Respiratory failure (pediatrics) Quiz: Ace Your Exams
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A 4-month-old infant boy presents with one week of fever, rhinorrhea, and cough. Parents report decreased feeding over the last week with intermittent shortness of breath. The infant was born at full term without complications during pregnancy or delivery. Temperature is 38.9°C (102°F), pulse is 190/min, respirations are 65/min, blood pressure is 102/55 mm Hg, and oxygen saturation is 83% on room air. Intercostal and subcostal retractions are noted on physical exams. Chest auscultation reveals bilateral coarse breath sounds. Heart sounds are normal. The patient is placed on low flow supplemental oxygen via nasal cannula and oxygen saturation increases to 88% on 2 liters with persistent increased work of breathing. Which of the following is the most appropriate next step in management?
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