A 16-year-old male has been inhaling paint fumes to "feel good." His grandmother called 911 when she found him doing this in the basement and he told her he was having a hard time breathing. He is alert and oriented, with a patent airway and adequate breathing. His radial pulse is strong and skin warm and dry. Your partner reports mild wheezing in both lungs. Vital signs are: pulse 92,
respirations 20, blood pressure 148/62, and SpO2 96% on room air. He has no medical history. Appropriate initial care would include:
A) positive pressure ventilation with supplemental oxygen.
B) oxygen by nasal cannula at 8 liters per minute.
C) breathing treatment with a metered-dose inhaler.
D) high-concentration oxygen through a nonrebreather mask.
D
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