Your 13-month-old patient is limp and pale with perioral cya…

Your 13-month-old patient is limp and pale with perioral cyanosis and nasal flaring. He is using accessory muscles to breathe. He has had a runny nose and cough for three days and a recent temperature of 100.8F rectally. Vital signs are: BP 78/40, P 174, R 50 with bilateral wheezing. You suspect