A school age child in status asthmaticus presents with diffu…

A school age child 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 in room air are 89% and 96% on 40% oxygen in between neb administration. What is the next anticipated BEST therapy? 

You are the APP on shift on the cardiac unit and you get a c…

You are the APP on shift on the cardiac unit and you get a call from the bedside RN that her patient, a 1-month-old infant with HLHS s/p Norwood Sano has developed bloody stools, abdomen is distended and has developed an oxygen requirement. What is the most important next step in managing this patient?

You are working in the CVICU and admitting back an infant fr…

You are working in the CVICU and admitting back an infant from cardiac surgical repair of truncus arteriosus with a long bypass run. You know the infant is at high risk for pulmonary arterial hypertension in the acute postoperative phase. You employ the following strategies to reduce this risk: