You have been asked by the senior nurse to help in administering medication to the following patients, which patient should receive their medication first?
  1. Patient complaining of dyspnea diagnosed to suffer from acute exacerbation of bronchial asthma who has to be nebulized
  2. Patient presenting with dyspnea diagnosed to have pulmonary edema to which IV furosemide needs to be administered
  3. Patient presenting with dyspnea diagnosed to have hyperventilation syndrome to which oxygen inhalation has to be given
  4. Patient presenting with dyspnea diagnosed with COPD excerebration requiring an increase in oxygen due to low oxygen saturations
Explanation
Answer- B - The patient to be administered their medication first is the patient presenting with dyspnea diagnosed to have pulmonary edema, which may be life threatening. Thus, furosemide must be given to him urgently. Patient ‘A’ is presenting with acute exacerbation of asthma which makes the patient distressed so, he is also in need of immediate nebulization. Patient ‘C’ is having hyperventilation which is not a life threatening condition and can be attended later. Patient ‘D’ has COPD and is a chronic condition which oxygen therapy can be adjusted a later time.
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