A 25-year-old white female presents to the ER with status asthmaticus

Discussion in 'Plab 1 and 2 forum' started by Santosh Jadhav, Oct 23, 2013.

  1. Santosh Jadhav

    Santosh Jadhav Active Member

    A 25-year-old white female presents to the ER with status asthmaticus. On initial examination patient was gasping with a pulsus paradoxus of 25 mm of Hg. The patient was intubated, ventilated and treated with nebulized salbutamol. Three hours later, the patient’s situation improved. She was successfully extubated, and placed on hourly nebulizer treatments and intravenous methylprednisolone. After six hours, the patient complained of muscle weakness and difficulty lifting arms over the head. Her vitals are stable. What is the immediate next step in management?

    A.Get peek expiratory flow rate done
    B.Chest x-ray PA view
    C.Get FEV1/FVC done
    D.Get a serum electrolyte panel

Share This Page