Question

Suppose after a high-smog alert day in your city, a 5-year-old child with asthma, a 50-year-old male smoker with emphysema, and a 75-year-old of average health all come to the emergency room complaining of a cough and chest pain. Which patient's health would you be the most concerned about and why?

Answer 1

The correct answer is; The 5 year old child with asthma because left untreated could lead to asthmaticus.

Further Explanation:

The 5 year old child should be seen first and treated as an acute emergency situation. Since the child already has asthma and is having chest pain and a cough she must be seen first. It can be assumed that the parents have already given the child the inhaler and it did not help.

When the child was unresponsive to the inhaler or bronchodilators the correct course of action was to be seen at the emergency room. Left untreated this can lead to several conditions such as;

• hypercarbia
• secondary respiratory failure
• hypoxemia

The smog only worsens this condition and the could have fatal consequences if not treated immediately.

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