You are treating a short of breath 9-year-old male with a history of asthma. On scene he presents in severe respiratory distress with noted intercostal retraction, lethargy, and expiratory wheezing. His pulse is 136, respirations 32, and SpO₂ 95%. You have assisted him with his albuterol MDI and are transporting emergently to the hospital. As you reassess the patient, what finding is most concerning?

Question

Quizplus · Accepted Answer

A drop in heart rate in the context of severe respiratory distress and after treatment can indicate impending respiratory failure or cardiovascular compromise, especially in a pediatric patient who was initially tachycardic. This is a more concerning sign than a slight drop in SpO₂, increased wheezing, or stable blood pressure in this scenario.

You Are Treating a Short of Breath 9-Year-Old Male with a History