An infant is short of breath and has rhonchi in both lungs. He is alert with adequate respirations at a rate of 38 per minute. His skin color is pink but cool to the touch. When EMRs place a pediatric mask on his face, he becomes very upset and physically struggles to remove it. In this situation you would:

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Placing a nasal airway may exacerbate the infant's distress and struggling, further compromising breathing. Securing the mask to the face using tape can also cause distress and potentially cause injury to the infant's delicate skin. Positive pressure ventilation may be necessary but should be done with caution and appropriate equipment. Transporting the infant with no further attempt at oxygen therapy is not appropriate in this situation. Allowing the mother to hold the infant and provide blow-by oxygen can provide comfort and assistance with breathing while avoiding further distress from the mask.

An Infant Is Short of Breath and Has Rhonchi in Both