A 45-year-old male is brought into the emergency department after being rescued from a house fire. He has burns around his face and singed nasal hairs. He is coughing persistently and wheezing. Which of the following interventions should be the priority for this patient?
Administer humidified 100% oxygen.
Administer a bronchodilator nebulizer treatment.
Begin intravenous antibiotic therapy.
Start aggressive fluid resuscitation with lactated Ringer's.
Administering humidified 100% oxygen is essential for patients with suspected inhalation injuries to help reduce airway inflammation, prevent hypoxemia, and treat carbon monoxide poisoning which is common in smoke inhalation. Bronchodilators may be used, but they would not be the immediate priority. Intravenous fluids and antibiotics may be important in the overall management; however, they do not address the immediate life-threatening concerns of airway protection and gas exchange.
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BCEN CEN
Respiratory Emergencies
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