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학습 자료 둘러보기 →A child in acute asthma exacerbation with accessory muscle use, audible wheezing, and SpO2 89% on room air is in severe distress. Minimal improvement 30 minutes after nebulized albuterol is a defining feature of status asthmaticus and signals the need to move beyond initial interventions.
The priority nursing action is to notify the healthcare provider immediately. This facilitates rapid escalation to second-line therapies such as systemic corticosteroids, intravenous magnesium sulfate, or non-invasive ventilation, following a guideline-driven pathway.
Never place a child in respiratory distress in a supine position; this can worsen dyspnea. Maintain an upright position of comfort and continuously monitor cardiorespiratory status while awaiting further orders.
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