system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 4-year-old girl asthmatic child is brought to casualty. She is not speaking and has fast shallow breathing with pulsus paradoxsus. ABG shows respiratory acidosis. What is the next best step in management of this patient?
assistant
The correct answer is  1. | CO2 - Respiratory acidosis - pulsus paradoxus 2. Patients not speaking - Imminent respiratory arrest | Do urgent Endotracheal intubation Other option Hyper baric oxygen therapy - CO poisoning, HAPE(High altitude pulmonary edema) MDI with salbutamol - patient cannot inhale Aminophylline - may cause PSVT