CCRN Critical Care Nursing

Category - Neonatal

A 3 year old child is brought to pediatric emergency with sudden onset of breathlessness, wheezing, diaphoresis and restlessness. Her mother mentions in history that the child was eating peanuts before developing these symptoms. An emergent chest x ray was ordered, which shows obstruction of right main stem of bronchus. Which of the following is definitive treatment of her condition?
  1. aggressive antimicrobials
  2. surgical repair
  3. diuretic therapy
  4. surgical removal
Explanation
Answer: D - The definitive treatment of her condition is surgical removal. She is most likely having these complaints due to accidental entry of peanut while eating into respiratory tract and causing obstruction of right main stem of bronchus. Such obstruction can lead to respiratory failure if not emergently treated.
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