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A 56 year old barrel-chested male is in a tripod position and speaks in 2-3 word sentences. He has a lengthy smoking history. What should you do?

a. Administer terbutaline
B Apply CPAP
C. Apply oxygen by NRB
d. Administer albuterol

1 Answer

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Final answer:

The patient displaying symptoms of acute respiratory distress should initially receive albuterol to address the immediate bronchoconstriction. Depending on the response and severity of the distress, applying CPAP or supplemental oxygen may be necessary. Close monitoring and potential preparation for advanced interventions are also crucial.

Step-by-step explanation:

Based on the description of the patient, your first action should be to relieve the acute respiratory distress. The patient's tripod positioning and difficulty speaking in full sentences suggest obstructive lung disease, possibly chronic obstructive pulmonary disease (COPD) exacerbated or acute asthma attack.

Given the urgency and signs of respiratory distress, administering albuterol would be indicated as an initial treatment to provide quick bronchodilation. If the patient's condition does not improve with initial treatment or if severe respiratory distress is present, applying CPAP (continuous positive airway pressure) or supplemental oxygen therapy could be necessary. The use of NRB (non-rebreather mask) could also be considered to deliver a higher concentration of oxygen. It is crucial to closely monitor the patient and adjust the treatment plan as needed while preparing for potential advanced airway management or emergency interventions.

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