Abstract
CASE PRESENTATION
Andy is a 9-year-old boy with intermittent asthma who is brought to the emergency department (ED) by emergency medical services with acute-onset cough; shortness of breath; nonbloody, nonbilious emesis; and what his parents describe as “loud breathing.” His symptoms started shortly after his arrival home from school and were not relieved by albuterol treatments by his parents or those given in the ambulance. In the ED, Andy receives a normal saline bolus, intravenous (IV) steroids, 2 nebulized albuterol treatments, and 1 dose of intramuscular (IM) epinephrine. His symptoms improve with these treatments; however, he is noted to have hypotension and persistent tachypnea and increased work of breathing. The ED physician orders another normal saline bolus and calls you to assess Andy for admission.
Publisher
American Academy of PediatricsItasca, IL
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