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A 34 years old woman presents with increasing shortness of breath over the last

ID: 3515049 • Letter: A

Question

A 34 years old woman presents with increasing shortness of breath over the last four days.she has had a cough for the last 6 days and it is worsening. she has a history of asthma , type 1 diabetes mellitus and one previous episode of pnemonia which necessitated hosiptal admission. on examination: heart rate 109, blood presure 135/75mmhg, respiratory rate 40, oxygen saturations 82% on room air. you start assessment by following the ABCDE protocol.what oxygen delivery device should you use?

A Tailored oxygen ( venturi valve) at 42%

b. Nasal prong

c. Non -rebreather mask

d. Non -invasive ventilation mask

Explanation / Answer

Answers - Option D non Invasive Ventilation Mask

As patient is suffering from short breathing, asthma, and coughing a continuous pressure flow of oxygen is required. And because of type 1 diabetes any invasive path of ventilation is contraindicated.

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