Simon is a 14 year old male who presents at the emergency

Simon is a 14 year old male who presents at the emergency

Simon is a 14 year old male who presents at theemergency department in status asthmaticus. His dadreports he had just been picked for the school soccer teamand was playing his first game when he started to wheeze,but didn’t want to come off and use his prescribed inhalers.Dad reports this has been the case more and more asSimon has moved in to his teenage years. On examination,Simon has an audible wheeze and is unable to speak in fullsentences. His respiratory rate is 32 breaths per minute.Pulse oximetry reveals an SaO2 of 88% and a pulse rate of132. He appears a little cyanotic and is visibly distressedand anxious. When asked what medication he was taking,Dad says that Simon had just been taking his “normalpuffers”, but Simon says that he had also been takingibuprofen for a sprained ankle he picked up in training.

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