A 7-year-old patient with a history of asthma is experiencing severe respiratory distress during a flight transfer. What is the MOST appropriate initial intervention?
Administer nebulized albuterol
Administer intravenous steroids
Administer supplemental oxygen via mask
Apply a pulse oximeter and monitor oxygen saturation
Administering nebulized albuterol is the most appropriate initial intervention as it directly targets the bronchospasm that is causing the respiratory distress. While oxygen is important and steroids have a role, the immediate need is bronchodilation, which albuterol provides. Monitoring with a pulse oximeter is essential but is not a treatment.
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