a temperature of 102.4 f, is coughing much more and seems to be struggling to breathe. upon assessment, you note an awake infant with chest wall retractions on inhalation, nasal flaring, slight cyanosis to the oral mucosa, and hear bilateral diffuse wheezing. what condition should the emt suspect and what treatment should be provided?
move the most probable condition and most probable treatment to the answer area.
most probable condition\tmost probable treatment
\t
most probable condition options
asthma\tcovid\tbronchiolitis
most probable treatment options
suction the nose and administer oxygen\tbegin bag-valve-mask ventilation\tinsert an oropharyngeal airway
For the condition: Bronchiolitis is common in infants (like 8 - month - old here) with viral illness progression (runny nose, fever, cough worsening), respiratory distress signs (chest retractions, nasal flaring, cyanosis, wheezing) match. Asthma is less likely in infants without history, COVID has more systemic or different respiratory patterns.
For treatment: Suctioning nasal secretions (to ease airway) and oxygen administration (to address hypoxia from respiratory distress) are standard for bronchiolitis - related respiratory distress. Bag - valve - mask is for severe respiratory failure (not initial here), oropharyngeal airway is for unresponsive patients (infant is awake).
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Most Probable Condition: Bronchiolitis
Most Probable Treatment: Suction the nose and administer oxygen