A 8-year-old in status asthmaticus presents with diffuse whe…

A 8-year-old in status asthmaticus presents with diffuse wheezing and hypoxia. You have given 3 duo nebs (albuterol-ipratroprium) and 2 mg/kg of methylpredisolone in the first hour. Oxygen saturations are 89% on room air and 96% on 40% oxygen in between duo neb administration. What is the best next therapy of choice? 

A 6-year-old male is brought to the Emergency Department aft…

A 6-year-old male is brought to the Emergency Department after being rescued from a house fire. He is coughing, has hoarseness, and nasal hairs are singed. Oxygen saturation is 99% on room air. Which of the following is the most important immediate concern in this patient?

A 7-year-old female is admitted to the general pediatrics te…

A 7-year-old female is admitted to the general pediatrics team with pneumonia. A chest x-ray is obtained finding a focal consolidation to the right lower lobe. Oxygen saturation is 88% on room air. Which of the following best explains the pathophysiological reason as to why the child is hypoxemic despite having adequate ventilation in other lung regions on the chest x-ray?

You are taking care of a 14-year-old male with status asthma…

You are taking care of a 14-year-old male with status asthmaticus. He is currently intubated, sedated, and being treated with continuous albuterol, steroids, cisatracurium infusion, and ketamine infusion. His current ventilator settings show a PIP of 36, PEEP of 5, TV 6 ml/kg, RR of 12, iTime 1.5, and FiO2 of 45%. A plateau pressure is measured and is 22. His most recent arterial blood gas is as following: pH 7.38 CO2 80 O2 65 What would be the most appropriate next step in managing this patient?