Her initial peak flow is 150 with a known baseline of 350. ![]() Today, she notes that she’s wheezing significantly, and it’s hard to breathe. She reports visiting a friend’s house with multiple cats and has not used her inhaler for the past two days. ![]() Author: Dorian Alexander, MD (Associate Program Director, Director of Critical Care in Emergency Medicine, Brookdale University Hospital, Brooklyn, NY) // Edited by: Alex Koyfman, MD EM Attending Physician, UTSW / Parkland Memorial Hospital) and Brit Long, MD Case 1:Ī 19 year old female with a past medical history of asthma controlled with an albuterol inhaler presents to the ED with a chief complaint of shortness of breath. Her vital signs at triage include T 98.7F, BP 135/78, HR 108, RR 36, SpO2 100% RA.
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